Screw retained fixed partial restorations over implants in a young patient diagnosed with Ectodermal Dysplasia.

A 18-year-old female patient diagnosed with Ectodermal Dysplasia at a young age. She presented: 10 aplasias in the upper jaw, 11 aplasias in the lower jaw, 14 Primary teeth persisting, 6 in the upper jaw and 8 in the lower jaw, low smile line, deep bite, overerupted upper central incisors, and small apical base.

Going through her puberty with removable prostheses the patient now asks to start implant treatment in the upper jaw.

The surgical solution was: extraction of primary teeth with simultaneous bone augmentation, wait for 4 months healing period. Implant placement regio #13, #14, #15, #23, #24, #25 FDI (#6, #5, #4, #11, #12, #13 US). Then 6 months healing period, abutment surgery with the connection of angulated and straight Multi-Unit Abutments (MUA).

During the restorative treatment plan for the provisional phase was:  Elbrecht stent. And in the definitive solution: Nobel Procera ®Implant fixed partial denture Zirconia 1st and 2nd quadrant. IPS e.max Press crowns #11 and #21 FDI (#8 and #9 US).