Management guidelines for amelogenesis imperfecta: a case report and review of the literature

Abstract

Background Rehabilitation of the entire dentition with amelogenesis imperfecta (AI) tends to pose a great challenge to the clinician. Most of the cases of amelogenesis imperfecta are reported to be associated with skeletal and dental deformities which results in severe sensitivity of the dental tissues. Case presentation This clinical case report marks out the total restoration of the oral condition of a young Indian patient diagnosed with the hypoplastic type of amelogenesis imperfecta. Fixed metal ceramic prosthesis were planned to strengthen the masticatory activity, aesthetics, to banish the dental sensitivity and to build up the general persona of the patient. The patient was followed-up at 6 months, 1 year and 2 years intervals. Functional and esthetic impairment was not visible after the follow up period and the treatment outcome was successful. The entire treatment plan was intended to enhance the functional, esthetic and the masticatory component of the occlusal architecture. Conclusion This case report details the presentation, characteristic radiographic findings, and management of a patient with an extremely rare condition of amelogenesis imperfecta.

Hypo-Plastic Amelogenesis Imperfecta of 14 years Old Libyan Boy: Case Report

“…AI-based smile restoration requires a lot of precision, perseverance, and skill in addition to close coordination with numerous dental treatment sectors. Restoration of function, aesthetics, and vertical dimension are all involved in the comprehensive approach to the planning of therapy [14]. If enamel deformation caused by amelogenesis is treated with ceramic crowns, there is a significant risk that the pulp will be exposed in young patients.…”

Role of Dental Professionals in the Management of a Dentigerous Cyst in a Patient With Amelogenesis Imperfecta

“…BIPP also aids in controlling infection and healing following surgical debridement or sequestrectomy of bone affected by osteomyelitis [ 19 ]. Instead of laminate veneers, zirconia-based full ceramic or all-ceramic crowns are recommended for prosthodontic rehabilitation of teeth in patients with amelogenesis imperfecta, because veneer marginal adaptation is difficult due to enamel chipping [ 20 ].…”

Molecular‐based phenotype variations in amelogenesis imperfecta

“…Secondary effects of AI may include susceptibility to caries, periodontitis, pulpitis, and early tooth loss. These function and aesthetics changes in AI teeth may cause the problems such as eating difficulties, pain, severe embarrassment, and even psychological trauma (Roma et al, 2021). The prevalence of AI varies from 1:700 to 1:14,000 in different populations (Bäckman & Holm, 1986; Crawford et al, 2007; Witkop, 1957).…”