Correction of malocclusion and oral rehabilitation in a case of amelogenesis imperfecta by insertion of dental implants followed by Le Fort I distraction osteogenesis of the edentulous atrophic maxilla

Abstract

BackgroundAmelogenesis imperfecta refers a group of hereditary diseases affecting the teeth and can present a variety of clinical forms and appearances, compromising esthetic appearance. Amelogenesis imperfecta variably reduces oral health quality and can result in severe psychological problems.Case presentationWe present the management of an amelogenesis imperfecta Angle class III malocclusion case with speech, esthetics and functional problems. This is an example of the rarely presented delayed eruption with multiple morphologic dental alterations and edentulous maxilla.There are only a few available reports in which this method is used method to correct sagittal discrepancies in edentulous patients.Our treatment plan consisted of a preoperative diagnostic and prosthodontics phase (including preparation of guiding prosthesis), followed by a surgical phase of Le Fort I osteotomy, distraction osteogenesis to correct the malocclusion, implant insertion and a follow up final restorative phase.ConclusionsOur treatment strategy attempts to serve patient needs, achieving function and esthetics while also minimizing the risk of reconstruction failure. Treatment not only restored function and esthetics, but also showed a positive psychological impact and thereby improved perceived quality of life.

Amelogenesis imperfecta with Class III malocclusion, reduced crown size and decreased OVD: A multi‐disciplinary management and a 5‐year follow‐up

“…In addition, radiographs usually display thin enamel laminate on slim appearing teeth, where the proximal contacts are often missing 9,10 . AI could be associated with skeletal abnormalities, such as the Class III malocclusion 11 …”

“…Our treatment objectives for this patient were to correct the skeletal malposition and to adapt a reorganized approach, involving different disciplines 11 …”

Interdisciplinary Approach of Amelogenesis Imperfecta: 10 Years of Clinical Follow-Up

“…Because it presents a broad clinical spectrum, early diagnosis for correct dental planning is of paramount importance 13,14 . Therefore, the treatment should be composed of phases: A) preventive; b) restorative; and, c) maintenance.…”

An Interdisciplinary Approach for Hypoplastic Amelogenesis Imperfecta: A Case Report

“…The severity of these clinical problems may vary according to the type [ 4 , 5 ] and the severity of AI [ 6 ]. The most frequent type of AI is the hypoplastic type (61.2%) [ 7 ] in which all modifications are feasible in combination with different genetic traits.…”

“…Treatment should begin at childhood and continue into adolescence [ 5 ]. Prosthetic, periodontal, orthodontic and surgical treatment concepts could be used according to the type and severity of the patients with AI [ 2 ].…”