A Conservative Treatment for Amelogenesis Imperfecta with Direct Resin Composite Restorations: A Case Report

Abstract

Rehabilitation of a patient with amelogenesis imperfecta (AI) from both the functional and esthetic standpoints represents a challenge. The complexity of the condition requires an interdisciplinary approach for optimal treatment outcomes. A number of treatment options have been proposed. Recently, the use of bonded restorations has gained popularity because of the many benefits associated with these materials; excellent esthetics, conservative approach, and improved wear make their use advantageous. This article describes a direct approach with resin composite restorations for the transitional treatment of an adolescent with hypoplastic AI who had not completed skeletal growth. Protection against further wear, sensitivity, and plaque accumulation while significantly enhancing the patient's esthetic appearance made this case a success. Furthermore, this article describes the use of a "Clear matrix" technique, which considerably helped simplify the placement of the bonded restorations.

Amelogenesis Imperfecta: A Conservative and Progressive Adhesive Treatment Concept

“…Due to their potential to re-create the appearance of sound teeth 1 and to their capacity to mask imperfect substrate, 2 their use has been proposed in order to correct congenital illnesses such as amelogenesis imperfecta. 3,4 This is a hereditary disease that causes structural anomalies in dental enamel of the primary and permanent dentition. The anomaly may present a variety of clinical forms and appearances, with its main characteristics being the loss of tooth structure, compromised esthetic appearance, and dental sensitivity.…”

Molar incisor hypomineralization: an aesthetic conservative restorative approach

“…Conservative aesthetic restorative procedures in tooth structure are only possible thanks to the development of adhesive systems. The high levels of adhesion to the enamel obtained with etching application of the adhesive system and the technological advances of composite resins mean that direct restorations with excellent retention, aesthetics and at low cost can be undertaken 17 . Furthermore, direct restorations present technical facility which can give the patient aesthetic and functional satisfaction, as long as the professional has the knowledge, confidence and aesthetic sensibility to do so.…”

“…Thus, preserving the remaining tooth structure means that the direct restorative technique is the procedure of choice for the treatment of young patients, because in the future the composite resin restorations might need to be repaired in view of the longevity limitations proper to the restorative materials used, adhesive systems and composite resins. In addition, because of the reversibility of the treatment, there is a possibility of other future approaches, with indirect restorations, without affecting the resistance of the remaining tooth structure 17 . Thus, preservation is crucial to long term success, as it serves to monitor the treatment that was undertaken.…”

Amelogenezi̇s İmperfektali Anteri̇or Di̇şlerde Di̇rekt Esteti̇k Kompozi̇t Rezi̇n Uygulamasi: 4 Olgu Sunumu

“…Amelogenezis imperfektanın bu tipleri arasında önemli farklılıklar vardır. [10][11][12][13][14] Tip I olarak da bilinen hipoplastik tipin en önemli özelliği; minenin yapısının normal olmasına rağmen, gelişim sırasında normal kalınlığına ulaşama-masıdır. Minenin oluşum sürecinde mine matriksinin yetersiz depolanması sonucu ortaya çıkan bu görünüm yaygın ya da lokalize olabilmektedir.…”

“…Minenin maturasyon safhasında meydana gelen bir bozukluk sebebiyle ortaya çıkan bu hastalıkta, diş minesi benekli opak beyaz, sarı-kahverengi ya da kırmızı-kahverengi görünüm sergilemektedir. 10,14 Tip III olarak da bilinen hipokalsifiye tip, normal şekillenmiş minede zayıf bir mineralizasyon olduğundan hipomatüre tipten farklı olarak daha yumuşaktır. Diş yüzeyleri donuk ve cilasız görülür.…”