Pediatric Dentistry · single question
Same case (ectodermal dysplasia). What is the best way to manage this patient?
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Correct answer: B. Refer patient to a pediatric dentist with a multidisciplinary team
Ectodermal dysplasia requires comprehensive multidisciplinary management involving: pediatric dentist, prosthodontist, orthodontist, oral surgeon, genetic counselor, dermatologist, and sometimes ophthalmologist. Early referral to a pediatric dentist with a multidisciplinary team is the appropriate first step for a child with this complex condition. Implants are contraindicated until growth is complete (typically late teens).
- A. INCORRECT. Surgical exploration is not indicated without specific clinical findings requiring surgical intervention.
- B. CORRECT. Ectodermal dysplasia management requires a MULTIDISCIPLINARY TEAM. Referral to a pediatric dentist who can coordinate care with specialists (prosthodontist, orthodontist, oral surgeon, genetic counselor) is the appropriate first step.
- C. INCORRECT. Implant planning is premature in a young child with ectodermal dysplasia — implants must wait until skeletal growth is complete (typically 17-18 years for females, 18-21 for males).
- D. INCORRECT. Waiting to see if teeth erupt is inappropriate when the child already has a documented diagnosis. Early intervention (removable dentures/overdentures) improves function, speech, and facial development.
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