scholarly journals An Interdisciplinary Approach for Rehabilitating a Patient with Amelogenesis Imperfecta: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-8
Author(s):  
Niloufar Khodaeian ◽  
Mahmoud Sabouhi ◽  
Ebrahim Ataei
Keyword(s):  
Case Report ◽  
Interdisciplinary Approach ◽  
Amelogenesis Imperfecta ◽  
Clinical Report ◽  
Enamel Hypoplasia ◽  
Oral Rehabilitation ◽  
Developmental Defects ◽  
Posterior Teeth ◽  
Enamel Defects ◽  
Anterior Teeth

Amelogenesis imperfecta (AI) has been defined as a group of hereditary enamel defects. It can be characterized by enamel hypoplasia, hypomaturation, or hypocalcification of the teeth. AI may be associated with some other dental and skeletal developmental defects. Restoration for patients with this condition should be oriented toward the functional and esthetic rehabilitation. This clinical report describes the oral rehabilitation of a young patient diagnosed with the hypoplastic type of AI in posterior teeth and hypomatured type of AI in anterior teeth.

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

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
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.

scholarly journals A probable genetic origin for pit defects on the molars of Paranthropus robustus

2018 ◽  
Author(s):  
Ian Towle ◽  
Joel D. Irish
Keyword(s):  
Rapid Evolution ◽  
Modern Human ◽  
Amelogenesis Imperfecta ◽  
Primate Species ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Enamel Hypoplasia ◽  
Genetic Origin ◽  
Posterior Teeth ◽  
Anterior Teeth

AbstractWe report the frequencies of linear enamel hypoplasia (LEH) and, specifically, pitting enamel hypoplasia (PEH) defects in the teeth of Paranthropus robustus, for comparison with four other South African hominin species and three extant nonhuman primate species. Unlike LEH, the lesser known PEH is characterized by multiple circular depression defects across a tooth crown and is often difficult to interpret in terms of developmental timing and etiology. Teeth in all samples were examined macroscopically with type, position and number of defects recorded. Frequencies of teeth with LEH vary among hominin species, but the differences in PEH are considerable. That is, P. robustus has much higher rates of pitting defects, with 47% of deciduous teeth and 14% of permanent teeth affected, relative to 6.7% and 4.3%, respectively, for all other hominin teeth combined; none of the extant primate samples evidence comparable rates. The defects on P. robustus molars are unlike those in other species, with entire crowns often covered in small circular depressions. The PEH is most consistent with modern human examples of amelogenesis imperfecta. Additionally, the defects are: 1) not found on anterior teeth, 2) uniform in shape and size, and 3) similar in appearance/severity on all molars. A possible reason for this form of PEH is as a side effect of selection on another phenotype that shares the same coding gene(s), i.e., a genetic origin. Recent research on the ENAM gene provides one such possibility. Paranthropus likely underwent rapid evolution in the ENAM loci, with changes in this gene contributing to larger posterior teeth and thicker enamel. This same gene is associated with amelogenesis imperfecta; therefore, pleiotropy effects, relating to high selection on this gene during Paranthropus evolution, could have yielded this unique condition.

scholarly journals Full mouth rehabilitation of Kennedy class 1 edentulous situation complicated with excessive deep bite: an interdisciplinary approach

2018 ◽  
Vol 4 (6) ◽  
pp. 1493
Author(s):  
Bhushan Kumar ◽  
A. Navin Kumar ◽  
Prabhdeep Kaur Sandhu
Keyword(s):  
Anterior Segment ◽  
Interdisciplinary Approach ◽  
Functional Improvement ◽  
Oral Rehabilitation ◽  
Posterior Teeth ◽  
Deep Bite ◽  
Anterior Teeth ◽  
Class 1 ◽  
Full Mouth Rehabilitation ◽  
Natural Dentition

<p class="abstract">Oral rehabilitation of bilateral mandibular edentulous posterior segments becomes even more difficult if patient had severe deep bite in natural dentition. This case report demonstrates the intelligent way of managing severe deep-bite by adapting multi-disciplinary approach. Involved steps are: Mandibular subapical osteotomy of mandibular anterior segment to lower down the fragment; secondly, the maxillary anteriors were done with crown lengthening followed by decreased incisal display and thirdly by restoring vertical dimension of occlusion by replacement of missing posterior teeth. The addition of surgical intervention (anterior mandibular osteotomy) in the present case has found to be effective and quick adjunctive in achieving functional improvement in occlusion by reducing anterior teeth overlap (deep bite), by decreasing incisal guidance steepness and esthetic display of anterior teeth. Bilateral edentulous situation was managed by precision attachment retained cast partial denture. A satisfactory functional and esthetic result was obtained.</p>

scholarly journals The Restoration of Function and Esthetics of a Patient with Amelogenesis Imperfecta Using a Combination of Orthodontic and Prosthodontic Treatment: A Case Report

2009 ◽  
Vol 10 (6) ◽  
pp. 79-85
Author(s):  
Seema Gupta ◽  
Sandeep Kumar
Keyword(s):  
Case Report ◽  
Facial Asymmetry ◽  
Young Female ◽  
Careful Consideration ◽  
Amelogenesis Imperfecta ◽  
Successful Outcome ◽  
Functional Rehabilitation ◽  
Posterior Teeth ◽  
Posterior Crossbite ◽  
Anterior Teeth

Abstract Aim The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 20-year-old patient with amelogenesis imperfecta (AI), facial asymmetry due to functional mandibular shift, and unilateral posterior crossbite. Background AI is a group of hereditary defects of enamel unassociated with any other generalized defects. AI results in poor development or the complete absence of the enamel of the teeth caused by improper differentiation of ameloblasts. Case Description This report describes the diagnosis and treatment of a young female patient with AI and facial asymmetry using a combined orthodontic-prosthodontic approach. Initially, the posterior crossbite, mandibular shift, and facial asymmetry were treated orthodontically. Later, metal-ceramic crowns for posterior teeth and allceramic crowns for anterior teeth were fabricated for final restorations. Summary Coordinated orthodontic and prosthodontic treatment, with careful consideration of patient expectations and requests, were critical for a successful outcome and patient satisfaction. Clinical Significance The complexity of the management of patients with AI supports the suggestion that the dental profession should have appropriate methods for the rehabilitation of rare dental disorders. Citation Kumar S, Gupta S. The Restoration of Function and Esthetics of a Patient with Amelogenesis Imperfecta Using a Combination of Orthodontic and Prosthodontic Treatment: A Case Report. J Contemp Dent Pract [Internet]. 2009 Nov; 10(6):079-085. Available from: http://www. thejcdp.com/journal/view/volume10-issue6-kumar.

scholarly journals Esthetics and function: a return to the basic concepts: case report

2017 ◽  
Vol 65 (2) ◽  
pp. 174-179
Author(s):  
Camille Sá Nogueira FROTA ◽  
Wagner Araújo de NEGREIROS ◽  
Ana Cristina de Mello FIALLOS ◽  
Romulo Rocha REGIS
Keyword(s):  
Case Report ◽  
Interdisciplinary Approach ◽  
Oral Rehabilitation ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Precise Diagnosis ◽  
Adhesive Cementation ◽  
And Function ◽  
Ceramic Restorations ◽  
Aesthetic Concepts

ABSTRACT Immediate esthetic rehabilitation is a common practice in contemporary restorative dentistry. Sometimes without a precise diagnosis and clinical planning, two or three clinical sessions have been sufficient to start and end an extensive all-ceramic oral rehabilitation. It is essential, however, for these treatments to be based on the biological, mechanical, and occlusal principles that have been established for decades, and not only on aesthetic considerations. In this case report, a 26 year-old bruxist patient with functional and aesthetic needs, was rehabilitated with ceramic restorations in the six maxillary anterior teeth, through an interdisciplinary approach. The diagnostic wax-up was essential to predict the outcome; guide the periodontal surgery; serve as a reference for dental preparations, and restore the dynamics of jaw movements. After the adhesive cementation, a protective occlusal splint for use during sleep was introduced. The authors concluded that careful diagnosis and planning was critical to outcome of this case, and that the quality and longevity of restorative treatment depended on the respect for biomechanical, occlusal, and aesthetic concepts.

scholarly journals Restoring Function and Aesthetics in a Class II Division 1 Patient with Amelogenesis Imperfecta: A Clinical Report

2011 ◽  
Vol 05 (02) ◽  
pp. 220-228 ◽  
Author(s):  
Cenk Doruk ◽  
Firat Ozturk ◽  
Fatih Sari ◽  
Mehmet Turgut
Keyword(s):  
Dental Enamel ◽  
Interdisciplinary Approach ◽  
Class Ii ◽  
Amelogenesis Imperfecta ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Skeletal Class ◽  
Complex Needs ◽  
Skeletal Class Ii ◽  
Maxillary Constriction

ABSTRACTAmelogenesis imperfecta (AI) encompasses a complicated group of hereditary conditions that cause developmental alterations in the structure of the enamel in the absence of a systemic disorder. AI primarily affects the quality and/or quantity of dental enamel, and it may affect all or only some of the teeth in the primary and/or permanent dentition. This clinical report describes the oral rehabilitation of a 21-year-old man diagnosed with hypomaturation-type AI. He presented with discolored and mutilated teeth. Cephalometrically, the patient has skeletal class II malocclusion due to mandibular deficiency considered as a result of maxillary constriction. The interdisciplinary approach was followed because of the complex needs of the patient. The aim of treatment was to restore aesthetics, improve malocclusion and masticatory function. Aesthetic and functional expectations were met with metal ceramic restorations. In this report, the interdisciplinary approach for a patient with AI and a malocclusion is described. (Eur J Dent 2011;5:220-228)

scholarly journals Oral Rehabilitation of a Patient with Amelogenesis Imperfecta using Removable Overlay Denture: A Clinical Report

2012 ◽  
Vol 13 (2) ◽  
pp. 227-231 ◽  
Author(s):  
Mahroo Vojdani ◽  
S Ghodsi ◽  
S Rasaeipour
Keyword(s):  
Case Report ◽  
Genetic Disorders ◽  
Amelogenesis Imperfecta ◽  
Clinical Report ◽  
Cobalt Chromium ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Limited Budget ◽  
Nickel Chromium ◽  
Overlay Denture

ABSTRACT Aim The aim of this study was oral rehabilitation of 17-yearold patient with amelogenesis imperfecta using removable overlay denture in order to satisfy her esthetic and functional expectations and enhance her self-image. Background Amelogenesis imperfecta (AI) is a group of genetic disorders that primarily affect the quality and quantity of amelogenesis in both primary and permanent dentitions. The main clinical characteristics are severe attrition, tooth sensitivity and unesthetic appearance. Case report This clinical report illustrates the oral rehabilitation of a 17-year-old girl with hypoplastic-hypomature type of AI with cobalt-chromium (Co-Cr) overlay removable partial denture (ORPD) that is one of the most economical and biocompatible replacements for noble metal and nickel-chromium (Ni-Cr) alloy. Conclusion The presented case report suggests that Co-Cr ORPD can be a good temporary or even permanent treatment option for AI patients with limited budget, low esthetic concerns or medical limitations. Clinical significance There are major advantages in cast metal ORPDs; they are simpler, less traumatic and less expensive than fixed prosthetic options. This case report supports their use in patients with amelogenesis imperfecta. How to cite this article Ghodsi S, Rasaeipour S, Vojdani M. Oral Rehabilitation of a Patient with Amelogenesis Imperfecta using Removable Overlay Denture: A Clinical Report. J Contemp Dent Pract 2012;13(2):227-231.

scholarly journals Combined Orthodontic and Restorative Minimally Invasive Approach to Diastema and Morphology Management in the Esthetic Area. Clinical Multidisciplinary Case Report with 3-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
L. Giannetti ◽  
R. Apponi
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Orthodontic Treatment ◽  
Interdisciplinary Approach ◽  
Careful Consideration ◽  
Clinical Report ◽  
Anterior Portion ◽  
Invasive Approach ◽  
Anterior Teeth ◽  
First Choice

Introduction. Ceramic laminates are restorations that are bonded using adhesive techniques, which provide for the treatment of the prepared dental elements according to well-defined steps. Adhesive cementation guarantees high predictability and esthetics. Orthodontic treatment is the first choice in patients with a dental misalignment. Patients who have dental element color and shape issues will undergo restorative treatment following orthodontics. Case Report. This clinical report describes a case treated with an interdisciplinary approach (orthodontic and prosthetic) of a patient who presented with diastemas, inversion of dental axes, small clinical crowns, and chromatic imperfections in the anterior maxillary teeth. The esthetic expectations of the patient for the anterior portion of the maxillary anterior teeth have been successfully achieved through orthodontic treatment and the realization of ceramic veneers. An accurate interdisciplinary evaluation of the treatment was necessary for a satisfactory result in the anterior maxillary teeth esthetically compromised in several aspects. Discussion. The modern materials used with the strict protocol of the adhesive procedures allow a minimally invasive, highly esthetic approach with an excellent long-term prognosis. The restorations must reproduce the physiological characteristics of the natural teeth aiming at an excellent biological, biomechanical, functional, and esthetic integration. Many adult patients come to visit with a combination of problems; the esthetic rehabilitation of these cases requires the evaluation of the quantity of gingival exposure, of the gingival architecture, of the size of the clinical crowns, and of the dental position. The ideal treatment of these cases involves an interdisciplinary approach. Prosthodontists, periodontists, orthodontists, and dental technicians must work together because the understanding of the various phases of treatment is fundamental to achieve the desired clinical result. Conclusion. The coordinated treatment of the orthodontist, periodontist, and prosthodontist, with careful consideration of the expectations and requests of patients, was fundamental for the success and satisfaction of the patient.

scholarly journals Clinical Diagnosis and Oral Rehabilitation of a Patient with Amelogenesis imperfecta: A Case Report

2008 ◽  
Vol 9 (4) ◽  
pp. 92-98 ◽  
Author(s):  
Veena Hegde ◽  
Amar A. Sholapurkar ◽  
Robin Mathia Joseph ◽  
Jothi M. Varghese ◽  
Krishna Neelagiri ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinical Diagnosis ◽  
Economic Status ◽  
Systemic Disease ◽  
Treatment Options ◽  
Amelogenesis Imperfecta ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Tooth Structure

Abstract Aim This clinical report describes the oral rehabilitation of a young female patient diagnosed with the hypocalcified, autosomal recessive type of Amelogenesis imperfecta (AI). A brief discussion on diagnosis of AI is also included. Background AI has been defined as a group of hereditary enamel defects not associated with evidence of systemic disease. It can be characterized by enamel hypoplasia and/or hypomaturation or hypocalcification of the existing teeth. Restoration for patients with this condition should be oriented toward the functional and esthetic rehabilitation and the protection of these teeth. Report A 31-year-old female patient presented with concerns including extreme sensitivity; dissatisfaction with size, shape, and shade of teeth; and poor masticatory efficiency. She was very conscious about the appearance of her teeth and reported that her primary dentition was affected in the same manner. The specific objectives of this treatment were to eliminate tooth sensitivity, enhance esthetics, and restore masticatory function. Treatment included crown lengthening procedures and placement of anterior and posterior metalceramic crowns. A 12-month follow-up with clinical and radiographic examinations revealed no evidence of any untoward effects of the treatment on the restored teeth or their supporting structures. Summary Management of a patient with AI is a challenge for the clinician. The treatment options vary considerably depending on several factors such as the age of the patient, socio-economic status, periodontal condition, loss of tooth structure, severity of the disorder, and, most importantly, the patient's cooperation. The clinician has to consider the long-term prognosis of the treatment outcome. This clinical report describes the fabrication of metal ceramic and all metal crowns for the restoration of severely worn teeth in a patient with AI which requires meticulous maintenance of oral hygiene and patient co-operation. Citation Sholapurkar AA, Joseph RM, Varghese JM, Neelagiri K, Acharya SRR, Hegde V, Pai KM, Bhat M. Clinical Diagnosis and Oral Rehabilitation of a Patient with Amelogenesis imperfecta: A Case Report. J Contemp Dent Pract 2008 May; (9)4:092-098.

Restoring Function and Esthetics in a Patient with Amelogenesis Imperfecta: A Case Report

2007 ◽  
Vol 8 (4) ◽  
pp. 95-101 ◽  
Author(s):  
Emre Ozel ◽  
Kagan Gokce ◽  
Ceyhun Canpolat
Keyword(s):  
Case Report ◽  
Young Male ◽  
Amelogenesis Imperfecta ◽  
Functional Rehabilitation ◽  
Posterior Teeth ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Tooth Surfaces ◽  
Molar Teeth ◽  
Dental Profession

Abstract Aim The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 22-year-old patient with Amelogenesis imperfecta (AI). Background AI is a group of hereditary defects of enamel, unassociated with any other generalized defects. It is a rare developmental abnormality of the enamel, with a variable occurence of approximately 1:4000 to 1:14000 in Western populations. Al results in poor development or complete absence of the enamel of the teeth caused by improper differentiation of the ameloblasts. Report This report describes the diagnosis and treatment of a young male patient with AI and missing molar teeth using contemporary restorative strategies. Initially, the tooth surfaces were treated with a professional cleaning along with conservative restorative treatment. Later, metal-ceramic crowns for posterior teeth and fullceramic crowns for anterior teeth were utilized for final restorations. Summary The complexity of the management of patients with AI supports the suggestion the dental profession should have appropriate methods for the rehabilitation of rare dental disorders. The treatment of patients with AI should start with early diagnosis and intervention to prevent later restorative problems. Citation Gokce K, Canpolat C, Ozel E. Restoring Function and Esthetics in a Patient with Amelogenesis Imperfecta: A Case Report. J Contemp Dent Pract 2007 May;(8)4:095-101.

Sign in / Sign up

Export Citation Format

Share Document