2014
DOI: 10.7126/cdj.58140.1008002018
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Aesthetic full-mouth oral rehabilitation of a young adult with amelogenesis imperfecta: a clinical report

Abstract: Amelogenesis 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. Treatment of a patient with amelogenesis imperfecta (AI) presents a real problem from both functional and esthetic points of view. An esthetic result also will resu… Show more

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(2 citation statements)
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“…Although in the majority of cases, such issues do not critically alter the treatment course, still, precautions must be taken in order to ensure the best possible outcome [55,56]. Moreover, the complexity of the phenomena that may interfere with simple or complicated endodontic pathology as a differential diagnosis, namely the dysfunctional syndrome of the stomatognathic system, can be intercepted during detailed diagnostic procedures and addressed by specific elaborate treatment [57][58][59][60][61], which was also used in the present study. The cases were treated by splints in 29% of patients, 12% of them with muscle relaxants, also 98% of subjects with occlusal parameters restoration, namely: occlusal areas, composite fillings, and amalgam, but also occlusal imbalances of existing components of gnato-prosthetic devices in 57% or their total replacement, as well as orthodontic adjustments in some cases.…”
Section: Discussionmentioning
confidence: 99%
“…Although in the majority of cases, such issues do not critically alter the treatment course, still, precautions must be taken in order to ensure the best possible outcome [55,56]. Moreover, the complexity of the phenomena that may interfere with simple or complicated endodontic pathology as a differential diagnosis, namely the dysfunctional syndrome of the stomatognathic system, can be intercepted during detailed diagnostic procedures and addressed by specific elaborate treatment [57][58][59][60][61], which was also used in the present study. The cases were treated by splints in 29% of patients, 12% of them with muscle relaxants, also 98% of subjects with occlusal parameters restoration, namely: occlusal areas, composite fillings, and amalgam, but also occlusal imbalances of existing components of gnato-prosthetic devices in 57% or their total replacement, as well as orthodontic adjustments in some cases.…”
Section: Discussionmentioning
confidence: 99%
“…We placed separate crowns on all tee-th with anatomical contacts so that oral hygiene can be easily maintained. Separated crowns were also preferred by various authors (7,8,10,15,19,23). However, these patients should be kept of regular follow-ups and meticulous oral hygiene measures should be reinforced.…”
Section: Discussionmentioning
confidence: 99%