Abstract
Dentinogenesis imperfecta (DI) and amelogenesis imperfecta (AI) are hereditary abnormalities of dental hard tissues. Dental abnormalities may also be accompanied by symptoms of disorders such as osteogenesis imperfecta. AI and DI have a significant burden on socializing, function, and comfort; therefore, frequent screening and accurate diagnosis is the cornerstone of managing such conditions. Both AI and DI could be treated with many strategies, including restorative, prosthetic, periodontal, surgical, and orthodontics treatment. The interdisciplinary combination of orthodontic, prosthodontic, and periodontic treatment has been proven to improve the prognosis of AI and DI. Regarding orthodontic treatment, the most difficult element of orthodontic therapy may be maintaining a high level of motivation for what might be a prolonged form of treatment spanning several years. There are many forms of orthodontic management for AI and DI, including removable appliances, functional appliances, and fixed appliances. Clear aligner therapy (CAT) contains a broad range of equipment that works in different ways, has different construction processes, and is compatible with different malocclusion procedures. The application of CAT in patients with AI and DI is favorable over the fixed applicants. However, the available evidence regarding the application of CAT in AI is weak and heterogeneous. In this review, we discussed the current evidence regarding the application of clear CAT in patients with AI and DI.
Highlights
Mineralization deficits in dental hard tissues may affect dentin and enamel
A single tooth restoration took a prolonged time, and each recovered tooth required additional trimming and polishing. Suchancova and his colleagues reported that the transparent vacuum-formed Essix retainers were used after each orthodontic treatment in a 14year-old female patient with severe hypocalcified type III of amelogenesis imperfecta (AI) holding her teeth in the proper position. ey concluded that AI management should be based on a combination of orthodontic and prosthodontic treatments [55]
AI and Dentinogenesis imperfecta (DI) have a significant burden on socializing, function, and comfort; frequent screening and accurate diagnosis is the cornerstone of managing such conditions
Summary
Mineralization deficits in dental hard tissues may affect dentin and enamel. AI refers to a group of inherited developmental disorders that alter the structure and clinical appearance of dental enamel in most primary and secondary dentition teeth, as well as other abnormalities in intraoral and extraoral tissues [12]. In terms of prosthetic treatment, many anterior and posterior teeth require extensive coronal restorations [46, 47]. Another option for repairing damaged teeth is porcelain fused to metal (PFM) crowns and bridges. Periodontal therapy requires intensive care and good oral hygiene to protect dental hard tissues and restorations from deteriorating further from caries [50]. Since AOB has such a high recurrence rate, orthodontic surgery must be done only if the existing craniofacial anomalies are extremely serious [56]
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