Prosthodontics & Occlusion · single question

An 18-year-old patient with ectodermal dysplasia is missing both maxillary lateral incisors. They want to improve their smile. The ideal long-term treatment plan is:

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  1. Removable partial denture as definitive treatment
  2. Immediate implant placement
  3. Orthodontics to optimize space + implants after skeletal maturity (age 21)
  4. Composite resin buildups of adjacent canines only
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Correct answer: C. Orthodontics to optimize space + implants after skeletal maturity (age 21)

  • A. Incorrect. A removable partial denture is a temporary/interim solution, not the ideal long-term definitive treatment for a young patient.
  • B. Incorrect. Immediate implant placement at 18 is premature — maxillary facial growth may not be complete, and early implants will appear submerged as alveolar bone grows vertically.
  • C. CORRECT. The ideal treatment for ectodermal dysplasia with missing lateral incisors is: orthodontic management to create optimal space for ideal implant placement, followed by implants after skeletal maturity (typically age 21). This provides the best esthetic, functional, and bone-preserving long-term outcome.
  • D. Incorrect. Composite resin camouflage of canines is a temporary or supplemental measure, not the ideal plan when implants are appropriate.

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