scholarly journals Amelogenesis Imperfecta: Rehabilitation and Brainstorming on the Treatment Outcome after the First Year

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Ayça Deniz İzgi ◽  
Ediz Kale ◽  
Remzi Niğiz
Keyword(s):  
Treatment Outcome ◽  
Oral Hygiene ◽  
Treatment Options ◽  
Self Esteem ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
First Year ◽  
Gingival Inflammation ◽  
Anterior Open Bite

Amelogenesis imperfecta (AI) affects enamel on primary and permanent dentition. This hereditary disorder is characterized by loss of enamel, poor esthetics, and hypersensitivity. Functional and cosmetic rehabilitation is challenging with variety of treatment options. This report presents the treatment of an AI patient using conventional fixed dentures and discusses issues related to posttreatment complications and prosthetic treatment outcome after 1 year of follow-up. A 19-year-old male AI patient with impaired self-esteem presented with hypersensitive, discolored, and mutilated teeth. Clinical examination revealed compromised occlusion and anterior open-bite. After hygiene maintenance full-coverage porcelain-fused-to-metal fixed restorations were indicated and applied. At the end of the treatment acceptable functional and esthetic results could be achieved. However, nearly a year after treatment a gingival inflammation in the esthetic zone complicated the outcome. Insufficient oral hygiene was to be blamed. Tooth sensitivity present from early childhood in these patients may prevent oral hygiene from becoming a habit. The relaxation due to relieve of hypersensitivity after treatment makes oral hygiene learning difficult. Continuous oral hygiene maintenance motivation may be crucial for the success of the treatment of AI patients. Treatment of AI patients should be carefully planned and an acceptable risk-benefit balance should be established.

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 ◽  
...  
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Preventive Treatment ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Mixed Dentition ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth

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.

Aversive Taste Treatment of Finger and Thumb Sucking

PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 174-176
Author(s):  
PATRICK C. FRIMAN ◽  
VINCENT J. BARONE ◽  
EDWARD R. CHRISTOPHERSEN
Keyword(s):  
Early Childhood ◽  
Behavior Disorders ◽  
Self Esteem ◽  
Open Bite ◽  
Class Ii Malocclusion ◽  
Anterior Open Bite ◽  
Child Behavior Problem ◽  
Aversive Taste ◽  
Thumb Sucking ◽  
Infancy And Early Childhood

Thumb sucking is common and adaptive in infancy and early childhood. But when sucking occurs beyond 4 years of age, a common result can be an anterior, open bite that requires expensive orthodontic correction.1 Prolonged sucking may also be a factor in class II malocclusion, narrowing of the dental arches, mucosal trauma, and digital malformation.1-4 In addition to the physical sequelae of sucking, the habit, because it is not socially approved, can generate persistent negative feedback which can adversely affect a child's self-esteem.5 Thumb sucking is a frequently reported child behavior problem that, in some children, can be associated with broader behavior disorders that require treatment.

Idiopathic condylar resorption in orthodontics

2021 ◽  
Vol 14 (2) ◽  
pp. 82-88
Author(s):  
Salwa El-Habbash ◽  
Timothy McSwiney
Keyword(s):  
Risk Factors ◽  
Orthognathic Surgery ◽  
Mechanical Load ◽  
Systemic Disease ◽  
Treatment Options ◽  
Open Bite ◽  
Mandibular Movement ◽  
Anterior Open Bite ◽  
Surgical Risk ◽  
Multiple Treatment

Condylar resorption (CR) can be categorized into functional and dysfunctional remodelling of the temporomandibular joint (TMJ). The literature describes dysfunctional remodelling of the TMJ as idiopathic condylar resorption (ICR). Idiopathic condylar resorption (ICR) is a well-documented but poorly understood pathological entity that can occur spontaneously or post-orthognathic surgery. It predominantly affects young women, with other risk factors including Class 2 malocclusion with steep mandibular plane angles. It is distinguished by a decreased condylar head volume and ramus height, progressive mandibular retrusion and an anterior open bite. Its aetiology can be categorized into surgical and non-surgical risk factors. These include hormones, systemic disease, trauma, mechanical load and surgical risk factors, such as magnitude and direction of mandibular movement, type of surgical fixation and length of post-operative maxilla-mandibular fixation. ICR is a diagnosis of exclusion, and identified by a combination of clinical, radiographic and haematological findings. Multiple treatment options have been described in the literature, including medical management, orthodontics, orthognathic surgery, TMJ surgery, TMJ and orthognathic surgery combined, and total joint prosthesis reconstruction. Further research is required to better understand the aetiology of ICR and more long-term, controlled, multicentre clinical studies are needed to evaluate the outcomes of surgical and non-surgical management of CR patients. CPD/Clinical Relevance: Idiopathic condylar resorption has many presentations and potential causes that can greatly impact the decisions and outcomes for orthodontic/orthognathic treatment.

scholarly journals Treatment and retention of relapsed anterior open-bite with low tongue posture and tongue-tie: A 10-year follow-up

2014 ◽  
Vol 44 (4) ◽  
pp. 203 ◽  
Author(s):  
Yu-Jin Seo ◽  
Su-Jung Kim ◽  
Janchivdorj Munkhshur ◽  
Kyu-Rhim Chung ◽  
Peter Ngan ◽  
...  
Keyword(s):  
Open Bite ◽  
Anterior Open Bite

scholarly journals Amelogenesis Imperfecta, hypoplastic type associated with some dental abnormalities: a case report

2010 ◽  
Vol 21 (2) ◽  
pp. 170-174 ◽  
Author(s):  
Emin Murat Canger ◽  
Peruze Çelenk ◽  
Murat Yenísey ◽  
Selcen Zeynep Odyakmaz
Keyword(s):  
Quality Of Life ◽  
Treatment Options ◽  
Masticatory Muscles ◽  
Amelogenesis Imperfecta ◽  
Radiographic Examination ◽  
Temporomandibular Joints ◽  
Related Quality ◽  
Health Related

Amelogenesis imperfecta (AI) is a hereditary disorder expressing a group of conditions that cause developmental alterations in the structure of enamel. AI is a serious problem that reduces oral health-related quality of life and causes some physiological problems. The treatment of patients with AI may upgrade the quality of life and reinforce their self-esteem. Among the treatment options for AI, full-mouth metal reinforced porcelain restoration constitutes an important alternative because of its properties. This paper presents a case of AI of the hypoplastic rough type associated with a group of dental anomalies, and describes the prosthetic management of the patient. A 26-year-old female patient presented with a chief complaint of discolored teeth. Clinical and radiographic examination of the patient confirmed the diagnosis of rough pattern hypoplastic AI. The patient was treated with full-mouth metal reinforced porcelain fixed bridge. The adaptation of the temporomandibular joints and masticatory muscles was carefully observed periodically during 4 months and, after this period, the patient tolerated well her new vertical dimension. The patient received instructions on cleansing of the subpontic and interproximal areas. Follow-up visits were scheduled at 3 months and then at 6 months. No esthetic or functional problems were seen after the follow up period.

scholarly journals Amelogenesis Imperfecta: A Case Series from the Community

2018 ◽  
Vol 56 (214) ◽  
pp. 977-979
Author(s):  
Abanish Singh ◽  
Santosh Kumari Agrawal ◽  
Ashish Shrestha ◽  
Tarakant Bhagat
Keyword(s):  
Oral Hygiene ◽  
Multidisciplinary Approach ◽  
Case Series ◽  
Good Prognosis ◽  
Amelogenesis Imperfecta ◽  
Deciduous Teeth ◽  
Oral Rehabilitation ◽  
Lateral Cephalogram ◽  
Enamel Structure

Amelogenesis Imperfecta is a hereditary disorder affecting the formation of enamel structure. Two female children and one male (11 years, 12 years and 6 years respectively) reported with chief complaint of yellowish discoloration of teeth since their childhood. They reported that they had similar discoloration in their deciduous teeth. Examination showed generalized deposits of plaque and calculus, yellowish discoloration of the teeth with chipping off of the incisal and cuspal enamel structures. OPG revealed thin lining of enamel with thick dentin layer and pulp chamber. PA view revealed unfused anterior fontanels and lateral cephalogram indicated vertebrae in growing phase. The patients were instructed to maintain proper oral hygiene and regular follow up till the growth cessation. Permanent skeletal, functional, esthetic needs is addressed after growth completion. Oral rehabilitation through multidisciplinary approach can certainly provide a good prognosis and patient was counseled and motivated to maintain good oral hygiene.

scholarly journals Multiloop edgewise archwire treatment for a patient with a severe anterior open bite and amelogenesis imperfecta

2021 ◽  
Author(s):  
Ahmed I. Masoud ◽  
T. Peter Tsay
Keyword(s):  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Radiographic Examination ◽  
Orthodontic Appliances ◽  
Plane Angle ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Mandibular Plane ◽  
Mandibular Plane Angle

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.

scholarly journals Amelogenesis imperfecta and anterior open bite: Etiological, classification, clinical and management interrelationships

2014 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
AthanasiosE Athanasiou ◽  
Eleni Dimopoulou ◽  
Anatoli Vlasakidou ◽  
XanthippiSofia Alachioti
Keyword(s):  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Anterior Open Bite

Amelogenesis Imperfecta from Diagnosis to Rehabilitation-A Case Report

2019 ◽  
Vol 7 (3) ◽  
pp. 01-06
Author(s):  
Rodrigo Andrade
Keyword(s):  
Color Change ◽  
Treatment Plan ◽  
Glass Ionomer Cement ◽  
Dental Enamel ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Anterior Open Bite ◽  
Correct Treatment ◽  
Rehabilitative Treatment ◽  
Tooth Structure

During odontogenesis, enamel is normally synthesized as an extracellular matrix, a phenomenon known as amelogenesis. The failure of this process can lead to malformation of dental enamel, called Amelogenesis Imperfecta (AI). AI, by causing a qualitative and/or quantitative deficiency of dental enamel, presents characteristics such as hypersensitivity, unsatisfactory aesthetics, reduced vertical dimension, anterior open bite, plaque accumulation, and greater susceptibility to caries and gingivitis. Thus, our objective is to report a case of AI, describing the main characteristics of the disease, the diagnosis and the rehabilitative treatment plan, aiming to improve the patient's aesthetics and reestablishing the function of the stomatognathic system. Patient M.A.S.B., female, 5 years old, leucoderma, was admitted at the University of Patos de Minas Dental Clinic with a complaint of pain in the teeth. During the clinical interview, the person in charge reported that the child's teeth had the same defects as those of her mother and brother. During clinical examination it was observed: generalized loss of tooth structure, color change, rough surfaces and hypersensitivity. Treatment involved restorations with glass ionomer cement and composite resin, extraction of residual roots from the maxillary incisors, and confection of a functional and aesthetic space maintainer. Early diagnosis associated with the correct treatment plan is essential for a more conservative approach focused on preventing the effects of AI. In advanced cases, restoring function and aesthetics is paramount to improve the patient's quality of life.

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