scholarly journals Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Juliana Feltrin de Souza ◽  
Camila Maria Bullio Fragelli ◽  
Marco Aurélio Benini Paschoal ◽  
Edson Alves Campos ◽  
Leonardo Fernandes Cunha ◽  
...  

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.

2021 ◽  
Author(s):  
Ahmed I. Masoud ◽  
T. Peter Tsay

ABSTRACT Amelogenesis imperfecta is a rare hereditary disorder that affects dental enamel and is often associated with an anterior open bite. Orthodontic treatment of a 16-year-old female patient with hypocalcified amelogenesis imperfecta and a 9-mm anterior open bite was presented. Radiographic examination revealed a steep mandibular plane angle, an increased lower face height, a Class II skeletal pattern, and a convex profile. Additionally, the patient had stainless steel crowns on all upper and lower posterior teeth and composite veneers on the upper anterior teeth. The patient was treated nonsurgically using a multiloop edgewise archwire (MEAW). MEAW mechanics allowed for successful correction of the anterior open bite, with significant reduction in the mandibular plane angle and improvement in the patient's profile. No fixed retainers were used, results remained stable 78 months after removal of orthodontic appliances. MEAW mechanics should be considered for patients with large anterior open bites, although this technique requires excellent patient compliance.


2019 ◽  
Vol 44 (1) ◽  
pp. E45-E57
Author(s):  
NI Pavesi Pini ◽  
LM De Marchi ◽  
AL Ramos ◽  
RC Pascotto

SUMMARY Tooth wear is a multifactorial condition of growing concern. In clinical practice, it is often a challenge for prevention and treatment since many etiological factors may be involved. This case report describes an esthetic rehabilitation of a young patient presenting tooth wear due to erosion. The etiological factor of this case was the patient sucking on lemons, an acidic fruit. The main complaint of the patient was the appearance of short maxillary incisors. The treatment involved orthodontic and restorative dentistry techniques. First of all, an orthodontic device was used to increase the vertical dimension of occlusion and create an adequate space for the direct restorations. The posterior teeth were restored with two direct composite resin techniques; the anterior teeth were then restored using a balanced occlusion. The seven-year follow-up of the case is presented. Replicas of the restorations were made and visualized under scanning electron microscopy up to the 12-month evaluation. In the clinical follow-up at seven years, maintenance of the results and restorations can be clearly seen.


Author(s):  
Kelly Guedes de Oliveira Scudine ◽  
Kelly Maria Silva Moreira ◽  
Micaela Cardoso ◽  
Stéphanie Marani Martins Araújo ◽  
Regina Maria Puppin-Rontani ◽  
...  

Traumatic dental injuries are common clinical problems during childhood, and may have complex etiologies causing physical and physiological impairment. The aim of this study was to report the management of a severe traumatic dental injury in an 8-year-old female patient, victim of a motorcycle accident, who was taken to a pediatric dentistry clinic three months after the accident. After clinical and radiografic examination, we observed the avulsion of the permanent maxillary central incisors and of the permanent left lateral incisor, with considerable lingual interposition, interfering in speech and swallowing. The patient showed low risk of caries and good behavior during the appointments. However, she demonstrated to be embarrassed to smile. Besides the preventive treatment concerning caries, the treatment plan included immediate care and subsequent monitoring of the psychosocial reestablishment. For this purpose, an acrylic partial denture was made in order to replace the missing anterior teeth, maintaining the characteristics of the mixed dentition and preserving the aesthetics and the function. Follow-up appointments were performed one, three and six months after the first visit, aiming to monitor the adaptation of the prosthesis, as well as the growth and development of the child’s dentition. Thus, the aesthetic and functional rehabilitation was achieved regarding the patient’s satisfaction, enabling immediate social reinsertion.


2016 ◽  
Vol 40 (3) ◽  
pp. 247-250 ◽  
Author(s):  
Mauro Henrique Andrade Nascimento ◽  
Telma Martins de Araújo ◽  
Andre Wilson Machado

Deleterious oral habits, such as non-nutritive sucking or tongue thrusting, if not intercepted at an early stage can cause complex malocclusions. This manuscript describes a clinical case report of a successful interception of a severe anterior dental open bite caused by thumb sucking and tongue thrusting habits. The case involved a six-year-old female patient treated with the use of palatal spurs and maxillary removable crib followed by monitoring the development of dental occlusion. At the end of the interceptive phase acceptable results were achieved, showing the efficacy of the treatment undertaken as well the importance of an early intervention to remove harmful oral habits.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Satheesh B. Haralur ◽  
Ali Saad Al-Qahtani

The loss of anterior teeth has serious functional, esthetic disabilities, in addition to compromising the patients' quality of life. Various etiologies can be attributed to the anterior tooth loss, including trauma, caries, and periodontal diseases. The chronic mouth breathing due to nasal adenoids is known to enhance the gingival and periodontal diseases. The dental literature proves the association of nasal breathing, tongue thrusting, and anterior open bite. Arch shape and tooth position are primarily determined by the equilibrium of the forces from tongue and perioral musculature. Increased force from tongue musculature in the tongue thrusting patient leads to flaring of anterior teeth, making them susceptible for periodontal and traumatic tooth loss. Replacement of the anterior teeth in this patient will also help in restoration of anterior guidance, which is critical for the health of temporomandibular joint, posterior teeth, and musculature.


2012 ◽  
Vol 2012 ◽  
pp. 1-8
Author(s):  
Niloufar Khodaeian ◽  
Mahmoud Sabouhi ◽  
Ebrahim Ataei

Amelogenesis imperfecta (AI) has been defined as a group of hereditary enamel defects. It can be characterized by enamel hypoplasia, hypomaturation, or hypocalcification of the teeth. AI may be associated with some other dental and skeletal developmental defects. Restoration for patients with this condition should be oriented toward the functional and esthetic rehabilitation. This clinical report describes the oral rehabilitation of a young patient diagnosed with the hypoplastic type of AI in posterior teeth and hypomatured type of AI in anterior teeth.


2009 ◽  
Vol 10 (6) ◽  
pp. 79-85
Author(s):  
Seema Gupta ◽  
Sandeep Kumar

Abstract Aim The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 20-year-old patient with amelogenesis imperfecta (AI), facial asymmetry due to functional mandibular shift, and unilateral posterior crossbite. Background AI is a group of hereditary defects of enamel unassociated with any other generalized defects. AI results in poor development or the complete absence of the enamel of the teeth caused by improper differentiation of ameloblasts. Case Description This report describes the diagnosis and treatment of a young female patient with AI and facial asymmetry using a combined orthodontic-prosthodontic approach. Initially, the posterior crossbite, mandibular shift, and facial asymmetry were treated orthodontically. Later, metal-ceramic crowns for posterior teeth and allceramic crowns for anterior teeth were fabricated for final restorations. Summary Coordinated orthodontic and prosthodontic treatment, with careful consideration of patient expectations and requests, were critical for a successful outcome and patient satisfaction. Clinical Significance The complexity of the management of patients with AI supports the suggestion that the dental profession should have appropriate methods for the rehabilitation of rare dental disorders. Citation Kumar S, Gupta S. The Restoration of Function and Esthetics of a Patient with Amelogenesis Imperfecta Using a Combination of Orthodontic and Prosthodontic Treatment: A Case Report. J Contemp Dent Pract [Internet]. 2009 Nov; 10(6):079-085. Available from: http://www. thejcdp.com/journal/view/volume10-issue6-kumar.


2021 ◽  
Vol 14 (54) ◽  
pp. 26-31
Author(s):  
Nivaldo Antônio Bernardo de Oliveira ◽  
Ney Tavares Lima Neto ◽  
Guaracy Lyra da Fonseca Junior ◽  
Gurgiane Rodrigues Gurgel Cavalcante ◽  
Luiz Felipe Azevedo ◽  
...  

Anterior open bite is a type of malocclusion in which there is the presence of a negative vertical overlap between the incisal edges of the upper and lower anterior teeth. It is considered a complex anomaly with distinct characteristics and difficult to treat with prevalence of 25% to 38% of patients orthodontically treated. The aim of this article is to report a clinical case of Class III right subdivision and open bite using 3DBOT technique, a fixed, comfortable, predictable, imperceptible technique with 3D technology and with extreme clinically proven satisfaction. Case report: Patient V.B.V.S., 23 years and 1 month old, leukoderma, male, mild dholico, straight profile, symmetrical, Class ¼ of Class III of molar and canine right subdivision, anterior open bite, inverted smile, mild upper and anterior dental crowding. Treatment plan: The use of 3DBOT was planned along with the use of intermaxillary elastics and refinement with the aid of MyAligner® aligners. Conclusion: The 3DBOT technique showed to be a viable option for treating anterior open bite


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Leonardo Fernandes da Cunha ◽  
Rayane Alexandra Prochnow ◽  
Adriana Osten Costacurta ◽  
Carla Castiglia Gonzaga ◽  
Gisele Maria Correr

This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.


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