Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar 5;10(3):485.
doi: 10.3390/healthcare10030485.

Aesthetic and Functional Rehabilitation of Patients with Genetic Microdontia: A Multidisciplinary Approach

Cindy Batisse  1   2 , Pierre-Yves Cousson  1   2 , Emmanuel Nicolas  1   2 , Marion Bessadet  1
Affiliations
Case Reports

Aesthetic and Functional Rehabilitation of Patients with Genetic Microdontia: A Multidisciplinary Approach

Cindy Batisse et al. Healthcare (Basel). .

Abstract

This case report presents the treatment of a 33-year-old patient with a genetic, generalized microdontia of permanent teeth. Microdontia is a developmental dental anomaly of the teeth characterized by a decrease in their size. In the literature, treatment has been multidisciplinary, often utilizing orthodontics and implantology. However, for adult patients with generalized microdontia who do not benefit from these treatments as much, a combination of adhesive dentistry, endodontics and removable prostheses remains a therapeutic alternative to consider. Given the specificities of the patient and the nature of the care, the objective of this treatment option was to manage the patient's comfort while guaranteeing quality of care. A feature of this treatment was the use of general anesthesia for endodontic treatments and exodontia. Chairside CAD/CAM and adhesive dentistry reduced the chairside time and preserved healthy dental tissue.

Keywords: CAD/CAM; general anesthesia; microdontia; special needs.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Extraoral examination: (a) front view; (b) side view.
Figure 2
Figure 2
Resin printed study models illustrating microdontia and the abnormal morphology of the clinical crowns: (a) maxillary model; (b) model of anterior maxillary segment; (c) model of anterior mandibular segment.
Figure 3
Figure 3
Intraoral examination: frontal view (a) dental arches in occlusion; (b) arches in full opening.
Figure 4
Figure 4
Panoramic radiograph before treatment.
Figure 5
Figure 5
Radiographs of 33, 34 and 35 showing the small size of the roots of the canines and premolars and the abnormal dental morphology of their clinical crowns.
Figure 6
Figure 6
Panoramic radiograph after procedures performed under general anesthesia.
Figure 7
Figure 7
Resin mock-up and transitional removable partial dentures, (a) maxillary view; (b) mandibular view; (c,d) arches in occlusion.
Figure 8
Figure 8
Onlays in maxillary posterior segment 1: (a) Occlusal preparations; (b) digital cast; (c) design of onlays.
Figure 9
Figure 9
(a) maxillary onlays; (b) mandibular onlays; (c) posterior onlays in occlusion.
Figure 10
Figure 10
Patient smile after treatment.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Shafer W.G., Hine M.K., Levy B.M. A Textbook of Oral Pathology. 1st ed. W. B. Saunders Co.; Philadelphia, PA, USA: 1958. p. 26.
    1. Bargale S.D., Kiran S.D.P. Non-Syndromic Occurrence of True Generalized Microdontia with Mandibular Mesiodens—A Rare Case. Head Face Med. 2011;7:7–19. doi: 10.1186/1746-160X-7-19. - DOI - PMC - PubMed
    1. Brook A.H., Jernvall J., Smith R.N., Hughes T.E., Townsend G.C. The Dentition: The Outcomes of Morphogenesis Leading to Variations of Tooth Number, Size and Shape. Aust. Dent. J. 2014;59((Suppl. 1)):131–142. doi: 10.1111/adj.12160. - DOI - PubMed
    1. Jeong K.H., Kim D., Song Y.-M., Sung J., Kim Y.H. Epidemiology and Genetics of Hypodontia and Microdontia: A Study of Twin Families. Angle Orthod. 2015;85:980–985. doi: 10.2319/052814-376.1. - DOI - PMC - PubMed
    1. Laverty D.P., Thomas M.B.M. The Restorative Management of Microdontia. Br. Dent. J. 2016;221:160–166. doi: 10.1038/sj.bdj.2016.595. - DOI - PubMed

Publication types

LinkOut - more resources