title: Noninvasive and multidisciplinary approach to the functional and esthetic rehabilitation of amelogenesis imperfecta: a pediatric case report.
abstract: Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth. Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed . Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.
authors: Graduate Program in Dentistry, School of Dentistry, Positivo University, Rua Professor Pedro Viriato Parigot de Souza, 5300 Curitiba, PR, Brazil.
authors: Juliana Feltrin
authors: JF
authors: de Souza
authors: Department of Pediatric Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista, UNESP, Araraquara, SP, Brazil.
authors: Camila Maria Bullio
authors: CM
authors: Fragelli
authors: Master's Program in Dentistry, CEUMA University, UNICEUMA, São Luís, MA, Brazil.
authors: Marco Aurélio Benini
authors: MA
authors: Paschoal
authors: Department of Restorative Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista, UNESP, Araraquara, SP, Brazil.
authors: Edson Alves
authors: EA
authors: Campos
authors: Graduate Program in Dentistry, School of Dentistry, Positivo University, Rua Professor Pedro Viriato Parigot de Souza, 5300 Curitiba, PR, Brazil.
authors: Leonardo Fernandes
authors: LF
authors: Cunha
authors: Graduate Program in Dentistry, School of Dentistry, Positivo University, Rua Professor Pedro Viriato Parigot de Souza, 5300 Curitiba, PR, Brazil.
authors: Estela Maris
authors: EM
authors: Losso
authors: Department of Pediatric Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista, UNESP, Araraquara, SP, Brazil.
authors: Rita de Cássia Loiola
authors: Rde C
authors: Cordeiro