Interdisciplinary approach to oral rehabilitation of patient with amelogenesis imperfecta

N Y State Dent J. 2014 Mar;80(2):31-5.

Abstract

Amelogenesis imperfecta is a hereditary condition that affects the development of enamel, causing quantity, structural and compositional anomalies that involve all dentitions. Consequently, the effects can extend to both the primary and secondary dentitions. Patients with amelogenesis imperfecta may present with clinical difficulties, such as insufficient crown length, tooth sensitivity and orthodontic discrepancies, all of which can be resolved successfully with an interdisciplinary approach. This case report describes the interdisciplinary approach to the treatment of a 22-year-old patient with amelogenesis imperfecta. The proper alignment of anterior teeth and gingivo-cervical line was provided with orthodontic and periodontal treatments. All-ceramic crowns were placed on anterior, and metal-ceramic restorations were placed on posterior teeth to reduce sensitivity and improve esthetics with function. Improved esthetic appearance, reduced tooth sensitivity and the resolution of a potentially harmful psychosocial condition were achieved. Patient remained satisfied in the 12-month follow-up examination.

Publication types

  • Case Reports

MeSH terms

  • Amelogenesis Imperfecta / rehabilitation*
  • Crown Lengthening / methods
  • Crowns
  • Dental Prosthesis Design
  • Dentin Sensitivity / therapy
  • Denture Design
  • Denture, Partial, Fixed
  • Diastema / therapy
  • Esthetics, Dental
  • Female
  • Follow-Up Studies
  • Gingivectomy / methods
  • Gingivoplasty / methods
  • Humans
  • Mouth Rehabilitation / methods*
  • Open Bite / therapy
  • Patient Care Team*
  • Patient Satisfaction
  • Young Adult