Prosthodontics management of HypohIdrotic Ectodermal Dysplasia: A case report with 4 years follow up

• Dr Abir Sarkar,  
• Dr Anup Gopi,  
• Dr Vaibhav Jain*

Abstract

Hypohidrotic ectodermal dysplasia (HED) is a rare genetic disorder characterized by defects in ectodermal structures, including teeth, hair, nails, and sweat glands. This case report describes the prosthodontic management of an 8-year-old male child diagnosed with HED, who presented with missing teeth and difficulty chewing. The patient exhibited characteristic features of HED, such as a low nasal bridge, prominent chin, sparse hair, and dry, scaly skin. Radiographic examination confirmed the absence of retained deciduous teeth and permanent tooth germs. The patient was initially rehabilitated with an interim removable partial denture in the maxillary arch and a complete denture in the mandibular arch. Behavioral modification techniques were employed to help the child cope with the dental treatment. After four years, the patient was re-evaluated and a new set of prostheses was fabricated, consisting of a Cu-Sil denture in the maxillary arch and a conventional complete denture in the mandibular arch. The treatment aimed to improve the patient's masticatory function, speech, and social acceptance. This case highlights the importance of a multidisciplinary approach and long-term follow-up in the management of HED patients, as well as the role of prosthodontic rehabilitation in improving their quality of life.

Keywords

Ectodermal Dysplasia,Cu-sil-denture,Early childhood denture,overdenture