scholarly journals Diffuse gingival enlargement with stromal calcifications occurring in a background of amelogenesis imperfecta - An oral medicine case book

2020 ◽  
Vol 75 (8) ◽  
pp. 450-453
Author(s):  
Eric Heyl ◽  
Liam Robinson ◽  
Leande Kotze ◽  
Willie FP Van Heerden
Keyword(s):  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Radiographic Examination ◽  
Enamel Hypoplasia ◽  
Oral Medicine ◽  
Anterior Open Bite ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis ◽  
Clinical Differential Diagnosis ◽  
Maxilla And Mandible

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.

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

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.

scholarly journals Protraction Facemask Followed by Mandibular Cervical Headgear: an Alternative in the Treatment of Class III Malocclusion with Severe Anterior Open-Bite

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Matheus Pithon ◽  
Luiz Antonio Bernardes
Keyword(s):  
Case Report ◽  
Treatment Modality ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Present Case Report ◽  
Maxilla And Mandible ◽  
Lower Arch

The present case report describes a conservative and uncommon treatment for class III malocclusion in a woman growing patient with aged eight years and four months. An unconventional treatment modality was used for the treatment of this malocclusion, reverse-pull headgear and distalisation of lower teeth using mandibular cervical headgear in the lower arch. At the end of the treatment (after 33 months), there was correction of the transversal and sagittal occlusal relationship between maxilla and mandible and correct dental intercuspation. Keywords Class III malocclusion; Open-bite; Orthodontics.

scholarly journals Rare case report of idiopathic gingival fibromatosis in childhood and its management

2019 ◽  
Vol 12 (1) ◽  
pp. e227942
Author(s):  
Morankar Rahul ◽  
Krishan Gauba ◽  
Nitin Gorwade ◽  
Aman Kumar
Keyword(s):  
Age Of Onset ◽  
Rare Condition ◽  
Radiographic Examination ◽  
Oral Manifestations ◽  
Gingival Enlargement ◽  
Rare Case Report ◽  
Scalpel Blade ◽  
Gingival Fibromatosis ◽  
Mandibular Teeth ◽  
Almost All

Idiopathic gingival fibromatosis (GF), also known as gingivomatosis, is a rare condition in childhood, with an unknown aetiology. The oral manifestations of the condition are varied and depend on the severity and age of involvement. This paper describe the case of a 5-year-old male child with extensive gingival enlargement covering almost all the maxillary and mandibular teeth resulted in difficulty with speech, mastication and poor aesthetics. Clinical and radiographic examination along with haematological investigations ruled out any systemic association. The case was managed with conventional scalpel blade surgery along with electrocautery under general anaesthesia yielding good results without any recurrence after a 12-month follow-up. The results revealed that the oral manifestations of GF depend on its severity and the age of onset. Timely intervention can help to prevent associated complications in a growing child.

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

2014 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
AthanasiosE Athanasiou ◽  
Eleni Dimopoulou ◽  
Anatoli Vlasakidou ◽  
XanthippiSofia Alachioti
Keyword(s):  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Anterior Open Bite

Amelogenesis Imperfecta from Diagnosis to Rehabilitation-A Case Report

2019 ◽  
Vol 7 (3) ◽  
pp. 01-06
Author(s):  
Rodrigo Andrade
Keyword(s):  
Color Change ◽  
Treatment Plan ◽  
Glass Ionomer Cement ◽  
Dental Enamel ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Anterior Open Bite ◽  
Correct Treatment ◽  
Rehabilitative Treatment ◽  
Tooth Structure

During odontogenesis, enamel is normally synthesized as an extracellular matrix, a phenomenon known as amelogenesis. The failure of this process can lead to malformation of dental enamel, called Amelogenesis Imperfecta (AI). AI, by causing a qualitative and/or quantitative deficiency of dental enamel, presents characteristics such as hypersensitivity, unsatisfactory aesthetics, reduced vertical dimension, anterior open bite, plaque accumulation, and greater susceptibility to caries and gingivitis. Thus, our objective is to report a case of AI, describing the main characteristics of the disease, the diagnosis and the rehabilitative treatment plan, aiming to improve the patient's aesthetics and reestablishing the function of the stomatognathic system. Patient M.A.S.B., female, 5 years old, leucoderma, was admitted at the University of Patos de Minas Dental Clinic with a complaint of pain in the teeth. During the clinical interview, the person in charge reported that the child's teeth had the same defects as those of her mother and brother. During clinical examination it was observed: generalized loss of tooth structure, color change, rough surfaces and hypersensitivity. Treatment involved restorations with glass ionomer cement and composite resin, extraction of residual roots from the maxillary incisors, and confection of a functional and aesthetic space maintainer. Early diagnosis associated with the correct treatment plan is essential for a more conservative approach focused on preventing the effects of AI. In advanced cases, restoring function and aesthetics is paramount to improve the patient's quality of life.

scholarly journals Hereditary Gingival Fibromatosis with Distinctive Facies

2012 ◽  
Vol 13 (6) ◽  
pp. 892-896 ◽  
Author(s):  
Sunkara Shree Ramalinga Prasad ◽  
Chitturi Radharani ◽  
SV Kiran Kumar ◽  
Soumya Sinha
Keyword(s):  
Family History ◽  
Female Patient ◽  
Autosomal Dominant ◽  
Chief Complaint ◽  
Oral Manifestations ◽  
Autosomal Dominant Disorder ◽  
Rare Type ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis ◽  
Maxilla And Mandible

ABSTRACT Hereditary gingival enlargement also known as gingivitis or familial elephantiasis is a rare type of gingival enlargement. It appears as an isolated autosomal dominant disorder or maybe associated with other conditions. Oral manifestations may vary from minimal involvement of only tuberosity area and the buccal gingiva around the lower molars to a generalized enlargement inhibiting eruption of the teeth. This paper discusses the case of a 13-year-old female patient with distinctive facial characteristics who presented to the department with a chief complaint of swollen gums since 1 year. She had severe diffuse gingival enlargement of the maxilla and mandible. Diagnosis was made based upon clinical examination and family history. Quadrant wise internal bevel gingivectomy procedure was done for the patient to restore her functional and esthetic needs. How to cite this article Prasad SSR, Radharani C, Sinha S, Kumar SVK. Hereditary Gingival Fibromatosis with Distinctive Facies. J Contemp Dent Pract 2012;13(6):892-896.

Craniofacial Morphology in a Patient with Simpson-Golabi-Behmel Syndrome

2003 ◽  
Vol 40 (5) ◽  
pp. 550-555 ◽  
Author(s):  
Tomohide Taniyama ◽  
Noriyuki Kitai ◽  
Yoshitaka Iguchi ◽  
Shumei Murakami ◽  
Miho Yanagi ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Three Dimensional ◽  
Open Bite ◽  
Craniofacial Morphology ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Gonial Angle ◽  
Face Height ◽  
Anterior Cranial Base ◽  
Maxilla And Mandible

Objective We present the case of a 6-year-old boy with a coarse face, cleft palate, and malocclusion with anterior open bite who had been diagnosed with Simpson-Golabi-Behmel syndrome. Morphology of the craniofacial structures was examined on the basis of conventional radiographs, three-dimensional (3D) computed tomography (CT) and magnetic resonance (MR) scanning. Patient This patient had 13 ribs on the right side, slight scoliosis, supernumerary nipples, a coarse face, hypertelorism, a short broad upturned nose, a wide mouth, a straight facial profile with incompetence of the lips, midline groove of tongue, and cleft palate. The patient also had severe anterior open bite, a distal step-type molar relationship, five congenitally missing teeth, and a supernumerary tooth. Lateral cephalometric analysis revealed a large anterior cranial base, a large maxilla and mandible, a large inferior face height, and skeletal Class I jaw relationship with a high mandibular plane angle and large gonial angle. The 3D CT image showed a large cranium, a long face height, and prominent skull sutures. The MR image showed a large tongue, midline groove of the tongue, and a small space between tongue and palate.

scholarly journals Multidisciplinary Management of a Child with Severe Open Bite and Amelogenesis Imperfecta

2013 ◽  
Vol 14 (2) ◽  
pp. 320-326 ◽  
Author(s):  
Catherine Millet ◽  
Jean-Pierre Duprez
Keyword(s):  
Treatment Plan ◽  
Genetic Disorder ◽  
Interdisciplinary Approach ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Long Term Results ◽  
Clinical Report ◽  
Multidisciplinary Management ◽  
Anterior Open Bite ◽  
Tooth Structure

ABSTRACT Aim To present a case of multidisciplinary management and fixed rehabilitation of a young girl with amelogenesis imperfecta (AI), a severe open bite and occlusal instability. Background AI is a genetic disorder characterized by enamel malformations, disturbances in tooth eruption and significant attrition. Early diagnosis is essential, since rapid breakdown of tooth structure may occur, giving rise to acute symptoms and complicated treatment. As AI is frequently accompanied by unesthetic appearance, open bite deformity and malocclusion, a multidisciplinary approach is often required. Case report This clinical report describes the condition and presents the case of a 10-year-old girl with hypocalcified form of AI. Orthodontic treatment and orthognathic surgery were performed as part of the prosthetic treatment plan to achieve acceptable and durable results. They consisted of correcting class II, posterior crossbite and anterior open bite with a fixed orthodontic appliance, Lefort I osteotomy, bilateral mandibular ramus osteotomy and genioplasty. Prosthodontics treatment consisted of metal-ceramic crowns with low-fusing ceramic for good long-term results. No deterioration in the rehabilitation was found after 5 years of follow-up. Conclusion Complete restoration of severe AI is a long and complex process generally extending over several years. Clinical significance This article shows the important role of interdisciplinary approach to treating a patient with AI over a period of 8 years. How to cite this article Millet C, Duprez JP. Multidisciplinary Management of a Child with Severe Open Bite and Amelogenesis Imperfecta. J Contemp Dent Pract 2013;14(2): 320-326.

scholarly journals Amelogenesis Imperfecta: Rehabilitation and Brainstorming on the Treatment Outcome after the First Year

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Ayça Deniz İzgi ◽  
Ediz Kale ◽  
Remzi Niğiz
Keyword(s):  
Treatment Outcome ◽  
Oral Hygiene ◽  
Treatment Options ◽  
Self Esteem ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
First Year ◽  
Gingival Inflammation ◽  
Anterior Open Bite

Amelogenesis imperfecta (AI) affects enamel on primary and permanent dentition. This hereditary disorder is characterized by loss of enamel, poor esthetics, and hypersensitivity. Functional and cosmetic rehabilitation is challenging with variety of treatment options. This report presents the treatment of an AI patient using conventional fixed dentures and discusses issues related to posttreatment complications and prosthetic treatment outcome after 1 year of follow-up. A 19-year-old male AI patient with impaired self-esteem presented with hypersensitive, discolored, and mutilated teeth. Clinical examination revealed compromised occlusion and anterior open-bite. After hygiene maintenance full-coverage porcelain-fused-to-metal fixed restorations were indicated and applied. At the end of the treatment acceptable functional and esthetic results could be achieved. However, nearly a year after treatment a gingival inflammation in the esthetic zone complicated the outcome. Insufficient oral hygiene was to be blamed. Tooth sensitivity present from early childhood in these patients may prevent oral hygiene from becoming a habit. The relaxation due to relieve of hypersensitivity after treatment makes oral hygiene learning difficult. Continuous oral hygiene maintenance motivation may be crucial for the success of the treatment of AI patients. Treatment of AI patients should be carefully planned and an acceptable risk-benefit balance should be established.

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