The restoration of function and esthetics of a patient with amelogenesis imperfecta using a combination of orthodontic and prosthodontic treatment: a case report.
OBJECTIVE
The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 20-year-old patient with amelogenesis imperfecta (AI), facial asymmetry due to functional mandibular shift, and unilateral posterior crossbite.


BACKGROUND
AI is a group of hereditary defects of enamel unassociated with any other generalized defects. AI results in poor development or the complete absence of the enamel of the teeth caused by improper differentiation of ameloblasts.


METHODS
This report describes the diagnosis and treatment of a young female patient with AI and facial asymmetry using a combined orthodontic-prosthodontic approach. Initially, the posterior crossbite, mandibular shift, and facial asymmetry were treated orthodontically. Later, metal-ceramic crowns for posterior teeth and all-ceramic crowns for anterior teeth were fabricated for final restorations.


CONCLUSIONS
Coordinated orthodontic and prosthodontic treatment, with careful consideration of patient expectations and requests, were critical for a successful outcome and patient satisfaction.


CONCLUSIONS
The complexity of the management of patients with AI supports the suggestion that the dental profession should have appropriate methods for the rehabilitation of rare dental disorders.
Kumar
Sandeep
S
Department of Prosthodontics and Maxillofacial Prosthetics, Manipal College of Dental Sciences, Manipal, Karnataka, India. mdssandy07@gmail.com
Gupta
Seema
S
D000567:Amelogenesis Imperfecta / Q000150:complications / Q000534:rehabilitation* / Q000628:therapy; D003131:Combined Modality Therapy; D003442:Crowns; D005146:Facial Asymmetry / Q000150:complications / Q000534:rehabilitation* / Q000628:therapy; D005260:Female; D006801:Humans; D008310:Malocclusion / Q000150:complications / Q000628:therapy*; D008334:Mandible / Q000503:physiopathology; D009971:Orthodontics, Corrective / Q000379:methods*; D011476:Prosthodontics / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult