OJST  Vol.3 No.8 , November 2013
Multidisciplinary treatment approach of a patient with amelogenesis imperfecta: A case report
ABSTRACT

Introduction: Amelogenesisimperfecta (AI) is a developmental disturbance, genomic in origin, which interferes with normal enamel formation of both primary and permanent dentitions in the absence of a systemic disorder. Three major categories can be recognized clinically, namely hypoplastic, hypomaturation and hypocalcified. Timely and comprehensive intervention is critical to spare the patient from psychological consequences of these disfiguring conditions. Clinical Report: A 10-year-old boy was presented with dissatisfaction with appearance of his teeth sensitivity and poor masticatory efficiency. His medical history was noncontributory. Composite restorative material was selected as a suitable replacement of the defective structures because of its esthetics and high sustainability. Treatment Objectives: The multidisciplinary approach was oriented toward achieving functional and esthetic rehabilitation of these teeth with minimal chair-side time. Treatment Outcomes: The use of composite restorative material resulted in successful and satisfactory enhancement of the patient’s esthetic appearance, as well as protection against further wear and sensitivity thereby improving his functional demands. The longevity of the treatment outcome required meticulous maintenance of oral hygiene and patient compliance. Conclusion: Management of a patient with AI is a challenge for the clinician. Treatment options vary considerably depending on several factors such as age of the patient, socioeconomic status, severity of the disorder, and most importantly, the patient’s cooperation. Composite restorative material is considered an excellent conservative transitional treatment for protection of AI weakened teeth.



Cite this paper
Turkistani, J. , Almushayt, A. , Farsi, S. and Turkistani, J. (2013) Multidisciplinary treatment approach of a patient with amelogenesis imperfecta: A case report. Open Journal of Stomatology, 3, 397-401. doi: 10.4236/ojst.2013.38067.
References
[1]   Witkop, C.J.J. (1988) Amelogenesis imperfecta, dentinogenesis imperfecta and dentin dysplasia revisited: Problems in classification. Journal of Oral Pathology & Medicine, 17, 547-553.
http://dx.doi.org/10.1111/j.1600-0714.1988.tb01332.x

[2]   Crawford, P.J., Aldred, M. and Bloch-Zupan, A. (2007) Amelogenesis imperfecta. Orphanet Journal of Rare Diseases, 2, 17.
http://dx.doi.org/10.1186/1750-1172-2-17

[3]   Slayton, R. (2005) Congenital genetic disorders and syndromes, In: Pinkham, J.R., Casamassimo, P.S., Fields, H.W. Jr., McTigue, D.J., Nowak, A.J. Eds., Pediatric Dentistry: Infancy through Adolescence. 4th Edition, Elsevier Saunders, St. Louis, 257-274.

[4]   Regezi, J., Sciubba, J. and Jordan, R. (2003) Oral pathology: Clinical-pathologic correlations. 4th Edition, WB Saunders, St. Louis, pp. 376-380.

[5]   Backman, B. and Holmgren, G. (1988) Amelogenesis imperfecta: A genetic study. Human Heredity, 38, 189-206. http://dx.doi.org/10.1159/000153785

[6]   Akin, H., Tasveren, S. and Yeler, D.Y. (2007) Interdisciplinary approach to treating a patient with amelogenesis imperfecta: A clinical report. Journal of Esthetic and Restorative Dentistry, 19, 131-135.
http://dx.doi.org/10.1111/j.1708-8240.2007.00083.x

[7]   Gokce, K., Canpolat, C. and Ozel, E. (2007) Restoring function and esthetics in a patient with amelogenesis imperfecta: A case report. Journal of Contemporary Dental Practice, 8, 95-101.

[8]   American Academy on Pediatric Dentistry Council on Clinical Affairs (2008) Guideline on oral heath care/dental management of heritable dental development anomalies. Pediatric Dentistry, 30, 196-201,

[9]   Wong, F.S. and Winter, G.B. (2002) Effectiveness of microabrasion technique for improvement of dental aesthetics. Br Dent J, 193, 155-158.
http://dx.doi.org/10.1038/sj.bdj.4801511

[10]   Lynch, C.D. and McConnell, R.J. (2003) The use of microabrasion to remove discolored enamel: A clinical report. Journal of Prosthetic Dentistry, 90, 417-419.
http://dx.doi.org/10.1016/S0022-3913(03)00503-1

[11]   Rodd, H.D., Abdul-Karim, A., Yesudian, G., O’Mahony, J. and Marshman, Z. (2011) Seeking children’s perspectives in the management of visible enamel defects. International Journal of Paediatric Dentistry, 21, 89-95.
http://dx.doi.org/10.1111/j.1365-263X.2010.01096.x

[12]   Markovic, D., Petrovic, B. and Peric, T. (2010) Case series: Clinical findings and oral rehabilitation of patients with amelogenesis imperfecta. European Archives of Paediatric Dentistry, 11, 201-208.
http://dx.doi.org/10.1007/BF03262745

[13]   Sabatini, C. and Guzman-Armstrong, S. (2009) A conservative treatment for amelogenesis imperfecta with direct resin composite restorations: A case report. Journal of Esthetic and Restorative Dentistry, 21, 161-169.
http://dx.doi.org/10.1111/j.1708-8240.2009.00258.x

[14]   Agackiran, E., Tumen, E.C., Celenk, S., Bolgul, B. and Atakul, F. (2011) Restoring aesthetics and function in a young boy with hypomature amelogenesis imperfecta: A case report. ISRN Dentistry, 2011, 586854.

[15]   Sockalingam, S. (2011) Dental rehabilitation of amelogenesis imperfecta using thermoformed templates. Journal of Indian Society of Pedodontics and Preventive Dentistry, 29, 53-56.
http://dx.doi.org/10.4103/0970-4388.79938

[16]   Gisler, V., Enkling, N., Zix, J., Kim, K., Kellerhoff, N.M. and Mericske-Stern, R. (2010) A multidisciplinary approach to the functional and esthetic rehabilitation of amelogenesis imperfecta and open bite deformity: A case report. Journal of Esthetic and Restorative Dentistry, 22, 282-293.
http://dx.doi.org/10.1111/j.1708-8240.2010.00354.x

[17]   Bharath Shetty, Y. and Shetty, A. (2010) Oral rehabilitation of a young adult with amelogenesis imperfecta: A clinical report. Journal of Indian Prosthodontic Society, 10, 240-245.
http://dx.doi.org/10.1007/s13191-010-0037-6

[18]   Brignall, I., Mehta, S.B., Banerji, S. and Millar, B.J. (2011) Aesthetic composite veneers for an adult patient with amelogenesis imperfecta: A case report. Dent Update, 38, 594-603.

[19]   Ramos, A.L., Pascotto, R.C., Iwaki Filho, L., Hayacibara, R.M. and Boselli, G. (2011) Interdisciplinary treatment for a patient with open-bite malocclusion and amelogenesis imperfecta. American Journal of Orthodontics and Dentofacial Orthopedics, 139, S145-153.
http://dx.doi.org/10.1016/j.ajodo.2009.05.031

[20]   Nandini, S. (2010) Indirect resin composites. Journal of Conservative Dentistry, 13, 184-194.
http://dx.doi.org/10.4103/0972-0707.73377

 
 
Top