J Korean Acad Prosthodont.  2012 Jul;50(3):210-215. 10.4047/jkap.2012.50.3.210.

Oral rehabilitation of a young adult with amelogenesis imperfect using metal-ceramic restoration: a clinical report

• Kim HJ
• Lee JH
• Han DH
• Moon HS

• KMID: 2000211
• DOI: http://doi.org/10.4047/jkap.2012.50.3.210

Abstract

Some patients with generalized attrition and teeth discoloration may want their anterior teeth to be treated just for esthetic improvement. Ameologenesis imperfecta, however, should be considered for such patients prior to any treatment with thorough clinical and radiographic examination. If a patient is diagnosed with amelogenesis imperfecta, the treatment on anterior teeth just for esthetic purpose is not advisable. In this case, a young man with amelogenesis imperfecta was treated with metal-ceramic restorations. The patient had generalized attrition, teeth discoloration, crown fracture, and cross-bite on the left teeth. The ultimate objective of this treatment was to enhance esthetics and masticatory function. The cross-bite on the left anterior teeth was treated with restorations, whereas the reverse horizontal overlap was maintained on the posterior. The patient was satisfied with the result esthetically and functionally, and the third month recall examination revealed no pathologic changes associated with the treatment.

Keyword

Amelogenesis imperfecta; Hypoplastic; Full mouth rehabilitation

MeSH Terms

Amelogenesis
Amelogenesis Imperfecta
Crowns
Esthetics
Humans
Tooth
Young Adult

Figure

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  Fig. 1 Initial intraoral view.

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  Fig. 2 Initial panoramic radiograph.

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  Fig. 3 A: Initial preliminary cast, B: diagnostic wax-up, and C: provisional restoration.

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  Fig. 4 Intraoral view of final prosthesis.

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  Fig. 5 Intraoral photos A: at first visit and B: after the placement of prosthesis.

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