Pediatric Dentistry · single question

ECTODERMAL DYSPLASIA CASE (continued): What is the most appropriate next step for this child?

  1. Refer to a multidisciplinary team for comprehensive pediatric management
  2. Monitor and schedule follow-up in 6 months
  3. Extract all retained primary teeth and place implants
  4. Begin immediate prosthetic rehabilitation with complete dentures
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Correct answer: A. Refer to a multidisciplinary team for comprehensive pediatric management

Ectodermal dysplasia requires a multidisciplinary approach involving pediatric dentistry, prosthodontics, oral surgery, genetics, dermatology, and pediatric medicine. Prosthodontic rehabilitation (overdentures or implant-supported prostheses) is needed, but only as part of coordinated, staged care. Implants are contraindicated until jaw growth is complete (~17–18 years in males). The initial step is appropriate referral.
  • A. Incorrect. While prosthetic rehabilitation is eventually needed, initiating it without a full multidisciplinary plan is premature and may not address all systemic aspects of the condition.
  • B. CORRECT. The most appropriate first step is referral to a multidisciplinary pediatric team for comprehensive diagnosis and staged treatment planning.
  • C. Incorrect. Implant placement during active jaw growth is contraindicated and considered negligent. This would be addressed after skeletal maturity.
  • D. Incorrect. Monitoring without referral is inappropriate — early intervention and specialty coordination are critical for functional and developmental outcomes.

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