PMC6089102_01
Maxilla of the ectodermal dysplasia patient.
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The oral examination disclosed carious deciduous teeth and oligodontia (Figures 1-3). Multiple carious deciduous teeth were deemed hopeless (Figures 1 and 2).
Mandible of the ectodermal dysplasia patient.
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The oral examination disclosed carious deciduous teeth and oligodontia (Figures 1-3). The mandibular incisors were incompletely developed (Figure 2). Multiple carious deciduous teeth were deemed hopeless (Figures 1 and 2).
The unrestorable carious and exfoliating mandibular second deciduous molar.
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The oral examination disclosed carious deciduous teeth and oligodontia (Figures 1-3).
The unrestorable carious and exfoliating mandibular second deciduous molar was extracted.
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First, carious deciduous teeth were extracted, the maxillary lateral incisors, and right second molar and left first molar and the mandibular right second molar (Figure 4).
Healing after extractions.
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Orthodontic treatment was then instituted over a 7-year period at the Department of Orthodontics, University of Genoa, Italy, without complications (Figures 5 and 6).
Orthodontic treatment was instituted.
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Orthodontic treatment was then instituted over a 7-year period at the Department of Orthodontics, University of Genoa, Italy, without complications (Figures 5 and 6).
The healed site.
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The mandibular right second premolar site had healed well (Figure 7).
The small diameter implant was placed at 12 rpm and water cooled during seating.
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The implant was then seated at 12 rpm and water cooled to prevent any significant insertion heat (Figures 8-10).
Radiograph during seating of small diameter implant.
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The implant was then seated at 12 rpm and water cooled to prevent any significant insertion heat (Figures 8-10).
The implant after integration.
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The implant was then seated at 12 rpm and water cooled to prevent any significant insertion heat (Figures 8-10).
Panoramic radiograph after treatment completion.
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After 3 months, a low cusp ceramic crown was inserted, assessed, and definitively cemented with Cement-Over  Abutment (Intra-Lock International) (Figures 11 and 12).
The small diameter implant-supported crown in function.
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After 3 months, a low cusp ceramic crown was inserted, assessed, and definitively cemented with Cement-Over  Abutment (Intra-Lock International) (Figures 11 and 12).
The small diameter implant-supported crown in function after 4 years.
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The crown has been in uneventful successful function for 4 years (Figure 13).