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The management of severe hypodontia. Part 1: Considerations and conventional restorative options.
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Severe
hypodontia
is
the
absence
of
six
or
more
permanent
teeth
and
is
relatively
uncommon
(
estimated
prevalence
of
0
.
1
-
0
.
2
%
)
.
This
condition
may
have
considerable
functional
,
aesthetic
and
psychological
implications
for
the
patient
,
as
well
as
presenting
a
significant
challenge
for
the
restorative
dentist
.
There
are
a
number
of
additional
dental
and
craniofacial
features
that
are
seen
frequently
in
patients
with
severe
hypodontia
that
may
complicate
the
provision
of
restorative
treatment
.
These
patients
typically
present
at
a
young
age
and
are
likely
to
require
lifelong
support
from
the
dental
team
.
Initially
this
may
be
limited
to
oral
health
education
and
delivery
of
effective
preventative
regimes
in
childhood
.
Where
required
,
missing
teeth
may
be
replaced
using
conventional
removable
and
fixed
prosthodontics
as
well
as
implant
retained
restorations
.
This
article
,
part
one
of
a
two
-part
series
,
deals
with
the
assessment
of
patients
and
factors
to
consider
when
treatment
planning
for
the
provision
of
conventional
restorative
solutions
in
severe
hypodontia
.
