title: Correction of malocclusion and oral rehabilitation in a case of amelogenesis imperfecta by insertion of dental implants followed by Le Fort I distraction osteogenesis of the edentulous atrophic maxilla.
abstract: BACKGROUND
  Amelogenesis imperfecta refers a group of hereditary diseases affecting the teeth and can present a variety of clinical forms and appearances, compromising esthetic appearance. Amelogenesis imperfecta variably reduces oral health quality and can result in severe psychological problems.
  
  
  METHODS
  We present the management of an amelogenesis imperfecta Angle class III malocclusion case with speech, esthetics and functional problems. This is an example of the rarely presented delayed eruption with multiple morphologic dental alterations and edentulous maxilla.There are only a few available reports in which this method is used method to correct sagittal discrepancies in edentulous patients.Our treatment plan consisted of a preoperative diagnostic and prosthodontics phase (including preparation of guiding prosthesis), followed by a surgical phase of Le Fort I osteotomy, distraction osteogenesis to correct the malocclusion, implant insertion and a follow up final restorative phase.
  
  
  CONCLUSIONS
  Our treatment strategy attempts to serve patient needs, achieving function and esthetics while also minimizing the risk of reconstruction failure. Treatment not only restored function and esthetics, but also showed a positive psychological impact and thereby improved perceived quality of life.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey. apaydin@istanbul.edu.tr.
authors.forename: Aysegul
authors.initials: A
authors.lastname: Apaydin
authors.forename: Bulent
authors.initials: B
authors.lastname: Sermet
authors.forename: Sevin
authors.initials: S
authors.lastname: Ureturk
authors.forename: Abdulsamet
authors.initials: A
authors.lastname: Kundakcioglu
mesh_terms: D000293:Adolescent; D000567:Amelogenesis Imperfecta / Q000534:rehabilitation* / Q000601:surgery; D001284:Atrophy; D002508:Cephalometry / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation* / Q000601:surgery; D008313:Malocclusion, Angle Class III / Q000601:surgery / Q000628:therapy*; D008437:Maxilla / Q000601:surgery*; D009065:Mouth Rehabilitation / Q000379:methods; D024343:Open Bite / Q000628:therapy; D019857:Osteogenesis, Distraction / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods*; D010347:Patient Care Planning; D011788:Quality of Life
chemical_list: D015921:Dental Implants