Prosthodontic rehabilitation of non-syndromic oligodontia case with telescopic prosthesis

Oligodontia is the congenital absence of six or more permanent teeth excluding the third molars. Oligodontia of permanent dentition is a rare occurrence. Preservation of the remaining deciduous dentition in such situations is important for both functional and esthetic rehabilitation of the patient. This case report describes the rehabilitation of a 16 year old male with oligodontia of permanent teeth treated by an interdisciplinary team of Prosthodontist, paedodontist and orthodontist. Endodontic treatment of all the remaining deciduous dentition was done. Vertical dimension of deciduous dentition occlusion was assessed. Full mouth single piece porcelain fused to metal telescopic prosthesis for maxillary and mandibular arch was planned with minimal increase in vertical dimension of occlusion. Telescopic prosthesis provided excellent retention, stability, esthetics and stress equalization on the remaining deciduous dentition. Maintenance of oral hygiene procedures was simplified for the adolescent with the telescopic prosthesis. Preservation of remaining deciduous dentition and fabrication of a telescopic prosthesis in this patient provided an effective aesthetic and functional rehabilitation for the patient.