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Prosthodontic Considerations In The Management Of Oligodontia In Growing PatientsTable 2: Restorative Treatment PlanInitial Restorative Phase (Phase I)UpperOrthodontics:Retention of 53 for as long as possibleRedistribution of spacesRestorative space creation for missing 22Increase lower facial height, increase OVDRestorative:Composite build up: 53,11,21,13LowerRetention of 75 for as long as possibleComposite build up to occlusal planeComposite build up 43,33Figure 5: Diagnostic wax-upRemovable partial denture with overlaying tooth 75ORResin bonded bridge 43-33 (replacement with 3 incisors),46-45Interim Restorative Phase (Phase II)Upper:22 space maintenance:Removable orthodontic retainer ORResin bonded bridge ORRemovable partial dentureLower:Maintain phase IDefinitive Restorative Phase (Phase III)Orthognathic surgeryUpper:Options for replacement of 22Resin bonded bridge ORSingle implant supported crown ORRemovable partial dentureLower:Options for replacement of 32-42, 85 / exfoliation of 75Resin bonded bridge ORRemovable partial denture ORImplant supported prosthesis with bone graftsFigure 6: Kesling set-upTreatment objective (Initial restorative phase):1. To change the conical teeth morphology and toprovide reference for tooth 22 restorative spacecreation2. To redistribute spaces and to create restorativespace for missing tooth 223. To provide space maintenance for the lower arch.4. To increase OVD5. Pre-surgical orthodonticsAfter establishing the posterior centric stop,composite build-ups were performed on teeth13,11,21,23 with aid from a silicon template derivedfrom the diagnostic wax-up. The mesio-distal widthof retained 53 was built up to simulate a lateralincisor. Following placement of the composite resins,aesthetic, comfort and function including speech wereevaluated (Figure 7).Malaysian Dental Journal Jan-Jun 2011 Vol 32 No 124