1/13. amelogenesis imperfecta: functional and esthetic restoration of a severely compromised dentition.The treatment of patients with severe forms of amelogenesis imperfecta presents an interesting challenge to the dental team. A 16-year-old girl presented with a severely compromised occlusion and poor esthetics that had lowered her self-esteem. Preoperative investigations included the determination of completion of growth, an accurate diagnostic waxup, and an evaluation of clinical crown lengths. Periodontal full-flap surgery was planned to lengthen clinical crowns and create gingival harmony. This was to be followed by placement of 28 complete crowns to restore occlusal function and gain a pleasing esthetic result. All-porcelain crowns were placed from premolar to premolar in each arch (20 crowns), and porcelain-fused-to-metal crowns were placed on each molar tooth in each arch (8 crowns). The final treatment result provided this patient with a mutually protective occlusion and with esthetics that greatly enhanced her self-image.- - - - - - - - - - ranking = 1keywords = esthetics (Clic here for more details about this article) |
2/13. Microabrasion of teeth with discoloration resembling hypomaturation enamel defects: four-year follow up.Microabrasion with 18% HCl and pumice to remove enamel dysmineralization and improve esthetics is an accepted and effective treatment. This technique can probably be extended even to generalized defects resembling hypomaturation amelogenesis imperfecta that appear on all erupted teeth. Five children aged 9 to 11 with two types of enamel-hypomaturation probably due to developmental defects were treated successfully by microabrasion, with marked improvement of the discoloration. The patients were followed for up to four years. During this period, no tooth-sensitivity or staining was noted. The teeth looked healthier and shinier.- - - - - - - - - - ranking = 0.5keywords = esthetics (Clic here for more details about this article) |
3/13. Restoring function and esthetics in a patient with amelogenesis imperfecta: a case report.amelogenesis imperfecta is a hereditary disorder that affects enamel on primary and permanent teeth. It is a rare dental disease but represents a major restorative challenge for the dentist. A 14-year-old boy presented with sensitive, discolored, and mutilated teeth and a decreased vertical dimension of occlusion. The aim of treatment was to reduce dental sensitivity, to restore esthetics, and to correct the vertical dimension of occlusion. To modify the occlusion, and to protect the dentin from chemical and thermal attacks, nickel-chrome onlays were placed on the molars. To improve the esthetics of the incisors and premolars, resin composite restorations were applied. The patient was regularly recalled during the postoperative period. Radiographic and clinical examinations 10 months posttreatment revealed no evidence of disorders associated with the restored teeth or their supporting structures.- - - - - - - - - - ranking = 3keywords = esthetics (Clic here for more details about this article) |
4/13. Improving quality of life with a team approach: a case report.An adolescent female who presented amelogenesis imperfecta with severe anterior open bite, long face, facial asymmetry, high angle, and Class III skeletal pattern was treated with an interdisciplinary (orthodontics, orthognathic surgery, and prosthodontics) treatment approach. Presurgical orthodontic treatment was followed by surgical maxillary posterior impaction with anterior advancement and mandibular setback operation with vertical chin reduction and genioplasty. After the surgery, anterior ceramic laminate veneers and posterior full ceramic onlay-crowns were performed. The results showed that function and esthetics were achieved successfully with interdisciplinary collaboration.- - - - - - - - - - ranking = 0.5keywords = esthetics (Clic here for more details about this article) |
5/13. Oral rehabilitation of young adults with amelogenesis imperfecta.PURPOSE: This article describes the restorative management of two patients in whom the diagnosis of amelogenesis imperfecta was not made until young adulthood. MATERIALS AND methods: amelogenesis imperfecta is a variable developmental abnormality of the tooth enamel that affects relatively few persons. Previous case reports have focused largely on the early management of children and young adolescents. However, some patients may not be diagnosed correctly or may not request dental treatment until they are older, as with the two cases presented. In some instances, parents fail to appreciate the importance of early intervention. RESULTS: Both patients required intensive preventive therapy and extensive restorative treatment over several years. The correct sequencing of treatment phases was required to achieve relief of pain and provide satisfactory function and esthetics. CONCLUSION: The two cases presented illustrate the degree of complexity that extended restorative treatments can involve, especially following severe tooth wear and poor bonding of restorations to the affected enamel.- - - - - - - - - - ranking = 0.5keywords = esthetics (Clic here for more details about this article) |
6/13. Periodontal and prosthodontic treatment of amelogenesis imperfecta: a clinical report.A multidiscipline procedure has been described that provided prosthodontic restoration of esthetics and function for a patient with amelogenesis imperfecta.- - - - - - - - - - ranking = 0.5keywords = esthetics (Clic here for more details about this article) |
7/13. Restoring function and esthetics in a patient with amelogenesis imperfecta: a clinical report.This clinical report describes the prosthodontic treatment for an 18-year-old man diagnosed with amelogenesis imperfecta. The aim of treatment was to reduce dental sensitivity and to restore esthetics and masticatory function. Metal-ceramic fixed partial dentures were placed on posterior teeth to modify the occlusion, and porcelain laminate veneers were placed to improve the esthetics of the maxillary anterior teeth. Clinical examination 12 months after treatment revealed no evidence of disorders associated with the restored teeth or their supporting structures.- - - - - - - - - - ranking = 3keywords = esthetics (Clic here for more details about this article) |
8/13. amelogenesis imperfecta: the multidisciplinary approach. A case report.amelogenesis imperfecta is a hereditary developmental disorder of the dental enamel, in both primary and permanent dentition. The main clinical characteristics are extensive loss of tooth tissue, poor esthetics, and tooth sensitivity. Transmission of the gene takes place by either autosomal, dominant X-linked, or recessive modes. This clinical report describes a treatment sequence based on a multidisciplinary approach. A 21-year-old girl with hypoplastic amelogenesis imperfecta was referred to the Ege University School of dentistry clinic. She was concerned about the poor appearance and sensitivity of her teeth. The patient presented with an anterior open bite, although orthodontic treatment had been completed previously. Periodontal gingivectomy of her posterior teeth followed by endodontic treatment where indicated was proposed. The prosthodontic treatment consisted of metal ceramic fixed partial dentures of precious alloy. At the end of treatment, function and esthetics were improved to a level acceptable to both the patient and the dental team.- - - - - - - - - - ranking = 1keywords = esthetics (Clic here for more details about this article) |
9/13. An interdisciplinary approach for restoring function and esthetics in a patient with amelogenesis imperfecta and malocclusion: a clinical report.This clinical report describes an interdisciplinary approach for the coordinated treatment of a patient diagnosed with amelogenesis imperfecta and malocclusion. The patient's functional and esthetic expectations were successfully met with interdisciplinary treatments, including orthodontics, porcelain laminate veneers, metal-ceramic fixed partial dentures, and direct composite restorations.- - - - - - - - - - ranking = 2keywords = esthetics (Clic here for more details about this article) |
10/13. Current treatment modalities in the conservative restoration of amelogenesis imperfecta: a case report.amelogenesis imperfecta is an inherited disorder involving enamel formation that affects the appearance of the teeth to various degrees. Cosmetic rehabilitation of these patients has been open to a variety of treatment options. Complete-coverage restorations are often recommended. patients are occasionally averse to this because of the extensive preparation of tooth structure or lack of financial means. In the past, conservative measures were inadequate because the lack of enamel bonding did not allow a durable restoration. Presently, with the use of glass-ionomer cements and dentinal adhesives, dentin-resin bond strengths are approaching those of etched enamel. This article discusses the use of glass-ionomer cement, dentinal priming agents, and etched enamel to create a strong bond between restorative material and tooth structure that provides not only satisfactory esthetics, but also a durable restoration.- - - - - - - - - - ranking = 0.5keywords = esthetics (Clic here for more details about this article) |
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