Rehabilitation of a patient with amelogenesis imperfecta and severe open bite: A multidisciplinary approach

Abstract This case report is of a 31-year-old female who presented with splinted and faulty metalloceramic prosthesis on maxillary anterior teeth, which was responsible for localised periodontal disease and poor aesthetics. At multiple sites the ceramic had chipped off and the prosthesis colour did not match with the adjacent healthy teeth. A multidisciplinary approach of endodontics, periodontics and prosthodontics was employed for this case. The treatment plan consisted of removing the faulty prosthesis, endodontic retreatment of inadequately root-treated teeth and endodontics in the other coronally prepared abutment teeth. Crown lengthening surgery was performed for the correction of periodontal pockets and high smile line and maintenance of an adequate biological width. After periodontal healing, all-ceramic individual crowns were placed on the maxillary anterior teeth along with a three-unit all-ceramic bridge for the replacement of the left upper maxillary first premolar. Continuous...

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Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

Case Reports in Dentistry ◽

10.1155/2014/127175 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 5

Author(s):

Juliana Feltrin de Souza ◽

Camila Maria Bullio Fragelli ◽

Marco Aurélio Benini Paschoal ◽

Edson Alves Campos ◽

Leonardo Fernandes Cunha ◽

...

Keyword(s):

Case Report ◽

Composite Resin ◽

Preventive Treatment ◽

Open Bite ◽

Amelogenesis Imperfecta ◽

Mixed Dentition ◽

Anterior Open Bite ◽

Posterior Teeth ◽

Anterior Teeth

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth.Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed .Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

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Familial clustering of Amelogenesis Imperfecta – a case study

Forum Ortodontyczne ◽

10.5604/01.3001.0012.0544 ◽

2018 ◽

Vol 14 (1) ◽

pp. 61-72

Author(s):

Agnieszka Kornet ◽

Michał Kornet ◽

Roksana Domańska ◽

Konrad Perkowski ◽

Magdalena Marczyńska-Stolarek ◽

...

Keyword(s):

Open Bite ◽

Amelogenesis Imperfecta ◽

Multi Stage ◽

Familial Clustering ◽

Proper Functions ◽

Medical University ◽

Tooth Buds

Amelogenesis Imperfecta (henceforth: AI) is a term used to determine congenital qualitative and quantitative enamel defects, concerning both deciduous and permanent dentition. Classification of AI is based on the phenotype of lesions and is included in numerous types of classifications, among which the Witkop classification is the most popular. Apart from enamel abnormalities, patients afflicted with AI may also have other disorders, e.g. congenital deficiencies of tooth buds, pulp calcification, root and crown resorption, open bite. Aesthetic defects of dentition, pain reported when consuming acidic and hot foods, difficulties in obtaining satisfactory hygiene - all these significantly affect the quality of life of patients with AI. Care provided to these patients is highly specialised and starts as early as in early childhood. Aim. The aim of the study was to describe familial clustering, types, symptoms and treatment of Amelogenesis Imperfecta in members of two families treated at the Department of Orthodontics at the Medical University of Warsaw. Material and methods. The material comprised two unrelated families with clinically manifested symptoms of AI, treated at the Department of Orthodontics at the Medical University of Warsaw. A detailed interview, clinical examination and analysis of radiological documentation were conducted in each family. Results. All patients in the study were suffering from hypoplastic AI, their hygiene was satisfactory, four in five patients had an open bite. Reported symptoms did not differ from those most commonly described in the literature, and included discomfort while eating acidic and hot food, and excessive enamel abrasion. Conclusions. Treatment of patients with AI is multi-stage, multidisciplinary, and aims to restore proper functions of the dentition, as well as to obtain a correct occlusion, skeletal relationships, and to reduce hypersensitivity to thermal and chemical stimuli. Preventive measures are important, and should be introduced early, during the stage of the deciduous dentition, and be related to hygiene briefing and monitoring. (Kornet A, Kornet M, Domańska R, Perkowski K, Marczyńska-Stolarek M, Zadurska M. Familial clustering of Amelogenesis Imperfecta – a case study. Orthod Forum 2018; 14: 61-72)

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Amelogenesis Imperfecta: A Case Series from the Community

Journal of Nepal Medical Association ◽

10.31729/jnma.3709 ◽

2018 ◽

Vol 56 (214) ◽

pp. 977-979

Author(s):

Abanish Singh ◽

Santosh Kumari Agrawal ◽

Ashish Shrestha ◽

Tarakant Bhagat

Keyword(s):

Oral Hygiene ◽

Multidisciplinary Approach ◽

Case Series ◽

Good Prognosis ◽

Amelogenesis Imperfecta ◽

Deciduous Teeth ◽

Oral Rehabilitation ◽

Lateral Cephalogram ◽

Enamel Structure

Amelogenesis Imperfecta is a hereditary disorder affecting the formation of enamel structure. Two female children and one male (11 years, 12 years and 6 years respectively) reported with chief complaint of yellowish discoloration of teeth since their childhood. They reported that they had similar discoloration in their deciduous teeth. Examination showed generalized deposits of plaque and calculus, yellowish discoloration of the teeth with chipping off of the incisal and cuspal enamel structures. OPG revealed thin lining of enamel with thick dentin layer and pulp chamber. PA view revealed unfused anterior fontanels and lateral cephalogram indicated vertebrae in growing phase. The patients were instructed to maintain proper oral hygiene and regular follow up till the growth cessation. Permanent skeletal, functional, esthetic needs is addressed after growth completion. Oral rehabilitation through multidisciplinary approach can certainly provide a good prognosis and patient was counseled and motivated to maintain good oral hygiene.

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Assessment of oral health literacy of principal caregivers and its association with dental caries in Mexican disabled pediatric patients

Contemporary Pediatric Dentistry ◽

10.51463/cpd.2021.89 ◽

2021 ◽

Vol 2 (3) ◽

pp. 151-157

Author(s):

Julio Carlos Garnica-Palazuelos ◽

Mercedes Bermúdez ◽

Juan Luis Cota-Quintero ◽

Gerardo Bueno-Acuña ◽

Sandra Santana-Delgado ◽

...

Keyword(s):

Clinical Case ◽

Multidisciplinary Approach ◽

Speech Therapy ◽

Pediatric Patients ◽

Open Bite ◽

Mixed Dentition ◽

Oral Health Literacy ◽

Anterior Open Bite ◽

Tongue Thrust ◽

Maxillary Deficiency

Open bite can be defined as an absence of occlusion, most frequently located in the anterior region of dental arches and its etiology is multifactorial. We present a clinical case of an 8 years and 10 months child presenting an anterior open bite (AOB) with transverse maxillary deficiency caused by tongue thrust during mixed dentition. The malocclusion was corrected by means of a McNamara expander with a palatal crib jointly with the association of speech therapy for tongue repositioning, and otolaryngology to treat adenoid hypertrophy due to its correlation with AOB. The multidisciplinary approach was effective in correcting the malocclusion with stable results after 2 years post-treatment.

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Multiloop edgewise archwire treatment for a patient with a severe anterior open bite and amelogenesis imperfecta

The Angle Orthodontist ◽

10.2319/032221-228.1 ◽

2021 ◽

Author(s):

Ahmed I. Masoud ◽

T. Peter Tsay

Keyword(s):

Open Bite ◽

Amelogenesis Imperfecta ◽

Radiographic Examination ◽

Orthodontic Appliances ◽

Plane Angle ◽

Anterior Open Bite ◽

Posterior Teeth ◽

Anterior Teeth ◽

Mandibular Plane ◽

Mandibular Plane Angle

ABSTRACT Amelogenesis imperfecta is a rare hereditary disorder that affects dental enamel and is often associated with an anterior open bite. Orthodontic treatment of a 16-year-old female patient with hypocalcified amelogenesis imperfecta and a 9-mm anterior open bite was presented. Radiographic examination revealed a steep mandibular plane angle, an increased lower face height, a Class II skeletal pattern, and a convex profile. Additionally, the patient had stainless steel crowns on all upper and lower posterior teeth and composite veneers on the upper anterior teeth. The patient was treated nonsurgically using a multiloop edgewise archwire (MEAW). MEAW mechanics allowed for successful correction of the anterior open bite, with significant reduction in the mandibular plane angle and improvement in the patient's profile. No fixed retainers were used, results remained stable 78 months after removal of orthodontic appliances. MEAW mechanics should be considered for patients with large anterior open bites, although this technique requires excellent patient compliance.

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Amelogenesis imperfecta and anterior open bite: Etiological, classification, clinical and management interrelationships

Journal of Orthodontic Science ◽

10.4103/2278-0203.127547 ◽

2014 ◽

Vol 3 (1) ◽

pp. 1 ◽

Cited By ~ 6

Author(s):

AthanasiosE Athanasiou ◽

Eleni Dimopoulou ◽

Anatoli Vlasakidou ◽

XanthippiSofia Alachioti

Keyword(s):

Open Bite ◽

Amelogenesis Imperfecta ◽

Anterior Open Bite

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