TITLE:
Multidisciplinary treatment approach of a patient with amelogenesis imperfecta: A case report
AUTHORS:
Jihan M. Turkistani, Abdullah S. Almushayt, Sami A. Farsi, Jihan M. Turkistani
KEYWORDS:
AmelogenesisImperfecta; Hypocalcified Enamel; Management; Multidisciplinary; Composite Restorative Material
JOURNAL NAME:
Open Journal of Stomatology,
Vol.3 No.8,
November
15,
2013
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.