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Multidisciplinary Treatment – A Case Report

From Volume 12, Issue 1, January 2019 | Pages 13-16


Sarah E Griffiths


Senior House Officer in Oral and Maxillofacial Surgery, Royal Hallamshire Hospital, Glossop Road, Sheffield, South Yorkshire S10 2JF

Articles by Sarah E Griffiths

Jonathan Sandler

BDS (Hons), MSc, PhD, MOrth RCS, FDS RCPS, BDS(Hons), MSc, PhD, FDSRCPS, MOrth RCS, Consultant Orthodontist,

Consultant Orthodontist, Chesterfield Royal Hospital, Chesterfield, UK

Articles by Jonathan Sandler


Abstract: This article describes the multidisciplinary management of a 10-year-old boy who presented with severe hypodontia. Treatment involved tooth transplantation and space opening for the provision of single unit osseointegrated implants. It will demonstrate the need for good lines of communication between orthodontists, maxillofacial surgeons, implantologists and restorative dentists to ensure a successful outcome for the patient.

CPD/Clinical Relevance: To illustrate the importance of multidisciplinary care and meticulous planning in the treatment of patients with severe hypodontia.


Hypodontia is the term used for the developmental absence of one or more teeth, excluding third molars. The prevalence of hypodontia in the primary dentition is 0.1%−0.9% and in the permanent dentition is 3.5%−6.5%.1 In Caucasian populations the third molars are the most commonly missing teeth, followed by the second premolars and then lateral incisors.1

Management of hypodontia cases is often difficult and complex, particularly in patients that have been severely affected. Delivery of a suitable holistic treatment care pathway for these patients requires the expertise of various specialists forming a multidisciplinary team. Treatment planning for congenitally missing teeth should be based upon a comprehensive evaluation of a patient's age, his/her occlusion and the specific space requirements, as well as the size and shape and morphology of adjacent teeth. Integrated care is best provided through an experienced team of clinicians from a range of specialties, working together in a hypodontia clinic. This method of treatment is considered to be the gold standard for the clinical care of this very special group of patients.2

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