Integrated Prosthodontic Approach for Ectodermal Dysplasia: Tooth-Supported Overdenture and Implant-Supported Hybrid Prosthesis

Ectodermal dysplasia (ED) is a hereditary disorder characterized by defects in ectodermally derived structures such as teeth, hair, nails, and sweat glands. Oral manifestations, such as hypodontia, microdontia, and underdeveloped ridges, pose significant prosthodontic challenges. This case report describes the comprehensive rehabilitation of a patient diagnosed with ED. Clinical and radiographic evaluation revealed multiple missing teeth and reduced vertical dimension. A multidisciplinary plan was executed involving a tooth-supported telescopic overdenture in the maxilla and an implant-supported overdenture in the mandible, using digital planning and a 3D-printed surgical guide for implant placement. Occlusal rehabilitation was based on the shortened dental arch concept, ensuring functional efficiency and occlusal stability. The final prostheses restored esthetics, function, and comfort, with improved masticatory performance and patient satisfaction. This case highlights the effectiveness of a prosthodontically driven, digitally guided approach in managing ED-associated full mouth rehabilitation.