Metal ceramic restorations for full mouth rehabilitation in amelogenesis imperfecta

Abstract

Amelogenesis imperfecta (AI) is a clinical condition of natural teeth in which enamel fails to mature due to which the patient faces sensitivity, attrition and poor aesthetics. The condition is genetically inherited and requires multidisciplinary treatment planning to achieve effective success. Treatment ranges from individual crowns to fixed partial dentures or implant-supported single crowns and is related to multiple factors like age and condition of remaining natural teeth. The use of metal and ceramic restorations in such cases requires knowledge and understanding of basic material science, which helps to improve the efficiency of the treatment. This article presents a case of a young adult male patient who presented with AI with a chief complaint of poor esthetics. Maxillary and mandibular teeth had undergone attrition with concomitant loss of anterior guidance. The occlusion was successfully established after restoring anterior guidance which was determined by the use of temporary crowns. Porcelain fused to metal restorations was given and the patient was put on a long-term follow-up. The patient was highly satisfied with the outcome of the rehabilitation.