Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report

Nazlı Türkel; Nursima Gökmen; Ahmet Mert Çakır; Öykü Özen

doi:10.7197/cmj.1678649

EN TR

Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report

Abstract

This case report describes a multidisciplinary approach in treating a 12-year-old female with oligodontia, presenting with congenital absence of maxillary lateral incisors, maxillary second premolars, and mandibular premolars. The patient exhibited generalized diastemas, bilateral Angle Class III molar relationships, and a skeletal Class II pattern. Treatment consisted of 36-month orthodontic therapy to position maxillary canines in lateral incisor positions, soft tissue procedures including frenectomy and gingivectomy to improve gingival symmetry, and esthetic rehabilitation with direct composite laminate veneers. Maxillary second primary molars were retained as space maintainers despite radiographic root resorption. Post-treatment results showed successful space closure and improved esthetics with clear removable retainers provided for retention. This case report presents how a multidisciplinary approach integrating orthodontic space management, soft tissue recontouring, and minimally invasive restorations can facilitate functional and esthetic treatment planning in oligodontia cases.

Keywords

Oligodontinin Multidisipliner Tedavisi: Ortodontik, Periodontal ve Restoratif Yaklaşım: Olgu Sunumu

Abstract

Bu olgu sunumu, bilateral maksiller lateral kesici dişler, maksiller ikinci premolarlar ve mandibular premolarların konjenital olarak eksik olduğu 12 yaşında kadın bir oligodonti hastasının tedavisinde uygulanan multidisipliner yaklaşımı tanımlamaktadır. Hastada yaygın diastemalar, bilateral Angle Sınıf III molar ilişkisi ve iskeletsel Sınıf II patern saptanmıştır. Tedavi kapsamında, maksiller kaninlerin lateral diş pozisyonuna yerleştirilmesini içeren 36 aylık ortodontik tedavi, gingival simetriyi sağlamak amacıyla yapılan frenektomi ve gingivektomi işlemleri, ve direkt kompozit lamina restorasyonları ile estetik rehabilitasyon gerçekleştirilmiştir. Maksiller ikinci süt azı dişlerinde radyografik olarak kök rezorpsiyonu gözlenmesine rağmen, mobilite bulunmadığı için bu dişler yer tutucu olarak ağızda tutulmuştur. Tedavi sonunda boşluklar başarıyla kapatılmış, estetik açıdan tatmin edici sonuçlar elde edilmiş ve retansiyon amacıyla şeffaf hareketli plaklar verilmiştir. Bu olgu, ortodontik boşluk yönetimi, yumuşak doku şekillendirme ve minimal invaziv restorasyonları içeren multidisipliner yaklaşımın, oligodonti olgularında fonksiyonel ve estetik açıdan etkin bir tedavi planlamasını mümkün kıldığını göstermektedir.

Keywords

References

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Details

Primary Language

English

Subjects

General Practice

Journal Section

Case Report

Authors

Nazlı Türkel ^*
0000-0001-6670-4439
Türkiye

Nursima Gökmen
0000-0003-0029-1082
Türkiye

Ahmet Mert Çakır
0009-0009-7537-3083
Türkiye

Öykü Özen
0000-0002-8195-2737
Türkiye

Publication Date

June 21, 2025

Submission Date

April 17, 2025

Acceptance Date

May 14, 2025

Published in Issue

Year 2025 Volume: 47 Number: 2

DOI

https://doi.org/10.7197/cmj.1678649

IZ

https://izlik.org/JA69BL83ZM

Cite

RIS / Bibtex

APA

Türkel, N., Gökmen, N., Çakır, A. M., & Özen, Ö. (2025). Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report. Cumhuriyet Medical Journal, 47(2), 48-52. https://doi.org/10.7197/cmj.1678649

AMA

1.Türkel N, Gökmen N, Çakır AM, Özen Ö. Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report. CMJ. 2025;47(2):48-52. doi:10.7197/cmj.1678649

Chicago

Türkel, Nazlı, Nursima Gökmen, Ahmet Mert Çakır, and Öykü Özen. 2025. “Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report”. Cumhuriyet Medical Journal 47 (2): 48-52. https://doi.org/10.7197/cmj.1678649.

EndNote

Türkel N, Gökmen N, Çakır AM, Özen Ö (June 1, 2025) Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report. Cumhuriyet Medical Journal 47 2 48–52.

IEEE

[1]N. Türkel, N. Gökmen, A. M. Çakır, and Ö. Özen, “Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report”, CMJ, vol. 47, no. 2, pp. 48–52, June 2025, doi: 10.7197/cmj.1678649.

ISNAD

Türkel, Nazlı - Gökmen, Nursima - Çakır, Ahmet Mert - Özen, Öykü. “Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report”. Cumhuriyet Medical Journal 47/2 (June 1, 2025): 48-52. https://doi.org/10.7197/cmj.1678649.

JAMA

1.Türkel N, Gökmen N, Çakır AM, Özen Ö. Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report. CMJ. 2025;47:48–52.

MLA

Türkel, Nazlı, et al. “Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report”. Cumhuriyet Medical Journal, vol. 47, no. 2, June 2025, pp. 48-52, doi:10.7197/cmj.1678649.

Vancouver

1.Nazlı Türkel, Nursima Gökmen, Ahmet Mert Çakır, Öykü Özen. Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report. CMJ. 2025 Jun. 1;47(2):48-52. doi:10.7197/cmj.1678649