Restoring Function and Esthetics in a Patient with Amelogenesis Imperfecta: A Case Report
Emre Ozel, Kagan Gokce, Ceyhun Canpolat
Citation Information :
Ozel E, Gokce K, Canpolat C. Restoring Function and Esthetics in a Patient with Amelogenesis Imperfecta: A Case Report. J Contemp Dent Pract 2007; 8 (4):95-101.
The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 22-year-old patient with Amelogenesis imperfecta (AI).
Background
AI is a group of hereditary defects of enamel, unassociated with any other generalized defects. It is a rare developmental abnormality of the enamel, with a variable occurence of approximately 1:4000 to 1:14000 in Western populations. Al results in poor development or complete absence of the enamel of the teeth caused by improper differentiation of the ameloblasts.
Report
This report describes the diagnosis and treatment of a young male patient with AI and missing molar teeth using contemporary restorative strategies. Initially, the tooth surfaces were treated with a professional cleaning along with conservative restorative treatment. Later, metal-ceramic crowns for posterior teeth and fullceramic crowns for anterior teeth were utilized for final restorations.
Summary
The complexity of the management of patients with AI supports the suggestion the dental profession should have appropriate methods for the rehabilitation of rare dental disorders. The treatment of patients with AI should start with early diagnosis and intervention to prevent later restorative problems.
Citation
Gokce K, Canpolat C, Ozel E. Restoring Function and Esthetics in a Patient with Amelogenesis Imperfecta: A Case Report. J Contemp Dent Pract 2007 May;(8)4:095-101.
Amelogenesis imperfecta, dentinogenesis imperfecta and dysplasia revisited: problems in classification. J Oral Pathol 1989;17:547-553.
Oral rehabilitation of young adults with amelogenesis imperfecta. Int J Prosthodont 2003;16:345-349.
Autosomal-dominant hypoplastic form of amelogenesis imperfecta caused by an enamelin gene mutation at the Exon-Intron Boundary. J Dent Res 2002;81:738-742.
Enamelin maps to human chromosome 4q21 within the autosomal dominant amelogenesis imperfecta locus. Eur J Oral Sci 2000;108:353-358.
Cloning, characterization and immunolocalization of human ameloblastin. Eur J Oral Sci 2000;108:303-310.
Amelogenesis imperfecta: a scanning electron microscopic and histopathologic study. J Clin Pediatric Dent 2002;26:327-335.
Amelogenesis imperfecta: Functional and esthetic restoration of a severely compromised dentition. Quintessence Int 2000;31:397-403.
Amelogenesis imperfecta with enamel opacities and taurodontism: An alternative diagnosis for “idiopathic dental fluorosis”. Br Dent J 1996;81:167-172.
Dental anomalies associated with amelogenesis imperfecta. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:358-364.
Amelogenesis imperfecta: A method of reconstruction. Dent Update 1993;20:252-255.
Restoring function and esthetics in a patient with amelogenesis imperfecta. Int J Periodontics Restorative Dent 1997;17:478-483.
