title: Clinical solutions for developmental defects of enamel and dentin in children.
abstract: Developmental defects of enamel (DDE) are frequently observed in pediatric dental patients. Proper diagnosis may improve the clinician's dental care. The purpose of this article is to present the clinical management of some common dental defects: (1) hypoplasia; (2) diffuse and demarcated opacities; (3) fluorosis; (4) amelogenesis imperfecto (Al); and (5) dentinogenesis imperfecto (DI). The comprehensive management of DDE in children and adolescents should include: (1) active follow-up and observation involving oral hygiene instructions; and (2) dietary consultation. Preventive care should be individually tailored according to the patient's risk-assessment analysis. The treatment of DDE involves an approach that includes several disciplines, including: (1) pediatric dentistry; (2) orthodontics; (3) perioprosthetics; and (4) psychology. A close follow-up is essential to achieve long-term success.
authors.affiliation: Department of Pediatric Dentistry, The Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel. sapirdrs@zahav.net.il
authors.forename: Shabtai
authors.initials: S
authors.lastname: Sapir
authors.forename: Joseph
authors.initials: J
authors.lastname: Shapira
mesh_terms: D000293:Adolescent; D000567:Amelogenesis Imperfecta / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D003188:Composite Resins; D003442:Crowns; D001840:Dental Bonding; D003743:Dental Enamel / Q000002:abnormalities; D003793:Dental Restoration, Permanent / Q000379:methods*; D003804:Dentin / Q000002:abnormalities; D003811:Dentinogenesis Imperfecta / Q000628:therapy*; D019243:Enamel Microabrasion; D009050:Fluorosis, Dental / Q000628:therapy*; D006801:Humans; D007180:Incisor / Q000002:abnormalities; D008963:Molar / Q000002:abnormalities; D010348:Patient Care Team
chemical_list: D003188:Composite Resins