Rehabilitation of a patient with chondroectodermal dysplasia
A 24 year old female patient reported with a complaint of missing upper and lower front teeth since childhood. Medical history revealed that the patient had preexisting cardiac condition, rheumatoid heart disease with mitral valve prolapsed and mild mitral regurgitation. General physical examination revealed, that the patient was of a short stature with moderate built and marked bilateral genu valgum. Intraoral examination revealed that the teeth were hypoplastic with high caries rate, resulting in presence of several large restorations in relation to 16, 17, 26, 27, 28, 37, 47 with 12, 22, 31, 32, 33,34, 41,42,43,46 missing. The diagnosis was a case of Ellis Van Crevelo Syndrome (chondroectodermal dysplasia.) Treatment plan involved oral prophylaxis, extraction of 83, restoration of carious teeth, frenectomy of hyperplastic low attachment labial frenum, replacement of missing teeth – mandibular anterior teeth with removable partial denture and maxillary fixed partial denture – 13 - 23. The management of this case involved a multidisciplinary team approach involving medical (cardiac surgeon, general physician) and dental team comprising of prosthodontist, endodontist, periodontist
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