Early diagnosis may prevent patients from these problems and provide a life without nutritional deficits. This report describes the treatment of a young male patient diagnosed with amelogenesis imperfecta ai, a hereditary disorder that affects the enamel of both primary and permanent dentition. These disorders are caused by mutations in a variety of genes that are important for enamel formation. This case report describes full mouth rehabilitation of a patient with ai. An interdisciplinary approach for rehabilitating a patient with amelogenesis imperfecta. Rehabilitation of a patient with amelogenesis imperfecta.
Enamel is composed mostly of mineral, that is formed and regulated by the proteins in it. Restoring aesthetics and function in a young boy with hypomature. European journal of paediatric dentistry 32003 149 case report. Case report amelogenesis imperfecta a case report with. A case report niloufar khodaeian, 1 mahmoud sabouhi, 2 and ebrahim ataei 3 1 dental implant research center and department of prosthodontics, school of dentistry, isfahan university of medical sciences, isfahan, iran.
We successfully treated a 37yearold male who had skeletal open bite with severe amelogenesis imperfecta ai with orthodontics, compression osteogenesis, and prosthodontics. The enamel may be hypoplastic, hypomature, or hypocalcified fig. Amelogenesis imperfecta ai is the name of a group of inherited disorders, clinically and genetically heterogeneous, characterized by alterations in the enamel. Amelogenesis imperfecta ai is a diverse collection of inherited diseases that exhibit quantitative or qualitative tooth enamel defects in the absence of systemic manifestations. The patient was diagnosed with severe anterior open bite caused by severe ai. Amelogenesis imperfecta nord national organization for.
Amelogenesis imperfecta, hypoplastictype with multiple. Apart from consanguineous marriage, medical history was noncontributory. Amelogenesis imperfecta a case report with genetic transmission sekar b1, dominic augustine2, murali s3 associate professor1 p. The treatment for amelogenesis imperfecta depends on. A case report of fullmouth rehabilitation of amelogenesis imperfecta with improved oral health impact profile.
A 20 years old woman was referred to our clinic with a chief complaint of tooth discoloration, diastema, unsatisfactory esthetics and slight tooth sensitivity. Amelogenesis imperfecta is a rare genetic disease affecting enamel. Amelogenesis imperfecta may be part of a syndrome as in f, a case of amelogenesis imperfecta and cone rod dystrophy. Amelogenesis imperfecta an overview sciencedirect topics. A case report, international journal of clinical case reports, vol. Corticotomy was performed on both buccal and palatal sides of the molar regions, and anchor plates were placed onto the bilateral. We successfully treated a 37yearold male who had skeletal open bite with severe amelogenesis.
Centre, ghaziabad, uttar pradesh, india, 2postgraduate student, department of orthodontics and dentofacial orthopaedics, shree bankey. Amelogenesis imperfecta ai refers to a group of rare, inherited disorders characterized by abnormal enamel formation. The clinical strategy consisted of a preprosthetic diagnosis with scanning electron microscopy sem, histological analysis, panoramic radiography and clinical findings. Amelogenesis imperfecta ai is a diverse collection of inherited diseases that exhibit quantitative or qualitative tooth enamel defects in the absence of systemic. An interdisciplinary approach for rehabilitating a patient. Amelogenesis imperfecta has been described as a complex group of inherited conditions that disturbs the developing enamel structure and exists independent of any related systemic disorder. A brief discussion on diagnosis of ai is also included. Corticotomy was performed on both buccal and palatal sides of the molar regions, and anchor plates were placed onto the bilateral zygomatic. In the present case, the upper and lower first primary molars on the left side developed periapical abscesses and were extracted. Amelogenesis imperfecta with taurodontism, microdontia. Amelogenesis imperfecta ai represents a group of developmental conditions, genomic in origin, which affect the structure and clinical appearance of enamel of all or nearly all the teeth in a more or less equal manner. Restoring aesthetics and function in a young boy with.
The ai trait can be transmitted by either autosomal dominant. Amelogenesis imperfecta with taurodontism, microdontia and. Pdf amelogenesis imperfecta, hypoplastic type associated. The aim of this article is to provide an overview of amelogenesis imperfecta, including a detailed case report for an aesthetically concerned adult patient presenting in general practice with a. It may be accompanied by other changes in the oral cavity or elsewhere. Hypocalcified autosomal recessive amelogenesis imperfecta a. Amelogenesis imperfecta is an inherited disease characterized by generalized structural abnormalities of the enamel on all teeth, including both primary and permanent dentition. International journal of dental sciences and research, 26, 36. Full mouth rehabilitation of a patient with amelogenesis. Early oral rehabilitation of amelogenesis imperfecta. Amelogenesis imperfecta ai amelogenesis enamel formation. Oct 28, 2015 amelogenesis imperfecta is an inherited disease characterized by generalized structural abnormalities of the enamel on all teeth, including both primary and permanent dentition. A case report of fullmouth rehabilitation of amelogenesis. Clinical diagnosis and oral rehabilitation of a patient with.
Jan 28, 2019 we successfully treated a 37yearold male who had skeletal open bite with severe amelogenesis imperfecta ai with orthodontics, compression osteogenesis, and prosthodontics. Skeletal open bite with amelogenesis imperfecta treated with. If you continue browsing the site, you agree to the use of cookies on this website. Amelogenesis imperfecta has been described as a complex group of inherited. Amelogenesis imperfecta, hypoplastic type associated with some dental abnormalities. Jun 15, 2018 amelogenesis imperfecta is a rare genetic disease affecting enamel. Pdf amelogenesis imperfecta is a hereditary disorder of enamel. Even though ai is by definition a disorder of enamel. E professor and head, dept of orthodontics, teerthankar mahaveer dental college and research, moradabad. Amelogenesis imperfecta, full mouth rehabilitation, occlusal wear, vertical dimension introduction amelogenesis imperfecta ai is a hereditary disorder that affects. A case report p subramaniam, s mathew, sn sugnani department of pedodontics, the oxford dental college and hospital, bangalore, india. Dentinogenesis imperfecta di is a development disorder involving the dentin. A combination of periodontal treatment and resinbonded porcelain onlays and nobel alloys resulted in a highly. An interdisciplinary approach for hypoplastic amelogenesis imperfecta.
Aug 26, 2009 amelogenesis imperfecta dr shabeel pn slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. For management and rehabilitation, it is crucial to determine the type of aihypoplastic, hypomaturation, or hypocalcified. Primary and permanent teeth are concerned with almost the same severity. In the hypomineralised form e and f the enamel is rough, soft and discoloured. Case report amelogenesis imperfecta with bilateral. Amelogenesis imperfecta is a group of rare genetic conditions in which the outer layer of the teeth enamel fails to develop properly. This case report describes a fullmouth rehabilitation of a patient with amelogenesis imperfecta including the case planning, bite replacement, preparation, and restoration setting steps with an experimental cadcam polymer and porcelain veneers. This condition causes teeth to be unusually small, discolored, pitted or grooved, and prone to rapid wear and breakage with early tooth decay and loss.
For management and rehabilitation, it is crucial to determine the. An interdisciplinary approach for hypoplastic amelogenesis. Her chief complaints were that her teeth were small, discoloured and sensitive. Case report amelogenesis imperfecta, hypoplastictype with multiple impacted teeth a case report sushmini hegde1, hemcle shalma ganesan1, karidhi sudesh suraj2 1department of oral medicine and radiology, the oxford dental college and hospital, bengaluru, india. Various enamel defects both hypoplastic and hypomineralised may coexist in the same patient or even the same tooth f. In general, it affects all or nearly all of the teeth.
Dentinogenesis imperfecta causes esthetic as well as functional problems. S n sugnani department of pedodontics, the oxford dental college and hospital, bangalore. This clinical case report describes the diagnosis and management of hypoplastic amelogenesis imperfecta in a 5yearold child. Amelogenesis imperfecta, hypoplastic type associated with. Case report amelogenesis imperfecta with taurodontism, microdontia and minor thalassemia. Amelogenesis imperfecta with bilateral nephrocalcinosis. A case report gulfem ergun 1, ayse seda ataol 2, 1. Extraoral examination did not reveal any relevant findings. The objectives of the treatment were to eliminate tooth sensitivity while enhancing esthetics and restoring masticatory function. Rehabilitation and brainstorming on the treatment outcome after the first year aycadeniz ezgi, 1 edizkale, 2 andremzini liz1 department of prosthodontics, dicle university faculty of dentistry, diyarbakir, turkey. Sholapurkar, amar a and joseph, robin mathai and varghese, jothi m and neelagiri, krishna and acharya, shashirashmi and hegde, veena and pai, keerthilatha m and bhat, mahalinga k 2008 clinical diagnosis and oral rehabilitation of a patient with amelogenesis imperfecta. A rare association amelogenesis imperfecta, platispondyly and bicytopenia. Periodontal management and restoration of an amelogenesis.
Jun 11, 2018 amelogenesis imperfecta ai amelogenesis enamel formation. Functional and esthetic rehabilitation of amelogenesis. It is a rare dental disease but represents a great restorative challenge for dentists. Amelogenesis imperfecta ai encompasses a complicated group of conditions that demonstrate developmental alterations in the structure of the enamel in the absence of a systemic disorder. A rare association amelogenesis imperfecta, platispondyly. Case report a 26yearold female patient presented with a chief complaint of discolored teeth.
Amelogenesis imperfecta in primary dentitiona case of full. Clinical manifestations and dental management of dentinogenesis imperfecta associated with osteogenesis imperfecta. The aim of this case report is to describe a full mouth prosthetic rehabilitation concept of a patient with hypoplastic amelogenesis imperfecta. Case report amelogenesis imperfecta with bilateral nephrocalcinosis p poornima,1 shashikant katkade,1 roshan noor mohamed,2 rachappa mallikarjuna3 1department of pedodontics and preventive dentistry, college of dental sciences, davanagere, karnataka, india. In general, it affects all or nearly all of the teeth in both the primary and permanent dentitions 3,4. Amelogenesis imperfecta ai is a congenital disorder which presents with a rare abnormal formation of the enamel or external layer of the crown of teeth, unrelated to any systemic or generalized conditions. This condition caused the patient in the current case report to have a lack of confidence when speaking. Amelogenesis imperfecta dr shabeel pn slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Differential diagnosis must be made with enamel developmental defects caused by environmental factors fluoride, tetracycline or traumatic etiologies as they will only affect defined teeth and rarely both dentitions.
A case report was presented describing the clinical and radiological features of a patient with a hypoplastic, autosomal recessive amelogenesis imperfecta. Amelogenesis imperfecta ai has been described as a complex group of hereditary conditions that disturbs the developing enamel and exists independent of any related systemic disorder. Ai has several names such as hereditary enamel dysplasia, hereditary brown. Professor and head, dept of oral medicine, teerthankar mahaveer dental college and research, moradabad. Case report open access skeletal open bite with amelogenesis imperfecta treated with compression osteogenesis. This clinical report describes the treatment plan for a young patient affected by amelogenesis imperfecta with anterior open bite. Case report this is an example of amelogenesis imperfecta. Skeletal open bite with amelogenesis imperfecta treated. There was no family history of either amelogenesis imperfecta ai or failure of eruption of permanent teeth. Satoeffect of treatment with alendronate in osteogenesis imperfecta type 1. Sasmita, 201, 5amelogenesis imperfecta in permanent dentition. The following case report presents a systematic approach in rehabilitating a case of ai hypoplastic type using full mouth metal reinforced porcelain restorations.
Hypocalcified autosomal recessive amelogenesis imperfecta. Amelogenesis imperfecta is a developmental inherited disturbance that is associated with malfunction of the enamelforming proteins in the absence of a systemic disorder. Amelogenesis imperfecta is due to the malfunction of the proteins in the enamel ameloblastin. Amelogenesis imperfecta ai represents structural developmental defect of tooth enamel having complex inheritance pattern. Background the fundamental therapeutic problems related to amelogenesis imperfecta treatment are governed by the need to effect primary prevention interventions, reducing the. A case report fatemeh mazhari1, negar mokhtari amirmajdi2 1 dental material research center, faculty of dentistry, mashhad university of medical sciences, mashhad, iran. Amelogenesis imperfecta is a group of clinically and genetically heterogeneous disorders that affect the development of enamel and result in abnormalities of the amount, composition, andor structure of enamel. Sep 12, 2018 amelogenesis imperfecta ai has been described as a complex group of hereditary conditions that disturbs the developing enamel and exists independent of any related systemic disorder. Clinical diagnosis and oral rehabilitation of a patient. Patient was diagnosed with amelogenesis imperfecta five years ago. Also known by varied names such as hereditary enamel dysplasia, hereditary. This clinical report discusses the oral rehabilitation of 12yearold boy diagnosed with hypoplastic type of ai. We presented here four case reports of ai hypoplastic and hypomaturation which we diagnosed on the basis of classical clinical and radiographic features.
A case of amelogenesis imperfecta, complicated by a malocclusion, is presented. Amelogenesis imperfecta in primary dentitiona case of. Multidisciplinary treatment approach of a patient with. The patient was a healthy 31yearold female caucasian.
At age 6 years, the patients primary second and permanent first molars were protected with stainlesssteel crowns to. A 12yearold patient reported with a severe delay of eruption in permanent maxillary and mandibular incisors. The term is typically restricted to those disorders of enamel development not associated with other abnormalities of the body. An awareness of the clinical features of amelogenesis imperfecta helps with identifying the condition and leading to successful treatment. To the best of our knowledge, this is the first case report of a rare association of amelogenesis imperfecta, platyspondyly, and bicytopenia. Feb 14, 2020 this clinical report describes the treatment plan for a young patient affected by amelogenesis imperfecta with anterior open bite.
Noninvasive and multidisciplinary approach to the functional and esthetic rehabilitation of amelogenesis imperfecta. A 12yearold boy presented with sensitive, discolored, and mutilated teeth and decreased vertical dimension of. The prevalence of this condition has been expected to range from 1 in 718 to 1 in 14,000, depending on the population studied. Clinical, histological and radiographic examination revealed hypoplastic ai. Although amelogenesis imperfecta usually occurs as an isolated trait and not as part of a syndrome, many syndromes include amelogenesis imperfecta as part of their pattern of anomalies. Di also known as hereditary opalescent dentine corresponds to a localized form of mesodermal dysplasia, observed in histodifferentiation. Amelogenesis imperfectaai represents structural developmental defect of tooth enamel having complex inheritance pattern. This clinical report describes the oral rehabilitation of a young female patient diagnosed with the hypocalcified, autosomal recessive type of amelogenesis imperfecta ai.