Oral rehabilitation of primary dentition affected by amelogenesis imperfecta: a case report.
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.
de Souza-e-Silva
Cíntia Maria
CM
Pediatric Dentistry Department at the Piracicaba Dental School, State University of Campinas, Piracicaba, SP, Brasil. cintiass@fop.unicamp.br
Parisotto
Thaís Manzano
TM
Steiner-Oliveira
Carolina
C
Gavião
Maria Beatriz Duarte
MB
Nobre-Dos-Santos
Marinês
M
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*
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