Abstract
Introduction: Amelogenesisimperfecta (AI) is a developmental disturbance, genomic in origin, which interferes with normal enamel formation of both primary and permanent dentitions in the absence of a systemic disorder. Three major categories can be recognized clinically, namely hypoplastic, hypomaturation and hypocalcified. Timely and comprehensive intervention is critical to spare the patient from psychological consequences of these disfiguring conditions. Clinical Report: A 10-year-old boy was presented with dissatisfaction with appearance of his teeth sensitivity and poor masticatory efficiency. His medical history was noncontributory. Composite restorative material was selected as a suitable replacement of the defective structures because of its esthetics and high sustainability. Treatment Objectives: The multidisciplinary approach was oriented toward achieving functional and esthetic rehabilitation of these teeth with minimal chair-side time. Treatment Outcomes: The use of composite restorative material resulted in successful and satisfactory enhancement of the patient’s esthetic appearance, as well as protection against further wear and sensitivity thereby improving his functional demands. The longevity of the treatment outcome required meticulous maintenance of oral hygiene and patient compliance. Conclusion: Management of a patient with AI is a challenge for the clinician. Treatment options vary considerably depending on several factors such as age of the patient, socioeconomic status, severity of the disorder, and most importantly, the patient’s cooperation. Composite restorative material is considered an excellent conservative transitional treatment for protection of AI weakened teeth.
Highlights
CASE PRESENTATIONA healthy, 10-year-old Saudi boy was referred to the pediatric dentistry specialty clinic at King Abdulaziz University by a general dental practitioner for treatment of his disfigured teeth
Amelogenesisimperfecta (AI) is a developmental disturbance, genomic in origin, which interferes with normal enamel formation of both primary and permanent dentitions in the absence of a systemic disorder
Treatment options vary considerably depending on several factors such as age of the patient, socioeconomic status, severity of the disorder, and most importantly, the patient’s cooperation
Summary
A healthy, 10-year-old Saudi boy was referred to the pediatric dentistry specialty clinic at King Abdulaziz University by a general dental practitioner for treatment of his disfigured teeth. His chief complaints were sensitivity to hot and cold, dissatisfaction with the appearance of his teeth, and a compromised masticatory function. The patient presented short clinical crowns with generalized areas of thin, discolored, hypoplastic enamel and areas of fractured enamel and exposed dentin (Figure 1). A Class II Angle molar relationship, division I malocclusion, was evidenced on both right and left sides. Tooth germs of all four third molars were absent
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