Amelogenesis imperfecta: diagnosis and resolution of a case with hypoplasia and hypocalcification of enamel, dental agenesis, and skeletal open bite.
A case of amelogenesis imperfecta with hypoplasia, hypocalcification of the enamel, congenital absence of teeth 12 and 22, delayed eruption of tooth 23, edge-to-edge incisal relationship, open bite, and bilateral posterior cross bite at the level of the first and second premolars is presented. Lateral skull teleradiography indicated a Class III skeletal pattern of maxillary origin associated with a dolichofacial pattern with multiple indicators of facial hyperdivergence. The patient presented a major esthetic abnormality of the face and required orthodontic treatment prior to a prosthetic solution with full-coverage metal-ceramic crowns in both the maxilla and the mandible. The diagnosis of cases such as this one and the therapeutic implications from an orthodontic and prosthetic standpoint are reported.
Pulgar Encinas
R
R
Stomatology Department, University of Granada, Granada, Spain. rpulgar@platon.ugr.es
García-Espona
I
I
Navajas Rodriguez de Mondelo
J M
JM
D000293:Adolescent; D000567:Amelogenesis Imperfecta / Q000175:diagnosis* / Q000628:therapy; D000848:Anodontia / Q000175:diagnosis* / Q000628:therapy; D001641:Bicuspid / Q000473:pathology; D002508:Cephalometry; D003442:Crowns; D003743:Dental Enamel / Q000002:abnormalities*; D003744:Dental Enamel Hypoplasia / Q000175:diagnosis* / Q000628:therapy; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D008310:Malocclusion / Q000175:diagnosis / Q000628:therapy; D008313:Malocclusion, Angle Class III / Q000175:diagnosis / Q000628:therapy; D016876:Metal Ceramic Alloys; D024343:Open Bite / Q000175:diagnosis* / Q000628:therapy; D009971:Orthodontics, Corrective; D011862:Radiography, Panoramic; D012390:Root Canal Therapy; D014074:Tooth Calcification; D014078:Tooth Eruption
D016876:Metal Ceramic Alloys