Amelogenesis imperfecta: functional and esthetic restoration of a severely compromised dentition.
The treatment of patients with severe forms of amelogenesis imperfecta presents an interesting challenge to the dental team. A 16-year-old girl presented with a severely compromised occlusion and poor esthetics that had lowered her self-esteem. Preoperative investigations included the determination of completion of growth, an accurate diagnostic waxup, and an evaluation of clinical crown lengths. Periodontal full-flap surgery was planned to lengthen clinical crowns and create gingival harmony. This was to be followed by placement of 28 complete crowns to restore occlusal function and gain a pleasing esthetic result. All-porcelain crowns were placed from premolar to premolar in each arch (20 crowns), and porcelain-fused-to-metal crowns were placed on each molar tooth in each arch (8 crowns). The final treatment result provided this patient with a mutually protective occlusion and with esthetics that greatly enhanced her self-image.
Williams
W P
WP
Faculty of Dentistry, University of Pretoria, Pretoria, South Africa. wwilliam@mweb.co.za
Becker
L H
LH
D000293:Adolescent; D000567:Amelogenesis Imperfecta / Q000473:pathology / Q000628:therapy*; D016556:Crown Lengthening / Q000379:methods; D003442:Crowns; D003766:Dental Occlusion; D003776:Dental Porcelain; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D016876:Metal Ceramic Alloys; D010347:Patient Care Planning; D010519:Periodontium / Q000601:surgery; D012649:Self Concept; D013524:Surgical Flaps; D019228:Tooth Crown / Q000473:pathology; D016896:Treatment Outcome; D014716:Vertical Dimension
D016876:Metal Ceramic Alloys; D003776:Dental Porcelain