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Modified overdentures for the management of oligodontia and developmental defects.

A technique for the construction of complete dentures over unaltered natural teeth has been described and illustrated for three different situations. The procedure is straightforward and simple and varies only slightly from conventional overdenture construction. The technique offers several advantages for a patient who wishes to keep the remaining natural teeth unaltered but who requires significant functional or esthetic improvement. Since the teeth are unaltered, any type of future treatment may be considered at any time without being compromised. This is an important factor to consider for the young patient. The cost, when compared to the fabrication of a fixed or cast removable prosthesis, is significantly less, while still providing acceptable esthetics and function. The versatility of this procedure allows its use in a number of situations which are not amenable to more complicated treatment methods.

Adolescent↗

Root canal treatment as a treatment modality for temporary tooth retention in adolescent patients.

In certain cases root canal treatment may be an adequate intermediate therapy, mainly for severely traumatized teeth in adolescent patients that probably cannot be retained permanently. The treatment aims at temporary retention of otherwise hopeless teeth until definite treatment, for example insertion of bridges or dental implants, may be performed. This kind of treatment can help to avoid the application of removable prostheses in young patients. This treatment modality requires intensive information to be presented to the patients and their parents on the benefits and risks of the treatment procedures, endodontic treatment under aseptic conditions respecting the general guidelines for root canal treatment, and a strict recall regimen to avoid occurrence or increase of pathological conditions. Four cases (five teeth) of temporary tooth retention by endodontic treatment are presented.

Adolescent↗