Heterogeneity in Inherited Dental Traits, Gingival Fibromatosis and Amelogenesis Imperfecta

1971 ◽  
Vol 64 (Supplement) ◽  
pp. 16-25 ◽  
Author(s):  
CARL J. WITKOP
2020 ◽  
Vol 75 (8) ◽  
pp. 450-453
Author(s):  
Eric Heyl ◽  
Liam Robinson ◽  
Leande Kotze ◽  
Willie FP Van Heerden

A 12-year-old female patient presented with diffusely enlarged fibrous gingivae, enamel hypoplasia, an anterior open bite and impacted permanent maxillary canines (Figures 1-4). The patient's mother reported that the child had an unremarkable medical history and was currently not taking any medications. Radiographic examination showed features of amelogenesis imperfecta affecting all erupted teeth and the impacted permanent maxillary canines (Figure 4). The clinical differential diagnosis included hereditary gingival fibromatosis or diffuse peripheral odontogenic fibromas involving both the maxilla and mandible. Gin-givectomies from the anterior maxillary and mandibular regions were performed and submitted for histological assessment.


2020 ◽  
pp. 1-3
Author(s):  
Wg Cdr Raghavendra MH ◽  
Lt Col Devendra Srivastava ◽  
Maj Gen Subrata Roy ◽  
Col AK Shreehari

Gingival Fibromatosis is the overgrowth of the gingiva characterized by an expansion and accumulation of the connective tissue with the rarely presence of an increased number of cells. It is hereditary or is induced as a side effect of systemic drugs. As an inherited disorder, Gingival Fibromatosis may be part of a genetic syndrome or it may be isolated, in which case it is referred to as hereditary gingival fibromatosis. Some of the cases of Hereditary Gingival Fibromatosis associated with dental abnormalities like Amelogenesis Imperfecta. It is a general term for a number of conditions that affect enamel formation and/or calcification. The purpose of this article is to report manifesting syndrome characterized by Gingival Fibromatosis associated with dental abnormalities, including generalized thin hypoplastic Amelogenesis Imperfecta, intrapulpal calcifications, delay of tooth eruption, pericoronal radiolucencies in unerupted teeth, dental agenesis and root dilacerations.


2018 ◽  
Vol 8 (02) ◽  
Author(s):  
Antonio Chávez Corrales

Gingival fibromatosis and amelogenesis imperfecta. Assessment and treatment 


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Emre Yaprak ◽  
Meryem Gülce Subaşı ◽  
Mustafa Avunduk ◽  
Filiz Aykent

Amelogenesis imperfecta (AI) is a group of hereditary disorders primarily characterized by developmental abnormalities in the quantity and/or quality of enamel. There are some reports suggesting an association between AI and generalized gingival enlargement. This paper describes the clinical findings and oral management of two siblings presenting both AI and hereditary gingival fibromatosis (HGF) like generalized gingival enlargements. The treatment of gingival enlargements by periodontal flap surgery was successful in the management of the physiologic gingival form for both patients in the 3-year follow-up period. Prosthetic treatment was also satisfactory for the older patient both aesthetically and functionally.


2019 ◽  
Vol 18 (1) ◽  
pp. 25-31
Author(s):  
Mónica Valdivieso Vargas-Machuca ◽  
Lais Estefani Ccorimanya-Fernández ◽  
Susana Elizabeth Nieto-Quispe ◽  
Evelyn Marilyn Alfaro-Canevaro ◽  
Yamille Yovanna Ceccaño-Quintana

La Amelogénesis imperfecta (AI) es una alteración hereditaria que afecta el esmalte y, se caracteriza por hipomineralización o hipoplasia con decoloración, sensibilidad y fragilidad de los dientes. Se reporta el caso de un paciente de sexo femenino, de 5 años, no receptivo, es referido por emergencia a la Clínica Dental Cayetano Heredia debido a dolor intenso. Durante la anamnesis, el padre de familia refiere que tanto él, como el segundo hijo, poseen la misma alteración dentaria que su menor hija. Evaluación clínica radiográfica: el paciente presenta: lesiones cavitadas múltiples, necrosis pulpar, hipoplasia del esmalte. El diagnóstico presuntivo del defecto del esmalte: Amelogénesis Imperfecta. Se indica al padre de familia las alternativas de tratamiento, y este opta por un tratamiento integral bajo anestesia general. Habiendo extraído la pieza 7.5, como parte del tratamiento, ésta se lleva al servicio de patología para su análisis. Diagnóstico final: Amelogénesis Imperfecta tipo hipoplásico. Tratamiento: consiste en: profilaxis y aplicación de flúor barniz c/2 meses, pulpectomía, cementación de coronas de acero preformadas y restauraciones con resina. Discusión: Es importante averiguar si los miembros de la familia muestran alteraciones dentales (malformación hereditaria). Cuando se confirma el diagnóstico de AI, se debe considerar un tratamiento integral temprano. El tiempo de vida disminuida de las restauraciones directas en pacientes con AI, sugiere un mantenimiento constante de las restauraciones hasta que puedan realizarse restauraciones protésicas definitivas. En el caso de grandes destrucciones de dientes primarios, están indicadas coronas de acero inoxidable. Conclusiones: La AI es un trastorno hereditario que se debe diagnosticar en una etapa temprana y llevar un tratamiento integral con controles periódicos frecuentes. La utilización de coronas de acero preformadas para dientes posteriores y resinas para dientes anteriores podrían ser las mejores alternativas en pacientes que sufren AI.


Author(s):  
Qian Gao ◽  
Chengcan Yang ◽  
Liuyan Meng ◽  
Ziming Wang ◽  
Dong Chen ◽  
...  

Author(s):  
Mirja Möhn ◽  
Julia Camilla Bulski ◽  
Norbert Krämer ◽  
Alexander Rahman ◽  
Nelly Schulz-Weidner

Amelogenesis imperfecta (AI) is defined as an interruption of enamel formation due to genetic inheritance. To prevent malfunction of the masticatory system and an unaesthetic appearance, various treatment options are described. While restoration with a compomer in the anterior region and stainless steel crowns in the posterior region is recommended for deciduous dentition, the challenges when treating such structural defects in mixed or permanent dentition are changing teeth and growing jaw, allowing only temporary restoration. The purpose of this case report is to demonstrate oral rehabilitation from mixed to permanent dentition. The dentition of a 7-year-old patient with AI type I and a 12-year-old patient with AI type II was restored under general anesthesia to improve their poor aesthetics and increase vertical dimension, which are related to problems with self-confidence and reduced oral health quality of life. These two cases show the complexity of dental care for structural anomalies of genetic origin and the challenges in rehabilitating the different phases of dentition.


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