scholarly journals ORAL REHABILITATION BY TWIN STAGE TECHNIQUE IN A CASE OF AMELOGENESIS IMPERFECTA

Author(s):  
NIRMALYA CHATTERJEE ◽  
AMRITA GHOSH

Amelogenesis Imperfecta (AI) is a diverse collection of inherited diseases that exhibit quantitative or qualitative tooth enamel defects in the absence of systemic manifestations. It is necessary to diagnose the case and provide durable functional and aesthetic management of these patients, as the unaesthetic appearance has a definite negative psychological impact. This clinical report describes the use of the Hobo twin-stage procedure for rehabilitation of a patient with amelogenesis imperfecta and reduced vertical dimension of occlusion. The treatment plan was executed keeping in mind not only the severely damaged dentition but also treating the whole stomatognathic system. Utmost care was taken to achieve harmonious occlusion with no possible occlusal interferences which would otherwise initiate the habit of bruxism and thereby cause wear of the prosthesis. KEY WORDS : Amelogenesis Imperfecta , Hobo twin-stage procedure , harmonious occlusion .

2005 ◽  
Vol 29 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Jack W. Martin ◽  
Nicholas Tselios ◽  
Mark S. Chambers

Ectodermal dysplasia (ED) is a hereditary condition characterized by abnormal development of the skin, hair, nails, sweat glands, and the stomatognathic system. There are many different types of ectodermal dysplasia of which X-linked anhidrotic ectodermal dysplasia is the most common. Multiple genes have been discovered to cause ectodermal dysplasias. With any form of ED, children may display a range of symptoms and challenging rehabilitation. This clinical report presents the treatment plan for a young patient with ED and anodontia requiring prosthetic restoration. J Clin Pediatr Dent 29(2): 113-118,2005


2012 ◽  
Vol 2012 ◽  
pp. 1-8
Author(s):  
Niloufar Khodaeian ◽  
Mahmoud Sabouhi ◽  
Ebrahim Ataei

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.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Maria Carolina Salomé Marquezin ◽  
Bruna Raquel Zancopé ◽  
Larissa Ferreira Pacheco ◽  
Maria Beatriz Duarte Gavião ◽  
Fernanda Miori Pascon

The objective of this case report was to describe the oral rehabilitation of a five-year-old boy patient diagnosed with amelogenesis imperfecta (AI) in the primary dentition. AI is a group of hereditary disorders that affects the enamel structure. The patient was brought to the dental clinic complaining of tooth hypersensitivity during meals. The medical history and clinical examination were used to arrive at the diagnosis of AI. The treatment was oral rehabilitation of the primary molars with stainless steel crowns and resin-filled celluloid forms. The main objectives of the selected treatment were to enhance the esthetics, restore masticatory function, and eliminate the teeth sensitivity. The child was monitored in the pediatric dentistry clinic at four-month intervals until the mixed dentition stage. Treatment not only restored function and esthetic, but also showed a positive psychological impact and thereby improved perceived quality of life. The preventive, psychological, and curative measures of a young child with AI were successful. This result can encourage the clinicians to seek a cost-effective technique such as stainless steel crowns, and resin-filled celluloid forms to reestablish the oral functions and improve the child’s psychosocial development.


2013 ◽  
Vol 14 (2) ◽  
pp. 320-326 ◽  
Author(s):  
Catherine Millet ◽  
Jean-Pierre Duprez

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.


2011 ◽  
Vol 05 (02) ◽  
pp. 220-228 ◽  
Author(s):  
Cenk Doruk ◽  
Firat Ozturk ◽  
Fatih Sari ◽  
Mehmet Turgut

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)


2021 ◽  
Vol 30 (89) ◽  
pp. 20-32
Author(s):  
Francis Coachman ◽  
Gustavo Petrili ◽  
Guilherme José Pimentel Lopes de Oliveira ◽  
Bruna Ghiraldini ◽  
Fábio José Barbosa Bezerra

One of the limitations of using guided surgery for full arch rehabilitation is related to the cases where it is necessary to perform osteotomy prior to the placement of the implant. The Digital Smile Design ClicGuide (DSD ClicGuide) is a digital rehabilitation planning system recommended in the rehabilitation of fully edentulous jaws, which orients implant placement procedures and immediate provisional loading based on an ideal three-dimensional design. This system consists of a sequence of surgical guides used during the clinical procedures that may include teeth extractions, osteotomies, implant placements, and immediate prothesis installation, increasing the level of predictability of rehabilitation procedures in these complex clinical cases. The aim of this case series report is to describe the oral rehabilitation of three patients treated according to the DSD ClicGuide technique, who received a total of twenty dental implants. All the patients treated required total oral rehabilitation in at least one of the arches and required osteotomies in order to regularize the alveolar ridge before the placement of the implant. Once the rehabilitation parameters were defined and the treatment plan was approved, the following guides were printed and used in sequence: a base guide that was used as a reference for the osteotomy procedure; a guide for installing the implants; and a guide with the printed temporary prosthesis for immediate loading. It can be conclude that the DSD ClicGuide system enabled the osteotomy, implants placement, and installation of an immediate loading prosthesis in totally edentulous patients, with a high level of predictability.


2012 ◽  
Vol 13 (2) ◽  
pp. 227-231 ◽  
Author(s):  
Mahroo Vojdani ◽  
S Ghodsi ◽  
S Rasaeipour

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.


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