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 Table of Contents  
COMMENTARY
Year : 2013  |  Volume : 3  |  Issue : 1  |  Page : 23

Amelogenesis imperfecta: Newer rehabilitation approach


Hebei Medical University, Shijiazhuang, China

Date of Web Publication21-Jun-2013

Correspondence Address:
Suman Sahu
Hebei Medical University, Shijiazhuang
China
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Sahu S. Amelogenesis imperfecta: Newer rehabilitation approach. Int J Stud Res 2013;3:23

How to cite this URL:
Sahu S. Amelogenesis imperfecta: Newer rehabilitation approach. Int J Stud Res [serial online] 2013 [cited 2019 Dec 14];3:23. Available from: http://www.ijsronline.net/text.asp?2013/3/1/23/113826

The case report 'Restoration of Functions and Esthetics in a Patient with an Amelogenesis Imperfecta' presents to us rare, inherited, autosomal-dominant, recessive or X-linked traits (X p22.3-p22.1), which manifest themselves as quantitative and qualitative tooth enamel defects, without any systemic manifestations. [1] The prevelance of this condition is expected to occur in one in 718 to one in 14,000. Of these, hypoplastic amelogenesis imperfecta (AI) represents around 73%, hypomaturation AI represents 40%, and hypocalcification AI represents 7%. [2],[3]

The pathophysiology of AI, with its clinical manifestations, is well portrayed in this article. These conditions may also be seen in special children who have always compromised on oral hygiene status. Clinical manifestations of AI include thin tooth enamel, soft tooth enamel, pitted tooth enamel, rough tooth enamel, and yellow-brownish fragile teeth.

The treatment options for this severe disabling condition often pose a great challenge to the dental surgeon. Treatment modalities vary from oral prophylaxis and root planing, endodontic treatment for all required teeth, periodontal surgeries if required, and then restoring the teeth with tooth-colored restorative cements or polycarboxylate crowns. [4],[5],[6] Frequently, AI is seen in children belonging to the low socioeconomic status, hence, the uniqueness of this article lies in the use of minimally invasive, low-cost, and effective restorative composites. The need to correct these inherited defects requires early identification and intervention by a dental health care professional. Dental surgeons must consider the social implication of these patients in terms of esthetics and intervene to relieve the suffering of AI patients.

 
  References Top

1.Neville BW, Damm DD, Allen CM, Bouquot JE. Chptr 2: Abnormalities of teeth. In: Oral and Maxillofacial Pathology. 2 nd ed. Saunders: An Imprint of Elsevier; Philadelphia 2005. p. 89.   Back to cited text no. 1
    
2.Rajendran R. Chptr: 1. Developmental disturbances of oral and paraoral structures. In: Rajendran R, Sivapathasundharam B, Editors. Shafer's Textbook of Oral Pathology. 5 th ed. Elsevier; India 2007. p. 67.   Back to cited text no. 2
    
3.Aldred MJ, Savarirayan R, Crawford PJ. Amelogenesis imperfecta: A classification and catalogue for the 21 st century. Oral Dis 2003;9:19-23.   Back to cited text no. 3
    
4.Planciunas L, Puriene A, Mackeviciene G. Surgical lengthening of the clinical tooth crown. Stomatologija 2006;8:88-95.   Back to cited text no. 4
    
5.Ozturk N, Sari Z, Ozturk B. An interdisciplinary approach for restoring function and esthetics in a patient with amelogenesis imperfect and malocclusion: A clinical report. J Prosthet Dent 2004;92:112-5.   Back to cited text no. 5
    
6.Huynh-Ba G, Bragger U, Lang NP. Lengthening of the clinical crown: A periodontal concept for reconstructive dentistry. Periodontol 2000 2007;4:193-201.  Back to cited text no. 6
    




 

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