Minimally invasive rehabilitation of a patient with amelogenesis imperfecta.
This case report describes a minimally invasive step-by-step approach to treat a patient with amelogenesis imperfecta. This is a genetic developmental disorder of the dental enamel, which clinically manifests as white and dark discolorations of the teeth. The clinical examination did not reveal the true depth of the staining. Therefore, a step-wise treatment approach was chosen. The first step consisted of a home bleaching procedure, which led to a slight improvement of the esthetic appearance, but the stains were still clearly visible. The next step was the application of a microabrasion technique. This led to further improvement, but not to a satisfactory result for this patient who had high esthetic expectations. Thus, the third step was undertaken: it was planned to restore the maxillary incisors and canines with ceramic veneers. The dental technician prepared a wax-up, which served as a basis for a clinical mock-up. After discussing the mock-up and the treatment plan with the patient, crown lengthening was performed on teeth 11 and 23 to improve the pink esthetics. Subsequently, the teeth were prepared in a minimally invasive way and a final impression was taken. Following try-in, the six veneers were inserted with resin cement.
Dominik
D
Büchi
Vincent
V
Fehmer
Irene
I
Sailer
Karin
K
Wolleb
Ronald
R
Jung
D000328:Adult; D000567:Amelogenesis Imperfecta / Q000534:rehabilitation* / Q000628:therapy; D000077463:Carbamide Peroxide; D002516:Ceramics / Q000737:chemistry; D016556:Crown Lengthening / Q000379:methods; D003481:Cuspid / Q000473:pathology; D003776:Dental Porcelain / Q000737:chemistry; D017267:Dental Prosthesis Design; D003801:Dental Veneers; D019243:Enamel Microabrasion / Q000379:methods; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005890:Gingivectomy / Q000379:methods; D006801:Humans; D007180:Incisor / Q000473:pathology; D010347:Patient Care Planning; D017060:Patient Satisfaction; D010545:Peroxides / Q000627:therapeutic use; D014073:Tooth Bleaching / Q000379:methods; D058205:Tooth Bleaching Agents / Q000627:therapeutic use; D014075:Tooth Discoloration / Q000628:therapy; D014508:Urea / Q000031:analogs & derivatives / Q000627:therapeutic use
D010545:Peroxides; D058205:Tooth Bleaching Agents; D003776:Dental Porcelain; D000077463:Carbamide Peroxide; D014508:Urea