J Korean Acad Prosthodont.  2017 Oct;55(4):410-418. 10.4047/jkap.2017.55.4.410.

Full-mouth rehabilitation in an amelogenesis imperfecta patient with anterior open bite using CAD/CAM system

Affiliations
  • 1Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital, Sungnam, Republic of Korea. jdw@snubh.org

Abstract

Amelogenesis imperfecta characterized as abnormally formed enamel is caused by a defect of unique group of genes. Patients affected by this disease might have difficulties in social and psychological aspects due to non-esthetic teeth as well as functional problems caused by enamel detachment and tooth wear from their early ages. Adult patients with amelogenesis imperfecta can be treated with full-mouth restorations, which make functional and esthetic rehabilitations of severely worn tooth. However, the anterior open bite and lack of occlusal clearance for posterior teeth restorations due to compensatory extrusion are the intervening factors in the prosthetic treatment. Therefore, the determination of anterior tooth lengths, vertical dimension, and anterior guidance should be set carefully. Recently, computer-aided design and computer-aided manufacturing (CAD/CAM) techniques help systematic approaches and enable dentists to reduce time-consuming procedures in the diagnosis and treatment of full-mouth rehabilitation. This case report demonstrates the successful full mouth rehabilitation using a CAD/CAM system in a young adult patient with amelogenesis imperfecta and anterior open bite.

Keyword

Amelogenesis imperfecta; Full mouth restoration; Anterior open bite; Computer-aided design and computer-aided manufacturing

MeSH Terms

Adult
Amelogenesis Imperfecta*
Amelogenesis*
Computer-Aided Design
Dental Enamel
Dentists
Diagnosis
Humans
Mouth Rehabilitation
Open Bite*
Rehabilitation*
Tooth
Tooth Wear
Vertical Dimension
Young Adult
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