Abstract

BackgroundAmelogenesis imperfecta is a hereditary malformation showing various manifestations regarding enamel dysplasia. This case report shows a 9-year follow-up after restorative treatment of a 16-year old female patient affected by a hypoplastic type of amelogenesis imperfecta. The caries-free, hypersensitive teeth of the patient were restored by direct dentin adhesive composite restorations performed in total etch technique.Case presentationAfter rehabilitation the patient reported a marked improvement of the mastication ability and quality of life especially during food intake. Accumulation of plaque was reduced and the ability to perform adequate oral hygiene was improved. During follow-up of 9 years recurring secondary caries and debonding of fillings were recognized and retreated.ConclusionsThe retrospective assessment exhibits that the performed restorative treatment prolonged the time until further treatment has to be considered, such as prosthetic treatment.

Highlights

  • Amelogenesis imperfecta is a hereditary malformation showing various manifestations regarding enamel dysplasia

  • The retrospective assessment exhibits that the performed restorative treatment prolonged the time until further treatment has to be considered, such as prosthetic treatment

  • Because of the various manifestations of Amelogenesis imperfecta (AI) Weinmann et al suggested in 1945 a classification [3] that has been modified and adapted during the following years depending on the diagnostic possibilities

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Summary

Conclusions

The retrospective assessment exhibits that the performed restorative treatment prolonged the time until further treatment has to be considered, such as prosthetic treatment.

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