title: Full-mouth rehabilitation for a patient with dentinogenesis imperfecta: a clinical report.
abstract: Dentinogenesis imperfecta (DI) is a genetic disorder affecting the structural integrity of the dentin that can result in weakened dentin. The affected teeth, especially posterior teeth, often need to be extracted due to severe wear or fracture. This frequently yields a loss of posterior occlusion and occlusal vertical dimension. Besides wear and fracture, anterior teeth often have an unesthetic appearance because of discoloration. Current treatments of choice, including composite bonding restorations and, more recently, all-ceramic restorations, are typically suggested to preserve the remaining teeth and tooth structure. However, there are a limited number of studies on dental implants in patients with DI. The effectiveness of dentin bonding and dental implants in patients with DI is not known. This clinical report describes a 32-year-old Asian woman with DI who underwent full-mouth rehabilitation. The posterior occlusion, mostly in the molar areas, was restored with dental implants and ceramometal restorations. The anterior teeth and premolars were restored with bonded lithium disilicate glass-ceramic pressed veneers and crowns made with computer-aided design/computer-aided manufacturing. This case demonstrates that restoring functional occlusion and esthetics for a patient with DI can be completed successfully using contemporary implant therapy and adhesive dentistry.
authors.affiliation: 1  Department of Prosthodontics, School of Dentistry, and Department of Pharmacology, School of Medicine, University of North Carolina, Chapel Hill, NC.
authors.forename: Sompop
authors.initials: S
authors.lastname: Bencharit
authors.forename: Michael B
authors.initials: MB
authors.lastname: Border
authors.forename: C Russell
authors.initials: CR
authors.lastname: Mack
authors.forename: Warren C
authors.initials: WC
authors.lastname: Byrd
authors.forename: John T
authors.initials: JT
authors.lastname: Wright
mesh_terms: D000328:Adult; D002516:Ceramics / Q000737:chemistry; D017076:Computer-Aided Design; D003442:Crowns; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D003776:Dental Porcelain / Q000737:chemistry; D003777:Dental Prophylaxis / Q000379:methods; D019094:Dental Prosthesis, Implant-Supported; D003801:Dental Veneers; D003811:Dentinogenesis Imperfecta / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018020:Lithium Compounds / Q000737:chemistry; D008277:Magnesium Oxide / Q000737:chemistry; D016876:Metal Ceramic Alloys / Q000737:chemistry; D009065:Mouth Rehabilitation / Q000379:methods*; D017090:Occlusal Splints; D010347:Patient Care Planning; D011076:Polycarboxylate Cement / Q000737:chemistry; D019279:Resin Cements / Q000737:chemistry; D014081:Tooth Extraction; D015034:Zinc Oxide / Q000737:chemistry
chemical_list: D015921:Dental Implants; C118557:Empress 2; D018020:Lithium Compounds; D016876:Metal Ceramic Alloys; D011076:Polycarboxylate Cement; D019279:Resin Cements; C493120:lithia disilicate; D003776:Dental Porcelain; C103502:Variolink; D008277:Magnesium Oxide; C023506:Glass ceramics; C040235:Ketac-cem; D015034:Zinc Oxide
keywords: all ceramic; dental implants; dentinogenesis imperfecta; full-mouth rehabilitation; veneers