Aesthetic rehabilitation of a case of maxillary fibrous dysplasia in a child

Abstract

Fibrous dysplasia (FD) is a rare, congenital, benign bone dis- order in which healthy bone tissue is replaced by abnormal scar-like (fibrous) connective tissue. The lesions may affect one or more bones, including the jawbones. A 13-year-old girl vi- sited the dentist for failed eruption of her left maxillary perma- nent teeth and facial asymmetry. Radiological analysis revealed impactions of the permanent teeth in hypertrophic, hy- perdense, weakly trabeculated bone tissue. To restore the aes- thetics of the smile, a treatment combining decoronation and bonded restorations was performed. FD enlargement would slow down after puberty, allowing for long-term therapies. But there is no information about implantology in this type of bone lesion. The aesthetic and functional consequences of a maxillary FD should be managed as soon as possible. Treatment involves a multidisciplinary team and follow-up care into adulthood.