Restorative considerations in children with congenital dental anomalies


  • Leanne Sykes
  • Londiwe Mkhonza Dentist, Department of Prosthodontics, University of Pretoria, South Africa



maxilla, panoramic


Children with congenital dental manifestations may have to endure challenges due to their abnormal tooth development, altered skeletal growth, compromised masticatory and speech function and poor aesthetics. This may further lead to psychosocial problems. These children may have deficient ridge height and volume in edentulous areas, missing teeth, malformed or malpositioned teeth and often the added complication of xerostomia. These anomalies complicate conventional treatment and have led clinicians to consider alternative restorative treatment options. Recent literature suggests that Osseo integrated implant therapy may be a viable option for children with congenital dental defects. However, studies are scarce, with no standardization of success or survival criteria, and little long-term follow-up results. This paper explores the various restorative options and highlights the need for a multidisciplinary team.


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Author Biography

Londiwe Mkhonza, Dentist, Department of Prosthodontics, University of Pretoria, South Africa


Laing E, Cunningham SJ, Jones S, Moles D, Gill D. Psychosocial impact of hypodontia in children. American journal of orthodontics and dentofacial orthopedics. 2010 Jan 1;137(1):35-41 DOI:

Clarke L, Bowyer L, Noone J, Stevens C, Yates J, Ashley M. Britain’s youngest implant patients? – A Case Series of implant treatment in children with ectodermal dysplasia. Oral Surgery. 2020 Aug;13(3):245-51 DOI:

Bohner L, Hanisch M, Kleinheinz J, Jung S. Dental implants in growing patients: a systematic review. British Journal of Oral and Maxillofacial Surgery. 2019 Jun 1;57(5):397-406 DOI:

Filius MA, Vissink A, Raghoebar GM, Visser A. Implant-retained overdentures for young children with severe oligodontia: a series of four cases. Journal of Oral and Maxillofacial Surgery. 2014 Sep 1;72(9):1684-90 DOI:

Bu X, Khalaf K, Hobson RS. Dental arch dimensions in oligodontia patients. American Journal of Orthodontics and Dentofacial Orthopedics. 2008 Dec 1;134(6):768-72 DOI:

Chrcanovic BR. Dental implants in patients with ectodermal dysplasia: A systematic review. Journal of Cranio-Maxillofacial Surgery. 2018 Aug 1;46(8):1211-7 DOI:

Proffit WR, Fields HW, Sarver DM, Orthodontics C. Orthodontic treatment planning: From problem list to treatment plan

Chi AC, Neville BW, Damm DD, Allen CM. Oral and Maxillofacial Pathology-E-Book. Elsevier Health Sciences; 2017

Tong HJ, Tahmassebi JF. Management of a child with severe hypodontia in the mixed dentition stage of development. European Archives of Paediatric Dentistry. 2014 Dec;15(6):449-54 DOI:

Matalova E, Fleischmannova J, Sharpe PT, Tucker AS. Tooth agenesis: from molecular genetics to molecular dentistry. Journal of Dental Research. 2008 Jul;87(7):617-23 DOI:

Qin H, Xu HZ, Xuan K. Clinical and genetic evaluation of a Chinese family with isolated oligodontia. Archives of Oral Biology. 2013 Sep 1;58(9):1180-6 DOI:

Worsaae N, Jensen BN, Holm B, Holsko JJ. Treatment of severe hypodontia – oligodontia – an interdisciplinary concept. International Journal of Oral and Maxillofacial Surgery. 2007 Jun 1;36(6):473-80 DOI:

Schnabl D, Grunert I, Schmuth M, Kapferer-Seebacher I. Prosthetic rehabilitation of patients with hypohidrotic ectodermal dysplasia: A systematic review. Journal of Oral Rehabilitation. 2018 Jul;45(7):555-70 DOI:

Bzoch KR, editor. Communicative disorders related to cleft lip and palate. Austin: Pro-ed; 1997 Jan

De Stefani A, Bruno G, Irlandese G, Barone M, Costa G, Gracco A. Oral health related quality of life in children using the child perception questionnaire CPQ11-14: a review. European Archives of Paediatric Dentistry. 2019 Oct;20(5):425-30 DOI:

Michelogiannakis D, Javed F, Vastardis H. Mini-screw implant-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents: a review of currently available evidence. European Archives of Paediatric Dentistry. 2020 Jun;21(3):285-93 DOI:

Heuberer S, Dvorak G, Zauza K, Watzek G. The use of onplants and implants in children with severe oligodontia: a retrospective evaluation. Clinical oral implants research. 2012 Jul;23(7):827-31 DOI:

Aarts BE, Convens J, Bronkhorst EM, Kuijpers-Jagtman AM, Fudalej PS. Cessation of facial growth in subjects with short, average, and long facial types – Implications for the timing of implant placement. Journal of Cranio-Maxillofacial Surgery. 2015 DOI:

Dec 1;43(10):2106-11

Filius MA, Vissink A, Cune MS, Raghoebar GM, Visser A. Long-term implant performance and patients’ satisfaction in oligodontia. Journal of Dentistry. 2018 Apr 1;71:18-24. DOI:

Mankani N, Chowdhary R, Patil BA, Nagaraj E, Madalli P. Osseointegrated dental implants in growing children: a literature review. Journal of Oral Implantology. 2014 Oct;40(5):627-31 DOI:

Terheyden H, Wüsthoff F. Occlusal rehabilitation in patients with congenitally missing teeth – dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth – a systematic review. International Journal of

Implant Dentistry. 2015 Dec;1(1):1-25 DOI:

Iyer H, Dixit UB. A review on dental implants in pediatric patients. Indian Journal of Oral Health and Research. 2021 Jul 1;7(2):55

Kearns G, Sharma A, Perrott D, Schmidt B, Kaban L, Vargervik K. Placement of endosseous implants in children and adolescents with hereditary ectodermal dysplasia. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1999 Jul 1;88(1):5-10 DOI:

Mishra SK, Chowdhary N, Chowdhary R. Dental implants in growing children. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2013 Jan 1;31(1):3 DOI:

Percinoto C, de Mello Vieira AE, Megid Barbieri C, LemosMehlado F, Silva Moreira K. Use of dental implants in children: a literature review. Quintessence International. 2001 May 1;32(5)

Agarwal N, Kumar D, Anand A, Bahetwar SK. Dental implants in children: A multidisciplinary perspective for long-term success. National journal of maxillofacial surgery. 2016 Jul;7(2):122 DOI:

Pomini MC, Samra AP, Fischborn AR, Junior VA, Alves FB. The use of mini-implants for provisional prosthetic rehabilitation in growing patients: A critical review. Journal of Prosthodontic Research. 2021:JPOR_2019_338

Filius MA, Cune MS, Raghoebar GM, Vissink A, Visser A. Prosthetic treatment outcome in patients with severe hypodontia: a systematic review. Journal of Oral Rehabilitation. 2016 May;43(5):373-87 DOI:

Kamatham R, Avisa P, Vinnakota DN, Nuvvula S. Adverse effects of implants in children and adolescents: A systematic review. Journal of Clinical Pediatric Dentistry. 2019;43(2):69-77 DOI:




How to Cite

Sykes, L., & Mkhonza, L. (2023). Restorative considerations in children with congenital dental anomalies. South African Dental Journal, 78(07), 359–365.