Multidisciplinary Approach for Restoring Function and Esthetics in a Patient with Amelogenesis Imperfecta: A Clinical Report

Kamble, Vaibhav D.; Parkhedkar, Rambhau D

doi:10.7860/jcdr/2013/6665.3860

Cited by 8 publications

(10 citation statements)

References 9 publications

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“…[ 18 ] Other clinical problems regardless of subtype, are unsatisfactory aesthetics, thermal sensitivity of teeth and loss of occlusal vertical dimension. [ 2 22 ] As the detective enamel is very thin or even completely absent, the yellowish or brown dentin of the crown is revealed, and the teeth are very sensitive. [ 18 19 ] Apart from these difficulties, this condition also brings appearance-related psychological problem and lack of self-confidence due to the appearance of their teeth.…”

Section: Introductionmentioning

confidence: 99%

Clinical findings and long-term managements of patients with amelogenesis imperfecta

et al. 2014

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The aim of this clinical case series is to present a diagnosis and different treatment methods of patients in different ages with amelogenesis imperfecta (AI) as well as further treatments during a 3-6 years follow-up period. A number of 31 patients (16 female, 15 male with a mean age of 10.77 ± 2.65 years) with AI have been examined for the study group between 2007 and 2010 years. A detailed anamnesis was recorded, followed by a clinical and radiological assessment of oral health. The types of AI classified for each patient according to clinical and radiographic evaluation. The main complaints of patients, presence of dental caries and dental anomalies were noted. Necessary treatments had been planned for the individual cases of AI. A number of 19 patients had hypoplastic (HP) form, and 10 patients showed hypomaturation (HM) form of AI, while one patient showed hypocalcified form of AI and one patient had HM-HP form with taurodontism. Main complaints were chiefly related to dissatisfactory esthetics and dental sensitivity. Caries prevalence index was 93.5%. Mean decayed, missing, filling permanent teeth (DMF) and DMF surface (DMFS) were found as 2.74 ± 1.71 and 6.23 ± 3.99; df (decayed, filling primary teeth) and dfs (decayed, filling primary teeth surface) were found as 3.12 ± 2.85 and 5.24 ± 4.97, respectively. All patients received individual clinical care, including preventive, restorative, and prosthetic treatments. Patients have scheduled for regular follow-up in every 3 months. Composite restorations were used as the most common treatment (25 patients, 80.6%). The treatment plan should be based on patient's age, type of defects and individual needs of the patients. Necessary treatment plan is essential, not only due to functional and aesthetic reasons, but also for the positive psychological impact on young patients.

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Section: Introductionmentioning

confidence: 99%

Clinical findings and long-term managements of patients with amelogenesis imperfecta

et al. 2014

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“…Although the risk was low, but considering the young age and severity of the disease and to avoid any complications following tooth preparation, endodontic treatment of all anterior teeth were electively done. A similar sort of cases were also reported in the literature in which due to severity of the disease all teeth were endodontically treated before prosthetic rehabilitation (13)(14)(15). With modifications in various types of ceramic in dentistry, all ceramic crowns now provides a durable and e315 appealing results when placed on anterior or posterior tooth (16)(17)(18)(19).…”

Section: Discussionmentioning

confidence: 67%

“…We placed separate crowns on all tee-th with anatomical contacts so that oral hygiene can be easily maintained. Separated crowns were also preferred by various authors (7,8,10,15,19,23). However, these patients should be kept of regular follow-ups and meticulous oral hygiene measures should be reinforced.…”

Section: Discussionmentioning

confidence: 99%

Full mouth functional and aesthetic rehabilitation of a patient affected with hypoplastic type of amelogenesis imperfecta

Nazeer¹,

Ghafoor²,

Zafar³

et al. 2020

J Clin Exp Dent

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The management of Amelogenesis imperfecta often poses a challenge for the dentists. It not only includes aesthetic and functional rehabilitation of the patient, but also requires a positive rapport building with the patient due to psychosocial issues. The treatment plan is driven by patient demands, age, cost-affordability, severity of the disease and the presenting condition. The present case report elucidates step by step management of a 20 year-old female who presented with generalized hypersensitivity, intermittent pain associated with multiple decayed posterior teeth, poor dental aesthetics and anterior deep bite. The management consisted of endodontic treatments in all teeth, crown lengthening to gain ferrule in some teeth, provision of provisional bridges at an increased vertical dimension for six weeks followed by full mouth all ceramic crowns on all teeth. The prosthetic management aimed at reorganized occlusal scheme. There was a significant improvement in the aesthetics, deep bite, and along with correction of the vertical dimension of occlusion.

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“…Amelogenesis Imperfecta is a rare disorder with a challenging management, especially in later stages. An interdisciplinary approach including orthodontic treatment procedures is the accepted gold standard to ensure optimal outcomes including oral health and function, as well as improved esthetics and function in cases of Amelogenesis Imperfecta .…”

Section: Discussionmentioning

confidence: 99%

Alternative prosthodontic‐based treatment of a patient with hypocalcified type Amelogenesis Imperfecta

Jivănescu

Miglionico

Barua

et al. 2017

Clinical Case Reports

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Key Clinical MessageThe Amelogenesis Imperfecta is associated with malocclusion and usually requires an interdisciplinary treatment. Due to the patient's refusal of orthodontic treatment, prosthodontics‐based treatments alternative was considered and planned. The patient was treated with zirconia‐based fixed partial dentures, which resulted in improved occlusion, better oral health, and improved esthetic appearance.

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Multidisciplinary Approach for Restoring Function and Esthetics in a Patient with Amelogenesis Imperfecta: A Clinical Report

Cited by 8 publications

References 9 publications

Clinical findings and long-term managements of patients with amelogenesis imperfecta

Clinical findings and long-term managements of patients with amelogenesis imperfecta

Full mouth functional and aesthetic rehabilitation of a patient affected with hypoplastic type of amelogenesis imperfecta

Alternative prosthodontic‐based treatment of a patient with hypocalcified type Amelogenesis Imperfecta

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