A Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta and Open Bite Deformity: A Case Report

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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Amelogenesis Imperfecta with Anterior Open Bite: A Rare Case Report

International Journal of Clinical Pediatric Dentistry ◽

10.5005/jp-journals-10005-1118 ◽

2011 ◽

Vol 4 (3) ◽

pp. 245-247

Author(s):

Anuradha Pathak ◽

Puneet Goenka ◽

Ruchi Singhal

Keyword(s):

Case Report ◽

Rare Case ◽

Open Bite ◽

Amelogenesis Imperfecta ◽

Anterior Open Bite ◽

Rare Case Report

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Amelogenesis imperfecta with multiple impacted teeth and altered eruption pathways - A radiographic case report

South African Dental Journal ◽

10.17159/2519-0105/2020/v75no5a5 ◽

2020 ◽

Vol 75 (5) ◽

pp. 262-266

Author(s):

Chané Nel ◽

Zarah Yakoob ◽

Tsholofelo Kungoane ◽

Christy L Davidson

Keyword(s):

Case Report ◽

Oral Health ◽

Early Diagnosis ◽

Tooth Loss ◽

Multidisciplinary Approach ◽

Vertical Dimension ◽

Amelogenesis Imperfecta ◽

Optimal Management ◽

Impacted Teeth

Amelogenesis imperfecta (AI) comprises a vast group of developmental alterations in the quantity and/or quality of enamel, unaffected by systemic disorders. In this case report we describe the typical clinical and radiographic features of AI with multiple impacted teeth and altered eruption pathways. Patients with AI benefit from early diagnosis and treatment to prevent tooth loss and loss of vertical dimension. Optimal management of these patients requires a multidisciplinary approach and regular dental recall appointments. Therefore it is the oral health clinician’s responsibility for the timeous identification of this condition.

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Multidisciplinary approach in the anterior open bite using a McNamara expander with palatal crib during mixed dentition stage: A case report

Contemporary Pediatric Dentistry ◽

10.51463/cpd.2021.83 ◽

2021 ◽

Vol 2 (3) ◽

pp. 166-175

Author(s):

Wendes Dias Mendes ◽

Paôla Caroline da Silva Mira ◽

Paula Regina Ávila Silvan ◽

Patrícia Maria Monteiro ◽

Mirian Aiko Nakane Matsumot ◽

...

Keyword(s):

Case Report ◽

Clinical Case ◽

Multidisciplinary Approach ◽

Speech Therapy ◽

Open Bite ◽

Mixed Dentition ◽

Adenoid Hypertrophy ◽

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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