title: Oral rehabilitation of primary dentition affected by amelogenesis imperfecta: a case report.
abstract: OBJECTIVE
  The purpose of the case report was to describe the treatment of a 4(1/2)-year-old boy with amelogenesis imperfect (AI) in the primary dentition.
  
  
  BACKGROUND
  AI is a hereditary condition that affects the development of enamel, causing quantity, structural, and compositional anomalies involving all dentitions. Consequently, the effects can extend to both the primary and secondary dentitions.
  
  
  METHODS
  A 4(1/2)-year-old boy was brought to the dental clinic complaining of tooth hypersensitivity during meals. The medical history and clinical examination were used to arrive at the diagnosis of amelogenesis imperfecta. The treatment was oral rehabilitation of the primary molars with stainless steel crowns and resin-filled celluloid forms of both maxillary and mandibular primary incisors and canines. Improvements in the patient's psychological behavior and the elimination of tooth sensitiveness were observed, and the reestablishment of a normal occlusion resulted in improved eating habits. The child was monitored in the Pediatric Dentistry Clinic at four-month intervals until the mixed dentition stage.
  
  
  CONCLUSIONS
  The oral rehabilitation of young children with AI is necessary to reestablish the stomatognathic system function, so important for a child's systemic health. An adequate medical history and a careful clinical examination were essential for a correct diagnosis. Treatment was rendered that was appropriate for the child's age and clinical/psychological characteristics.
  
  
  CONCLUSIONS
  Cost-effective restorative techniques involving stainless steel and composite-resin crowns are shown for the restoration of a young patient with amelogensis imperfecta.
authors.affiliation: Pediatric Dentistry Department at the Piracicaba Dental School, State University of Campinas, Piracicaba, SP, Brasil. cintiass@fop.unicamp.br
authors.forename: Cíntia Maria
authors.initials: CM
authors.lastname: de Souza-e-Silva
authors.forename: Thaís Manzano
authors.initials: TM
authors.lastname: Parisotto
authors.forename: Carolina
authors.initials: C
authors.lastname: Steiner-Oliveira
authors.forename: Maria Beatriz Duarte
authors.initials: MB
authors.lastname: Gavião
authors.forename: Marinês
authors.initials: M
authors.lastname: Nobre-Dos-Santos
mesh_terms: D000134:Acid Etching, Dental; D000567:Amelogenesis Imperfecta / Q000235:genetics / Q000628:therapy*; D017438:Bisphenol A-Glycidyl Methacrylate / Q000737:chemistry; D002675:Child, Preschool; D003188:Composite Resins / Q000737:chemistry; D003442:Crowns; D003481:Cuspid / Q000473:pathology; D003722:Dental Alloys / Q000737:chemistry; D003764:Dental Materials / Q000737:chemistry; D017267:Dental Prosthesis Design / Q000295:instrumentation; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008963:Molar / Q000473:pathology; D009065:Mouth Rehabilitation / Q000379:methods*; D010375:Pedigree; D012117:Resins, Synthetic / Q000737:chemistry; D013193:Stainless Steel / Q000737:chemistry; D014094:Tooth, Deciduous / Q000473:pathology*
chemical_list: D003188:Composite Resins; D003722:Dental Alloys; D003764:Dental Materials; C444701:Filtek Z250; D012117:Resins, Synthetic; C115612:single bond; D013193:Stainless Steel; D017438:Bisphenol A-Glycidyl Methacrylate