scholarly journals Restoring Aesthetics and Function in a Young Boy with Hypomature Amelogenesis Imperfecta: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Engin Ağaçkiran ◽  
Emin Caner Tümen ◽  
Sema Çelenk ◽  
Behiye Bolgül ◽  
Fatma Atakul

Amelogenesis imperfecta has been described as a complex group of inherited conditions that disturbs the developing enamel structure and exists independent of any related systemic disorder. It is a rare dental disease but represents a great restorative challenge for dentists. A 12-year-old boy presented with sensitive, discolored, and mutilated teeth and decreased vertical dimension of occlusion. Direct composite resin restorations were applied to all teeth to modify the occlusion, to restore mild crowding, and to improve aesthetics. The 24-month recall examination revealed no pathology associated with the rehabilitation, and the patient's aesthetic and functional expectations were satisfied. The rehabilitation included multiple anterior and posterior composite resins to eliminate tooth sensitivity, improve the aesthetics and occlusion, and restore function.

Author(s):  
Vaibhao Ishwar Shambharkar ◽  
Jasmeet Singh Chandhok ◽  
Deepika Thosre Chandhok

ABSTRACT An unpleasant smile will not only hamper the looks of the person but also leaves a social withdrawal from the society specially for teenagers. Amelogenesis imperfecta (AI) is one such condition which affects not only the teeth but to overall social and psychological growth of a person. This clinical case deals with step-by-step procedures involved with multidisciplinary approach to deal with such cases in a short period of time with reduced financial burden over the patient.   Amelogenesis imperfecta is a heterogeneous inherited disorder that disturbs the developing enamel structure and exists independent of any related systemic disorder. It affects both the primary and permanent dentitions. Transmission of the gene is autosomal dominant, recessive or X-linked mode of inheritance. Clinical findings of AI include Enamel deficiencies, pulpal calcification, root malformations, failed tooth eruption, impaction of permanent teeth, progressive root and crown resorption, congenitally missing teeth, tooth sensitivity. Due to reduced enamel thickness, the teeth are undersized, with lack of contact between adjacent teeth, poor oral hygiene and mouth breathing with associated gingivitis and gingival hyperplasia may also be seen. How to cite this article Chandhok JS, Chandhok DT, Shambharkar VI. Restoration of Esthetics and Function in a Patient with Amelogenesis Imperfecta. Int J Prosthodont Restor Dent 2015;5(4):118-121.


2019 ◽  
Vol 4 (2) ◽  
pp. 38-39
Author(s):  
Reena Rani ◽  
◽  
Sanjay Chachra ◽  
Manu Sharma ◽  
Samriti Bansal ◽  
...  

Background: Trauma to the anterior teeth is common in young children and in adolescents. Uncomplicated crown fracture to the permanent teeth has an intense effect not only on the patient’s esthetics, but also on speech and function. Aim: Performing an economical, a minimally invasive, time-saving, long lasting, functional and natural alike direct composite resin restorations in a single visit. Conclusion: As restoring a fractured tooth structure is a complex procedure, this technique can prove to be a simple, effective and appropriate technique that will fulfill all the requirements of dental practioner without requiring special skills in providing the patients with direct composite restorations. Clinical Significance: This technique is economical which requires less chair side time compared to indirect restorations.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Bora Korkut ◽  
Funda Yanikoglu ◽  
Dilek Tagtekin

Objective. Maxillary anterior spacing is a common aesthetic complaint of patients. Midline diastema has a multifactorial etiology such as labial frenulum, microdontia, mesiodens, peg-shaped lateral incisors, agenesis, cysts, habits such as finger sucking, tongue thrusting, or lip sucking, dental malformations, genetics, proclinations, dental-skeletal discrepancies, and imperfect coalescence of interdental septum. Appropriate technique and material for effective treatment are based on time, physical, psychological, and economical limitations. Direct composite resins in diastema cases allow dentist and patient complete control of these limitations and formation of natural smile.Clinical Considerations. In this case report a maxillary midline diastema was closed with direct composite resin restorations in one appointment without any preparation. One bottle total etch adhesive was used and translucent/opaque composite resin shades were layered on mesial surfaces of the teeth that were isolated with rubber dam and Teflon bands. Finishing and polishing procedures were achieved by using polishing discs. Patient was informed for recalls for every 6 months.Conclusions. At one-year recall no sensitivities, discolorations, or fractures were detected on teeth and restorations. Direct composite resins seemed to be highly aesthetic and durable restorations that can satisfy patients as under the conditions of case presented.


2017 ◽  
Vol 1 ◽  
Author(s):  
Lim ZW ◽  
Tarib NA

<p class="AbstractContent">Tooth wear refers to the loss of tooth tissue from causes other than dental caries or trauma. Excessive wear lead to loss of occlusal vertical dimension and subsequent inadequate inter-occlusal space for restoration of missing teeth. Restorative treatments of the missing teeth could only be performed after stabilization of tooth wear. Among other management, Dahl concept has been introduced to increase inter-occlusal space on collapse vertical dimension cases. These include direct and indirect composite resin restorations, cast adhesive alloys and adhesive ceramic restorations. In this case report, metal veneer restoration was performed to re-establish occlusal vertical dimension and further restore missing teeth.</p>


2018 ◽  
Vol 23 (4) ◽  
pp. 79-87
Author(s):  
Renato Barcellos Rédua ◽  
Paulo César Barbosa Rédua

ABSTRACT Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.


2021 ◽  
Vol 8 (2) ◽  
pp. 146
Author(s):  
Yunita Styaningrum ◽  
Yoanita Dwi Andina ◽  
Yulita Kristanti

ABSTRACTBackground: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique. Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention. Result: No complain pain after 2 weeks retrieving broken instrument.Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing.


2012 ◽  
Vol 37 (6) ◽  
pp. E30-E37 ◽  
Author(s):  
RH Sundfeld ◽  
RS Scatolin ◽  
FG Oliveira ◽  
LS Machado ◽  
RS Alexandre ◽  
...  

SUMMARY This clinical study assessed the performance of posterior composite resins applied with the Adper™ Single Bond Plus (SB) and Adper™ Scotchbond SE (SE) adhesive systems and Filtek™ Supreme Plus composite resin, using modified US Public Health Service criteria. A total of 97 restorations were placed in posterior teeth by two calibrated operators. Application of the materials followed manufacturers' instructions. The restorations were evaluated by two examiners at baseline and after one year. Statistical analyses were conducted using the proportion test at a significance level of 5% (p&lt;0.05). All the restorations evaluated (ie, 100%) received an alpha rating for the criteria of marginal discoloration and marginal integrity at baseline. At one year, for marginal discoloration, 64.6% of SB and 61.2% of SE received an alpha rating. For marginal integrity, 72.9% of SB and 77.6% of SE received an alpha rating. The other restorations received bravo ratings for both criteria. None of the teeth that received the restorative systems presented caries lesions around the restorations. A total of eight teeth presented postoperative sensitivity one week after baseline, five with SB and three with SE; the symptom had disappeared one year later. One year later, composite resin restorations using either adhesive system showed satisfactory clinical performance.


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 ◽  
...  

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.


2014 ◽  
Vol 39 (3) ◽  
pp. 325-331 ◽  
Author(s):  
E Karaman ◽  
G Ozgunaltay

SUMMARY Aim To determine the volumetric polymerization shrinkage of four different types of composite resin and to evaluate microleakage of these materials in class II (MOD) cavities with and without a resin-modified glass ionomer cement (RMGIC) liner, in vitro. Materials and Methods One hundred twenty-eight extracted human upper premolar teeth were used. After the teeth were divided into eight groups (n=16), standardized MOD cavities were prepared. Then the teeth were restored with different resin composites (Filtek Supreme XT, Filtek P 60, Filtek Silorane, Filtek Z 250) with and without a RMGIC liner (Vitrebond). The restorations were finished and polished after 24 hours. Following thermocycling, the teeth were immersed in 0.5% basic fuchsin for 24 hours, then midsagitally sectioned in a mesiodistal plane and examined for microleakage using a stereomicroscope. The volumetric polymerization shrinkage of materials was measured using a video imaging device (Acuvol, Bisco, Inc). Data were statistically analyzed with Kruskal-Wallis and Mann-Whitney U-tests. Results All teeth showed microleakage, but placement of RMGIC liner reduced microleakage. No statistically significant differences were found in microleakage between the teeth restored without RMGIC liner (p&gt;0.05). Filtek Silorane showed significantly less volumetric polymerization shrinkage than the methacrylate-based composite resins (p&lt;0.05). Conclusion The use of RMGIC liner with both silorane- and methacrylate-based composite resin restorations resulted in reduced microleakage. The volumetric polymerization shrinkage was least with the silorane-based composite.


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