A retrospective study of the prosthodontic management of patients with amelogenesis imperfecta.
OBJECTIVE
This article reports on a retrospective study on patients with a diagnosis of amelogenesis imperfecta and on their prosthodontic management, oral health status, and attitudes toward their condition.


METHODS
The study comprised 15 patients and consisted of a clinical evaluation and questionnaire. Clinical examination included records of types of restorations and cements used, rating of restoration quality, as well as complications and periodontal variables.


RESULTS
The 15 patients had a total of 213 prosthetic restorations. The median age of the restorations was 60 months. Following the California Dental Association's system, all restorations were rated as acceptable to excellent, with one exception. During the follow-up period, four (2%) restorations had been recemented and 16 (8%) restorations had been redone, five (2%) because of porcelain fractures and 11 (5%) because of caries; two (1%) endodontic treatments were performed after prosthetic restoration. Plaque and Bleeding Indices were 28% and 21%, respectively, while pocket depths of more than 3 mm were found at 7% of all tooth surfaces. All patients judged their condition as having affected them negatively. However, after prosthodontic rehabilitation, patients experienced an improvement in self-esteem.


CONCLUSIONS
Patients with severe clinical manifestations of amelogenesis imperfecta obtained extensive prosthodontic treatment at an early age. The restorations had in general performed well, and all patients were affected positively as a result.
Lindunger
Ann
A
Department of Prosthetic Dentistry, Eastman Dental Institute, Stockholm County Council, Stockholm, Sweden. ann.lindunger@ftv.sll.se
Smedberg
Jan-Ivan
JI
D000293:Adolescent; D000328:Adult; D000567:Amelogenesis Imperfecta / Q000523:psychology / Q000534:rehabilitation*; D001294:Attitude to Health; D003731:Dental Caries / Q000145:classification; D003738:Dental Cements / Q000737:chemistry; D003774:Dental Plaque Index; D003776:Dental Porcelain / Q000737:chemistry; D017266:Dental Prosthesis / Q000145:classification / Q000592:standards; D019232:Dental Restoration Failure; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D009909:Oral Health; D010512:Periodontal Index; D010514:Periodontal Pocket / Q000145:classification; D019233:Retreatment; D012189:Retrospective Studies; D012390:Root Canal Therapy; D012649:Self Concept; D016896:Treatment Outcome
D003738:Dental Cements; D003776:Dental Porcelain