Overlay Removable Partial Dentures for a 10-Year Old Child with Oligodontia and Posterior Open Bite Occlusion: A Clinical Report

Document Type: Case Report


1 Assistant Professor, Department of Pediatric, Faculty of Dentistry, Kashan University of Medical Sciences, Kashan, Iran

2 Assistant Professor, Department of Endodontics, Faculty of Dentistry, Kashan University of Medical Sciences, Kashan, Iran

3 Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran

4 Assistant Professor, Department of Oral and Maxillofacial Medicine, Dental Research Center, Faculty of Dentistry, Guilan University of Medical Sciences, Rasht, Iran

5 Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Kashan University of Medical Sciences, Kashan, Iran


The most common congenital and developmental anomaly in teeth is the missing of one or more of them. Congenitally missing teeth (CMT) or teeth agenesis mentions failure of tooth formation due to disturbances during the early stages of tooth germ development. There are several definitive treatment options for these patients including fixed, removable or implant-supported prostheses. Economic limitations and age of treatment prevent us from choosing the most desirable treatment. This clinical report describes a noninvasive approach for full mouth reconstruction of a child with multiple missing teeth besides posterior open bite occlusion.


  1. Rakhshan V. Congenitally missing teeth (hypodontia): a review of the literature concerning the etiology, prevalence, risk factors, patterns and treatment. Dent Res J (Isfahan) 2015; 12(1):1-13.
  2. Bock NC, Lenz S, Ruiz-Heiland G, Ruf S. Nonsyndromicoligodontia: does the Tooth Agenesis Code (TAC) enable prediction of the causative mutation. J Orofac Orthop 2017; 78(2): 112-20.
  3. Jha P, Jha M. Management of congenitally missing second premolars in a growing child. J Conserv Dent 2012; 15(2):187-90.
  4. Sheikhi M, Sadeghi MA, Ghorbanizadeh S. Prevalence of congenitally missing permanent teeth in Iran. Dent Res J (Isfahan) 2012; 9(1):105-11.
  5. Bicakci AA, Doruk C, Babacan H. Late development of a mandibular second premolar. Korean J Orthod 2012; 42(2):94-8.
  6. Avery DR, McDonald RE, Dean JA. McDonald and Avery Dentistry for the Child and Adolescent. 9th ed. China: MOSBY, Elsevier Health Sciences; 2010.
  7. Nunn JH, Carter NE, Nohl FS. The interdisciplinary management of hypodontia: background and role of paediatric dentistry. Br Dent J 2003; 194(5):245-51.
  8. Gankerseer EJ. Case report: a new technique for the treatment of the severely worn dentition. Restorative Dent 1987; 3(1):13-14.
  9. Patel MB, Bencharit S. A treatment protocol for restoring occlusal vertical dimension using an overlay removable partial denture as an alternative to extensive fixed restorations: a clinical report. The Open Dent J 2009; 3: 213-8.
  10. Windchy AM, Morris JC. An alternative treatment with the overlay removable partial denture: a clinical report. J Prosthet Dent 1998; 79(3):249-53.
  11. Zarati S, Ahmadian L, Arbabi R. A transitional overlay partial denture for a young patient: a clinical report. J Prosthodont 2009; 18(1):76-9.
  12. Phoneix RD, Cagna DR, Defresst CF. Stewart`s Clinical Removable Partial Prosthodontics. 4th ed. Canada: Quintessence; 2008.
  13. Gitt I. Prosthetic rehabilitation of surgically and orthodontically pretreated patients with clefts. Stomatol DDR 1980; 30(1):1-7. [In German].
  14. Radlanski RJ, Freesmeyer WB. Bilateral open bite in dicygotic twins. a combined orthodontic-prosthetic approach. J OrofacOrthop 2002; 63(4):339-47. [In English, German].
  15. Del Castillo R, LaMar F Jr, Ercoli C. Maxillary and mandibular overlay removable partial dentures for the treatment of posterior openocclusal relationship: a clinical report. J Prosthet Dent 2002; 87(6):587-92.
  16. Murray CG. The prosthodontic rehabilitation of selected adults class III malocclusions. J Oral Rehabil 1979; 6(2):147-52.
  17. Taylor RM. Vitallium removable overlays for deep overbite- case report. N Z Dent J 1985; 81(363):28-9.
  18. Sakar O, Beyli M, Marsan G. Combined prosthodontic and orthodontic treatment of a patient with a Class III skeletal malocclusion: a clinical report. J Prosthet Dent 2004; 92(3):224-8.
  19. Glyn Jones JC, Basker RM. Restorative treatment of a bilateral open bite. Dent Update 1983; 10(8):511-4.
  20. Shugars DA, Bader JD, Phillips Jr, White A, Brantley F. The consequences of not replacing a missing posterior tooth. J Am Dent Assoc 2000; 131(9):1317-23.
  21. Proffit WR, Fields HW, Larson B, Sarver DM. Contemporary Orthodontics. 6th ed. China: Elsevier; 2018.