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Case Reports
. 2021 Jul 5;18(13):7204.
doi: 10.3390/ijerph18137204.

Management of Amelogenesis Imperfecta in Childhood: Two Case Reports

Mirja Möhn  1 , Julia Camilla Bulski  1 , Norbert Krämer  1 , Alexander Rahman  2 , Nelly Schulz-Weidner  1
Affiliations
Case Reports

Management of Amelogenesis Imperfecta in Childhood: Two Case Reports

Mirja Möhn et al. Int J Environ Res Public Health. .

Abstract

Amelogenesis imperfecta (AI) is defined as an interruption of enamel formation due to genetic inheritance. To prevent malfunction of the masticatory system and an unaesthetic appearance, various treatment options are described. While restoration with a compomer in the anterior region and stainless steel crowns in the posterior region is recommended for deciduous dentition, the challenges when treating such structural defects in mixed or permanent dentition are changing teeth and growing jaw, allowing only temporary restoration. The purpose of this case report is to demonstrate oral rehabilitation from mixed to permanent dentition. The dentition of a 7-year-old patient with AI type I and a 12-year-old patient with AI type II was restored under general anesthesia to improve their poor aesthetics and increase vertical dimension, which are related to problems with self-confidence and reduced oral health quality of life. These two cases show the complexity of dental care for structural anomalies of genetic origin and the challenges in rehabilitating the different phases of dentition.

Keywords: amelogenesis imperfecta; dental care; pediatric dentistry; therapy concept.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
A 5 ½-year-old patient with AI type I: (a) upper teeth; (b) lower teeth. Clinical exanimation revealed pain and hypersensitivity in yellow teeth and loss of dental structure (pits).
Figure 2
Figure 2
A 14-year-old patient with hypomaturation of AI: (a) upper teeth; (b) lower teeth. Clinical exanimation revealed yellow teeth affecting oral health related quality of life.
Figure 3
Figure 3
Panoramic X-ray of 7-year-old patient.
Figure 4
Figure 4
Plaster models of upper and lower jaws showing loss of tooth wear because of attrition and abrasion (physical tooth wear): (a) right side; (b) left side.
Figure 5
Figure 5
A 7-year-old patient with AI type I. (a–f) Preoperative situation with multiple substance defects on all teeth; (c) after fluoride varnish application. (g–j) Postoperative result. Oral surgery was performed under general anesthesia, with stainless steel crowns applied to second primary molars and adhesive filling materials in first primary molars, first molars and anterior teeth.
Figure 6
Figure 6
Follow-up 6 months after restoration under general anesthesia: (a) upper teeth; (b) lower teeth; (c) front teeth. All restorations in situ, no abnormalities.
Figure 7
Figure 7
A 12-year-old patient showing clinical signs of AI type II: (a,b); upper teeth (c) front teeth. Besides the yellow color, gaps between teeth are predominant.
Figure 7
Figure 7
A 12-year-old patient showing clinical signs of AI type II: (a,b); upper teeth (c) front teeth. Besides the yellow color, gaps between teeth are predominant.
Figure 8
Figure 8
A 12-year-old patient with AI type II: (a) upper teeth; (b) lower teeth. Oral surgery was performed under general anesthesia using indirect composite restorations and stainless steel crowns.
Figure 8
Figure 8
A 12-year-old patient with AI type II: (a) upper teeth; (b) lower teeth. Oral surgery was performed under general anesthesia using indirect composite restorations and stainless steel crowns.
See this image and copyright information in PMC

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