A Treatment Approach for a Young Patient with Severe Amelogenesis Imperfecta
Amelogenesis imperfecta (AI) is a hereditary disorder that affects the dental enamel on primary and permanent teeth. It is a rare disease, but it requires a difficult dental treatment particularly in severe cases. A 13-year-old girl with AI presented with an unaesthetic appearance, hypersensitivity, decreased vertical dimension and psychological problems. The patient was diagnosed as having a hypoplastic form of AI for both her permanent and primary dentition. First, the primary teeth were extracted, and then a stainless steel crown was used to reduce the dental sensitivity and increase the vertical dimension in the molar teeth. Strip crowns were also used to improve the patient's appearance in the anterior region. Finally, direct composite restorations were performed manually on the premolar teeth. Follow-up examinations were carried out at the end of the 3rd, 6th, 12th, and 24th months. The recall examination at the 24th month revealed no pathology.