Rehabilitation of medically complex ectodermal dysplasia with novel surgical and prosthodontic protocols.

[oligodontia]

The functional and aesthetic needs of a 17 -year -old patient afflicted with ectodermal dysplasia , chronic long -term immunosuppression , cleft palate , velopharyngeal insufficiency , hypernasality , maxillary hypoplasia , and oligodontia were met with a multidisciplinary team approach . Predictable functional and aesthetic outcomes were obtained with a combination of injection augmentation of the soft palate and nasopharynx and rigid fixation maxillary external distraction with immediate placement and immediate load protocols . No biological or prosthetic complications were noted after definitive rehabilitation with a mandibular implant-retained fixed prosthesis and a maxillary implant-retained detachable prosthesis .