Full Mouth Rehabilitation in a Patient with Amelogenesis Imperfecta: Treatment for Aesthetic and Functional Improvement

Abstract

Introduction: Amelogenesis imperfecta (AI) is a dental anomaly that causes defects in enamel with no evident association of systemic disease. Presentation of Case: This clinical report describes the oral rehabilitation of a 24-year-old woman diagnosed as having hypoplastic type of amelogenesis imperfecta along with palatally positioned maxillary lateral incisors. The aim of the treatment was to eradicate dental sensitivity, to correct of maxillary anterior malocclusion, and to restore esthetics and masticatory function. The treatment included removal of maxillary lateral incisors and placement of metal-ceramic fixed bridge dentures, as well as placement of all ceramic, metal-ceramic and full metal crowns for other affected teeth. Discussion: Interdisciplinary approach of the management of AI is necessary. Depending on the type and severity of the disorder, esthetic and functional concerns, prosthetic management of anterior teeth, like complete crowns, porcelain laminate veneers are the best options. For many years the most predictable and durable esthetic restoration of anterior teeth has been complete crowns. Conclusion: Porcelain bonded to metal fixed bridge partial dentures and full ceramic, porcelain bonded to metal and full metal crowns to correct the malocclusion and aesthetic problem, to eradicate sensitivity and to restore the masticatory function in this case was satisfactory.