IADR Abstract Archives
Interdisciplinary Treatment for a Two Patients with Amelogenesis Imperfecta
Objectives: Amelogenesis imperfecta (AI) is an autosomal recessive disorder which cause developmental alterations in the structure of enamel, further complicate the quality of life by causing oral health and physiologic problems. Amelogenesis imperfecta may have different inheritance patterns depending on the gene that is altered. The treatment used depends on the severity of the problem. Crowns are sometimes used to improve the appearance of the teeth and protect them from damage. This case series describes the functional and esthetic rehabilitation of AI with interdisciplinary approach.
Methods: This case reports deals with the interdisciplinary approach of a 23-year-old male patients and his sisters who is 16 years old with AI of the hypoplastic type. The patients came with severe sensitivity of teeth, chewing difficulties, esthetic and physicologic problems. Medical history does not exhibited any systemic disease or smoking condition . Intraoral examination revealed that yellow-brown coloured teeth, generalized attrition, loss of clinical crown length, diffuse gingival enlargement and vertical dimension in both patients. Radiological and cone-beam examination revealed generalized loss of enamel structure and multiple impacted teeth that close relationship between mandibular canal.
The treatment procedures involved prosthodontic and periodontologic interventions. Before the surgery periodontal treatments were completed and all pockets were eliminated. After the initial periodontal therapy, crown lengthening were performed with respect to the all of the teeth and crest was smoothed in edentulous area. Finally the rehabilitation included all-ceramic crowns on anterior teeth and metal-ceramic crowns on posterior teeth following crown-lengthening procedure for eliminating tooth sensitivity, improving the aesthetics and restoring function.
Results: As a result of the treatment aesthetic, functional and psychosocial problems were achieved in the two cases. After 6 months of treatment any periodontal or prosthetic complications were not observed.
Conclusions: 6 months follow-up revealed satisfactory results and no deterioration in the restorations.
Methods: This case reports deals with the interdisciplinary approach of a 23-year-old male patients and his sisters who is 16 years old with AI of the hypoplastic type. The patients came with severe sensitivity of teeth, chewing difficulties, esthetic and physicologic problems. Medical history does not exhibited any systemic disease or smoking condition . Intraoral examination revealed that yellow-brown coloured teeth, generalized attrition, loss of clinical crown length, diffuse gingival enlargement and vertical dimension in both patients. Radiological and cone-beam examination revealed generalized loss of enamel structure and multiple impacted teeth that close relationship between mandibular canal.
The treatment procedures involved prosthodontic and periodontologic interventions. Before the surgery periodontal treatments were completed and all pockets were eliminated. After the initial periodontal therapy, crown lengthening were performed with respect to the all of the teeth and crest was smoothed in edentulous area. Finally the rehabilitation included all-ceramic crowns on anterior teeth and metal-ceramic crowns on posterior teeth following crown-lengthening procedure for eliminating tooth sensitivity, improving the aesthetics and restoring function.
Results: As a result of the treatment aesthetic, functional and psychosocial problems were achieved in the two cases. After 6 months of treatment any periodontal or prosthetic complications were not observed.
Conclusions: 6 months follow-up revealed satisfactory results and no deterioration in the restorations.