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Prosthodontic Considerations In The Management Of Oligodontia In Growing PatientsTreatment in this phase is designed to maintain therestorative space created with the provision of semipermanent prosthesis. Upon completion of skeletalmaturity, definitive restorative phase can be instituted.The purpose of this paper is to illustrate aninterdisciplinary management of a 15-year-oldadolescent presented with non-sydromic oligodontia,focusing upon treatment planning and interimrestorative phase from prosthodontic perspective. Thelong term treatment outcome will be presented in asubsequent publication.CLINICAL REPORTA 15-year-old male teenager visited the dentalClinic with a chief complaint of difficulty in chewing andtearing chewy food such as steak. His accompanyingmother expressed cosmetic concern with missingteeth. She stated that patient had been teased due tohis pointy teeth. His lower teeth were also noted to betoo “forward”.There was no remarkable medical history. Heis the only child of his normal healthy parents. Hismother indicated that there were no other similarcases in the family. He was born after full termpregnancy and his childhood was relatively uneventfulexcept for occasional ear and nose infections. Thepatient reported normal sweating capacity and wasactive in sport and outdoor activities.The patient was noted to have retained primaryincisors at the age of 9-10 years. At the age of 8, hehad a lower denture constructed. Nevertheless, theplan was abandoned due to poor tolerance. He wasprescribed a space maintainer again at the age of 9, butpatient had not been able to tolerate the appliance.Clinical examination showed a symmetrical facewith mild concave profile and diminished lower facialheight (Figure 1). The free way space recorded wasapproximately 8 mm. There was no evidence of mentaland development disability, in particular hair, skin,nails or sweat glands anomalies. He presented withlow smile line with only incisal third of lower incisorsdisplayed on broad smile.Intraorally, there were missing upper lateralincisors, lower incisors, lower second premolars, firstand second molars for both quadrants. Presence ofa submerged tooth 75 and slight tipping of tooth 36was noted. (Figure 2) His upper incisors includinga retained tooth 53 appeared to have conical andatypical morphologies. The patient exhibited significantresidual alveolar ridge deficiency with a knife-edgeconfiguration in the lower anterior region. Both upperand lower arches had constricted U-shaped morphologywith high palatal vault.Figure 1: Frontal and lateral facial profile.Figure 2: Intraoral photos; (A) palatal view, (B) frontalview and (C) lower occlusal view.Malaysian Dental Journal Jan-Jun 2011 Vol 32 No 122