Management of Bilateral Dental Agenesis with Aesthetic Rehabilitation by Groper's Appliance- A Six Year Follow-up ZD01-ZD03
D-716, Jalvayu Towers, Sector-47, Noida-201301, Uttar Pradesh, India.
Tooth agenesis is the most clearly recognised dental anomaly in humans. Tooth agenesis may be single or multiple and may involve single or both arches. However, agenesis of permanent tooth is more commonly seen than primary tooth agenesis. Various studies reported 2.6-11.3% incidence of missing permanent teeth, out of which 0.4-0.9% occurs in the primary dentition and most commonly lateral incisors are involved. Women are usually more affected and the male-to-female ratio is about 2:3. The clinical features evident in children with missing teeth are compromised growth of alveolar ridge, speech discrepancies and reduced lower facial height resulting in deep bite. Missing anterior compromises aesthetics and affects the psychological and social well being of the child. Absence of teeth results in speech defects and unbalanced jaw growth which predisposes the patient to dental malocclusion. Thus, the condition requires careful treatment planning and subsequent management. Limited treatment options are available for the management of this condition due to child’s tender age and co-operation levels. Among these Groper’s appliance presents a promising treatment modality. This appliance has proven to be compliant functionally as well as aesthetically. Agenesis of multiple anterior teeth in both the arches and involving primary as well as permanent dentition is a rare presentation and literature shows paucity of data pertaining to this anomaly. Thus, there is a need for the documentation of such cases in literature. The present paper reports a case of nonsyndromic bilateral agenesis of primary and permanent interiors in a healthy three-year-old Indian male patient and a brief overview on its clinical implications and management.