Assessment of restorative treatment of patients with amelogenesis imperfecta.
OBJECTIVE
The purpose of this study was to assess restorative treatment outcomes in the mixed dentition of amelogenesis imperfecta (AI) patients and determine the postrehabilitation oral health status and satisfaction of the patients.


METHODS
Clinical and radiographic examinations were performed on eight AI patients, who had 74 restorations placed in permanent incisors and molars, to allow evaluation of the integrity of the restorations and periodontal status post-treatment. Subjects completed a survey regarding esthetics, function, and sensitivity.


RESULTS
Among the 74 restorations evaluated, seven were lost; of the remaining restorations, 31 were posterior, and 36 were anterior. Ten were rated clinically unacceptable. Teeth with stainless steel crowns had a moderate gingival index (mean=2.3) and plaque index (mean=2.0) scores. Widening of the periodontal ligament and pulp canal obliteration were common radiographic findings. Subject's recall of satisfaction regarding esthetics (P=.002) and sensitivity (brushing-P=.03; eating-P=.01) showed a statically significant difference before and after treatment.


CONCLUSIONS
During mixed dentition, teeth with amelogenesis imperfecta may be restored with conventional treatment modalities. Direct restorations should be considered "interim" with multiple repairs anticipated. Post-treatment, gingival inflammation and plaque accumulation were observed. Subjects were satisfied with their appearance and reported a decrease of hypersensitivity.
Taipei, Taiwan. chiungfc@gmail.com.
Chiung-Fen
CF
Chen
Jan Ching Chun
JC
Hu
Maria Regina Padilla
MR
Estrella
Mathilde C
MC
Peters
Eduardo
E
Bresciani
D000293:Adolescent; D000567:Amelogenesis Imperfecta / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000628:therapy; D002648:Child; D003625:Data Collection; D003793:Dental Restoration, Permanent / Q000379:methods*; D003818:Dentition, Mixed; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D007180:Incisor / Q000473:pathology*; D008297:Male; D008963:Molar / Q000473:pathology*; D017060:Patient Satisfaction; D011859:Radiography; D016896:Treatment Outcome