2025 Volume 46 Issue 1 Pages 5-13
A type of ectodermal dysplasia, hypohidrotic ectodermal dysplasia is a congenital disease accompanied by sparse hair, insufficient number of teeth, hypodontia, and hypoplasia of sweat glands. There is congenital edentulism of baby or permanent teeth or complete anodontia in the oral cavity appearance. This case report describes a patient with complete edentulism due to hypohidrotic ectodermal dysplasia who acquired esthetic and masticatory functions by a complete denture prosthetic, and 14 years of follow-up.
The first visit of the patient was in June 2010. He was a 3.2-year-old boy, with the main complaint of “We want a complete denture because of congenital edentulism, then dysphagia rehabilitation.” His oral cavity appearance was an edentulous jaw and the form of the alveolar ridge was low and string-like. His face had a senile appearance due to a short face caused by mandibular advancement. We took his physical growth into consideration when making his complete denture because the length and width of the alveolar ridge would grow. The denture was installed in the deciduous dentition period, mixed dentition period, and permanent dentition period. The first denture was made during his primary and mixed dentition period in November 2010 （3.7 years old）, the second one in October 2013 （6.7 years old）, and the third one in September 2017 （8.5 years old）. Currently, he is using the fourth one made in August 2019 （12.5 years old）. This denture acquired esthetic and masticatory functions.
In the present case it was necessary to make a complete denture to acquire pronunciation, esthetic and masticatory functions. We were able to improve the acquired esthetic and masticatory functions by making the complete denture while taking into consideration the growth and development of his maxillofacial and alveolar ridge.
