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| LETTER TO THE EDITOR |
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| Year : 2013 | Volume
: 3
| Issue : 1 | Page : 47-48 |
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Idiopathic nonsyndromic tooth agenesis
Dexton Antony Johns
Department of Endodontics, Government Dental College, Calicut, Kerala, India
| Date of Web Publication | 25-Oct-2013 |
Correspondence Address:
Dexton Antony Johns
Department of Endodontics, Government Dental College, Calicut, Kerala
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2229-5194.120534
How to cite this article:
Johns DA. Idiopathic nonsyndromic tooth agenesis. J Interdiscip Dentistry 2013;3:47-8 |
Dear Editor,
This letter is in response to an article titled "Idiopathic nonsyndromic tooth agenesis: A report of rare three" published in the recent issue. [1] Successful outcome in the management of patients with oligodontia depends upon careful diagnosis and treatment planning, which requires cohesive cooperation between specialists of different disciplines. In addition, excellent communication with patients and parents (including informed consent) is necessary, as the treatment duration for patients with oligodontia may extend over many years.
The author has described a rare case where proper treatment planning was adhered to, however, she could have included the post-operative photographs in Case 1, clinical photos in Case 2. Usually, the children are not co-operative for the prosthetic management and needs to be called for periodical review once in 6 month and oral hygiene maintenance reinforced. This also helps to desensitize the child to the dental environment. It is necessary to perform a gene analysis of this child to understand the mutation in a more definite manner. The author's first case had oligodontia and different positional changes of the existing teeth, their morphology and size. This was in accordance to a study conducted by Moses et al. [2] The importance of psychological distress in these patients needs to be catered to along with functional rehabilitation. Absence of tooth causes adverse esthetic and biomechanical sequelae, many health professionals may forget that although much research and attention have been devoted to various forms of organ loss, the edentulous state has received little psychological attention. The confluence of functional and psychological management should go hand in hand for the ultimate success. [3]
 References | |  |
| 1. | Dali M, Singh R, Naulakha D. Idiopathic nonsyndromic tooth agenesis: A report of rare three. J Interdiscip Dent 2012;3:190-4. 
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| 2. | Moses J, Gurunathan D, Rangeeth BN, Kannan KS. Non-syndromic oligodontia of primary and permanent dentition: 5 year follow up - A rare case report. J Clin Diagn Res 2013;7:776-9.
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| 3. | He X, Shu W, Kang Y, Li Z, Zhang J, Kari K, et al. Esthetic and functional rehabilitation of a patient with nonsyndromic oligodontia: A case report from China. J Esthet Restor Dent 2007;19:137-42.
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