Treatment Considerations for Patient with amelogenesis imperfecta: a review

Abstract

Objectives Amelogenesis imperfecta (AI) is a group of inherited disorders primary affecting the structural of enamel. Patients with AI experience poor esthetic, excessive tooth sensitivity and compromised chewing function that dental treatments are frequently required at early age. This review describes the non-enamel implications, stage-specific management strategies and outcomes of selected restorative materials based on literature evidence.

Interdisciplinary Care for a Patient with Amelogenesis Imperfecta: A Clinical Report

“…Complete crown coverage is commonly recommended for the definitive restorative procedure in most severe hypocalcified AI cases . Even though significant reduction of tooth structure is required, such restorations protect the dental tissues from further destruction due to brittle enamel structure.…”

“…Complete crown coverage is commonly recommended for the definitive restorative procedure in most severe hypocalcified AI cases. 21,22 Even though significant reduction of tooth structure is required, such restorations protect the dental tissues from further destruction due to brittle enamel structure. Adequate tooth preparation and appropriate choice of restorative materials are essential to limit biological complications like loss of pulp vitality and to ensure long-term success.…”

Esthetic Rehabilitation with Direct Composite Resin in a Patient with Amelogenesis Imperfecta: A 2-Year Follow-Up

“…Amelogenesis imperfecta (AI) is a group of conditions caused by over 15 different genes that affects dentition, with variable prevalence rates depending on the population assessed. More often than not, AI patients have difficulty maintaining oral hygiene, impaired chewing ability, and lower self-esteem, which eventually affect their overall quality of life [1, 2]. There are numerous classifications based on phenotype.…”

“…According to these phenotypes, AI can be categorized into type I that involves disturbances related to enamel secretion (hypoplastic), type II that is related to enamel maturation (hypomature), type III that affects the mineralization process (hypocalcified), and type IV, which is marked by the involvement of hypoplastic and hypomature enamel defects associated with taurodontism. In the hypoplastic forms, the enamel does not develop to its normal thickness; in the hypocalcified forms, the enamel thickness on newly erupted teeth closely approaches that of normal teeth, but the enamel is soft, friable, and can easily be removed from the dentin [1, 2].…”

“…The approach should consider whether the enamel is sufficient for the restoration, in such a way that direct composite resin restoration can disguise the change in color and improve tooth morphology. In those AI patients in whom enamel is not sufficient for bonding, indirect restorations that completely cover the tooth structure are recommendable [1]. Clinicians should therefore think of treatment alternatives that could achieve the right balance between esthetics, patient's functional needs, and treatment costs.…”