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 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 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 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 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

scholarly journals Nonsurgical treatment of a hyperdivergent skeletal Class III patient with mini-screw–assisted mandibular dentition distalization and flattening of the occlusal plane

2021 ◽  
Author(s):  
Yiruo He ◽  
Yangyang Wang ◽  
Xinghai Wang ◽  
Jiangyue Wang ◽  
Ding Bai ◽  
...  
Keyword(s):  
Treatment Plan ◽  
Open Bite ◽  
Nonsurgical Treatment ◽  
Occlusal Plane ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Posterior Crossbite ◽  
Mandibular Plane

ABSTRACT Treatment of hyperdivergent skeletal Class III malocclusion is challenging for orthodontists, and orthognathic-orthodontic treatment is usually required. This report presents the successful nonsurgical treatment of a 20-year-old man who had a skeletal Class III malocclusion with anterior open bite, anterior and posterior crossbite, hyperdivergent growth pattern, steep occlusal plane, early loss of three first molars, and an uncommon convex profile with a retruded chin. An orthodontic camouflage treatment plan was chosen based on the etiology and the patient's complaints. Tooth #37 was extracted. Miniscrews were used for uprighting and intruding of the lower molars, distalization of the lower dentition, and flattening of the occlusal plane. After 34 months of active treatment, Class I relationships, proper anterior overjet and overbite, flat occlusal plane, and an esthetic facial profile were achieved. The results demonstrated that the biomechanics involved in the nonsurgical treatment assisted with miniscrews to distalize the mandibular dentition and flatten the occlusal plane while keeping the mandibular plane stable was effective for treating this hyperdivergent skeletal Class III patient with a convex profile and anterior open bite.

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 Effect of Bite Opening on the Correction of Dental Anterior Cross Bite – A Novel Approach

2021 ◽  
Vol 30 (02) ◽  
pp. 107-112
Author(s):  
Abul Khair Zalan ◽  
◽  
Anser Maxood ◽  
Mohammad Haroon Dalili ◽  
Hira Zaman ◽  
...  
Keyword(s):  
Glass Ionomer Cement ◽  
Open Bite ◽  
Glass Ionomer ◽  
Anterior Open Bite ◽  
Exact Test ◽  
Novel Approach ◽  
Permanent Molars ◽  
First Permanent Molars ◽  
Ionomer Cement

OBJECTIVES: To correct dental origin anterior crossbite by placement of Glass Ionomer cement occlusal stops on mandibular first permanent molars for maximum of two weeks. METHODOLOGY: 16 patients (age: 7-11 years) with dental anterior crossbite were treated by placement of Glass Ionomer cement occlusal stops on mandibular first permanent molars for maximum of 2 weeks to create 1mm anterior open bite. The patients were then recalled after 1 month, 3 months and 6 months for follow up visits. Fisher’s exact test applied using SPSS version # 25. RESULTS: 13 out of 16 patients were treated successfully within two weeks of placement of occlusal stops. Follow-up at six months showed no relapse in any of the corrected cases. CONCLUSION: Placement of glass ionomer cement occlusal stops for two weeks on mandibular first permanent molars is an easy approach to correct dental anterior crossbite. KEYWORDS: Crossbite, Malocclusion, Glass ionomer cement, Corrective orthodontics

Tratamento de mordida aberta com a técnica ortodôntica fixa sem bráquetes, com tecnologia tridimensional 3DBOT (bracketless orthodontics treatment)

2021 ◽  
Vol 14 (54) ◽  
pp. 26-31
Author(s):  
Nivaldo Antônio Bernardo de Oliveira ◽  
Ney Tavares Lima Neto ◽  
Guaracy Lyra da Fonseca Junior ◽  
Gurgiane Rodrigues Gurgel Cavalcante ◽  
Luiz Felipe Azevedo ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Treatment Plan ◽  
Open Bite ◽  
Class Iii ◽  
Viable Option ◽  
Anterior Open Bite ◽  
3D Technology ◽  
Anterior Teeth ◽  
Dental Crowding

Anterior open bite is a type of malocclusion in which there is the presence of a negative vertical overlap between the incisal edges of the upper and lower anterior teeth. It is considered a complex anomaly with distinct characteristics and difficult to treat with prevalence of 25% to 38% of patients orthodontically treated. The aim of this article is to report a clinical case of Class III right subdivision and open bite using 3DBOT technique, a fixed, comfortable, predictable, imperceptible technique with 3D technology and with extreme clinically proven satisfaction. Case report: Patient V.B.V.S., 23 years and 1 month old, leukoderma, male, mild dholico, straight profile, symmetrical, Class ¼ of Class III of molar and canine right subdivision, anterior open bite, inverted smile, mild upper and anterior dental crowding. Treatment plan: The use of 3DBOT was planned along with the use of intermaxillary elastics and refinement with the aid of MyAligner® aligners. Conclusion: The 3DBOT technique showed to be a viable option for treating anterior open bite

scholarly journals Zirconia Inlay on Vital Teeth with Profunda Caries

2021 ◽  
Vol 11 (2) ◽  
pp. 72
Author(s):  
Sandra Kartika Sari ◽  
Kun Ismiyatin ◽  
Bagus Aji Wibowo ◽  
Rara Amorita Miranda
Keyword(s):  
Dental Caries ◽  
Dental Health ◽  
Treatment Plan ◽  
Glass Ionomer Cement ◽  
Base Material ◽  
Oral Disease ◽  
Posterior Teeth ◽  
Physical Strength ◽  
Tooth Structure ◽  
Perceived Illness

Background: Dental caries has historically been considered the most critical component of the global burden of oral disease. Health facilities and dental health education counselling have been conducted, but public knowledge about dental caries is still low. The increasing number of dental caries is currently influenced by one of the factors of community behaviour. Most people do not realize the importance of taking care of oral and dental health. The ignorance of the community results in a decrease in productivity due to the influence of the perceived illness. Advances in dentistry since the last decade has allowed the use of conservative dental care. Modern restorative dentistry offers many methods for restoring teeth, both direct and indirect. The need for restoration of posterior teeth is related to aesthetic purposes and functional, biocompatibility and biomechanical aspects of the remaining tooth structure. Some materials that are widely used as tooth-coloured indirect restorations in posterior teeth are zirconia. Zirconia has its characteristics, especially in terms of functionality, such as mechanical strength, physical strength and aesthetics. Purpose: This study aims to determine the management of indirect restoration treatment using zirconia inlay on upper premolar. Case(s): A 46-yearold male patient complained that the filling of his upper left tooth was often loose and uncomfortable when used for eating because the food was stuck in it. The patient wants his teeth treated. The history of treatment on the tooth in question has been patched two times, but it often comes off partially. Case Management: From the examination that has been carried out, a clinical diagnosis of reversible pulpitis was established. The treatment plan that will be carried out is indirect pulpcapping using MTA and resin-modified glass ionomer cement as the base material. The planned restoration treatment is a fixed inlay restoration made of monolithic zirconia. Conclusion: Recently, zirconia has also been developed staining with improved translucency so that it becomes more aesthetic. Zirconia has a higher level of material resistance than otherrestorative materials such as composites. This is what makes zirconia the choice, especially for use as a framework for all-ceramic and partially-fixed crowns dental prosthesis.

Contemporary management of an orthodontic-orthognathic patient with limited time availability in an orthodontic office setting: Case report

2020 ◽  
Vol 47 (3) ◽  
pp. 257-264
Author(s):  
Chung How Kau ◽  
Zhendong Wang ◽  
Jue Wang ◽  
Deepak G Krishnan
Keyword(s):  
Case Report ◽  
Tooth Movement ◽  
Treatment Plan ◽  
Anterior Segment ◽  
Open Bite ◽  
Class Iii ◽  
Anterior Open Bite ◽  
Long Distance ◽  
Skeletal Class ◽  
Distance Communication

Introduction: This case report describes the treatment of a 21-year-old man who presented in an orthodontic office for treatment but lived in a city 100 miles away and wanted the orthognathic surgery in another state in America. The patient presented with an anterior open bite and skeletal Class III relationship. Methods: The treatment plan included: (1) effective and careful communication of the treatment plan with the patient, orthodontist and oral and maxillofacial surgeon; (2) pre-surgical alignment and levelling of the teeth in both arches with Invisalign; (3) a long-distance communication between the orthodontist and the surgeon for surgical plan with virtual surgical planning (VSP Orthognathics; 3D Systems, www.3Dsystem.com ) online; (4) maxillary advancement (LeFort I osteotomy) with mandibular set-back (bilateral sagittal split osteotomy); (5) postsurgical correction of the malocclusion with clear brackets and aligners; and (6) retention and final small tooth movement adjustments with aligners/clear retainers. Results: The anterior open bite was treated, crowding was eliminated in the upper and lower anterior segment, correction of skeletal and dental Class III malocclusion was obtained, mandibular plane angle was reduced and facial profile improved. Conclusions: The results suggest that aesthetic and functional results can be achieved with long-distance communication of two specialties and with the combined use of clear aligners and clear fixed appliances.

Sign in / Sign up

Export Citation Format

Share Document