A 38-year-old male presents with a chief complaint of 'I am missing some teeth, and I would like replacements.' His background history includes ectodermal dysplasia, and current findings show hypodontia. What is the best treatment option to address the chief complaint?

Correct answer: A. Implant-supported prostheses

• A. CORRECT. Implant-supported prostheses are the treatment of choice for patients with ectodermal dysplasia and hypodontia. Ectodermal dysplasia causes congenitally missing teeth and underdeveloped alveolar ridges; implants restore proper function, esthetics, and stimulate bone maintenance. Multiple guidelines and studies support implant therapy even in young patients with this condition once growth is complete.
• B. INCORRECT. Conventional removable prostheses (RPDs or complete dentures) are a secondary option for ectodermal dysplasia patients. They do not prevent ongoing alveolar ridge resorption and are less stable due to the underdeveloped ridges typical of this condition. They may be used as interim treatment.
• C. INCORRECT. Fixed partial dentures (bridges) require adequate abutment teeth with sufficient bone support. In hypodontia, there are often insufficient teeth and bone to support a conventional bridge, making this option impractical in most ectodermal dysplasia cases.
• D. INCORRECT. No prosthetic treatment is not acceptable when a patient is presenting with missing teeth and requesting replacements. This would leave the patient with functional deficits, ongoing bone loss, and psychosocial impacts.