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Publication
A agenesia dentária e a sua abordagem na odontopediatria
| Name: | Description: | Size: | Format: | |
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| 1.52 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Os dentes e os tecidos periodontais são essenciais ao sistema estomatognático. Qualquer anomalia nesses tecidos, seja de número, posição ou morfologia, podem afetar de forma importante o sistema dentomaxilofacial.
A agenesia dentária corresponde a ausência congénita de um ou vários dente(s) por distúrbios no desenvolvimento dentário. É a anomalia de número mais comum da prática clínica dentária. A sua nomenclatura varia conforme o número de dentes ausentes: hipodontia é o termo mais utilizado que corresponde à ausência de menos de seis dentes na arcada dentária, exceto os terceiros molares; oligodontia refere-se à ausência de seis ou mais dentes permanentes, exceto os terceiros molares; e anodontia corresponde à ausência de todos os dentes, decíduos como permanentes.
Esta revisão narrativa tem como objetivo analisar a abordagem da agenesia dentária em odontopediatria e identificar a melhor forma de tratar os pacientes atingidos. Para aprofundar a compreensão desse tratamento, esta revisão abordará inicialmente a epidemiologia da agenesia – incluindo definição, terminologia, prevalência e etiologia – e, subsequentemente, o diagnóstico clínico, que deve ser precoce e detalhado, com base em exames clínicos e radiográficos.
Depois, serão analisadas as consequências dessa anomalia, incluindo impactos funcionais – na mastigação, deglutição e respiração – como alterações no crescimento dentomaxilofacial e repercussões estéticas e psicológicas.
Por fim, será discutida a gestão multidisciplinar da agenesia dentária nas crianças, com ênfase nos critérios para a elaboração de um plano de tratamento individualizado, considerando as particularidades clínicas, as expectativas do paciente e o seu contexto socioeconómico, assim como as especialidades envolvidas na abordagem.
Teeth and periodontal tissues are essential to the stomatognathic system. Any anomaly in these tissues, whether in number, position, or morphology, can significantly affect the dentomaxillofacial system. Dental agenesis corresponds to the congenital absence of one or more teeth due to disturbances in dental development. It is the most common numerical anomaly in dental clinical practice. The terminology varies according to the number of missing teeth: hypodontia is the most commonly used term and refers to the absence of fewer than six teeth in the dental arch, excluding third molars; oligodontia refers to the absence of six or more permanente teeth, excluding third molars; and anodontia corresponds to the absence of all teeth, both deciduous and permanente. This narrative review aims to analyze the management of dental agenesis in pediatric dentistry and identify the best treatment approaches for the affected patients. To deepen the understanding of this treatment, the review will first address the epidemiology of agenesis – inclunding definition, terminology, prevalence, and etiology – and subsequently the clinical diagnosis, which should be early and thorough, based on clinical and radiographic examinations. Next, the consequences of this anomaly will be analyzed, including functional impacts – on mastication, swallowing, and respiration – as well as alterations in dentomaxillofacial growth and aesthetic and Psychological repercussions. Finally, the multidisciplinary management of dental agenesis in children will be discussed, emphasizing the criteria for developing na individualized treatment plan that considers clinical particularities, patient expectations, and socioeconomic context, as well as the specialties involved in this approach.
Teeth and periodontal tissues are essential to the stomatognathic system. Any anomaly in these tissues, whether in number, position, or morphology, can significantly affect the dentomaxillofacial system. Dental agenesis corresponds to the congenital absence of one or more teeth due to disturbances in dental development. It is the most common numerical anomaly in dental clinical practice. The terminology varies according to the number of missing teeth: hypodontia is the most commonly used term and refers to the absence of fewer than six teeth in the dental arch, excluding third molars; oligodontia refers to the absence of six or more permanente teeth, excluding third molars; and anodontia corresponds to the absence of all teeth, both deciduous and permanente. This narrative review aims to analyze the management of dental agenesis in pediatric dentistry and identify the best treatment approaches for the affected patients. To deepen the understanding of this treatment, the review will first address the epidemiology of agenesis – inclunding definition, terminology, prevalence, and etiology – and subsequently the clinical diagnosis, which should be early and thorough, based on clinical and radiographic examinations. Next, the consequences of this anomaly will be analyzed, including functional impacts – on mastication, swallowing, and respiration – as well as alterations in dentomaxillofacial growth and aesthetic and Psychological repercussions. Finally, the multidisciplinary management of dental agenesis in children will be discussed, emphasizing the criteria for developing na individualized treatment plan that considers clinical particularities, patient expectations, and socioeconomic context, as well as the specialties involved in this approach.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Agenesia dentária Hipodontia Odontopediatria Oligodontia