Satisfaction After Restoring Aesthetics and Function in a Child with Amelogenesis Imperfecta: A Case Report

Amelogenezis imperfekta (Aİ) süt ve daimi dentisyonda diş minesinin formasyonunu tahrip eden kalıtsal bir hastalıktır. Aİ'li hastaların tedavisi hem hekim hem de hasta açısından zorlu bir süreçtir. Bu olgu sunumunda Aİ tanısı konulan altı yaşında bir kız hastanın tedavi süreci sunulmaktadır. Tedavi planlamasında, hastanın yaşı göz önüne alınarak ve büyüme ve gelişimi etkilemekten kaçınmak amacıyla hastaya hareketli protezler yapılmasına karar verilmiştir. Konvansiyonel tam protezler yapılarak, vertikal boyut artırılmış, istenilen estetik ve fonksiyon kazanılmıştır. Ayrıca protetik tedaviden memnuniyet, bir anket yardımıyla değerlendirilmiştir. Hasta ve ebeveyn memnuniyetinin yüksek düzeyde olduğu tespit edilmiştir. Aİ'li hastalarda tedavi planlamasında; hastanın yaşı, sosyo-ekonomik durumu, hastalığın şiddeti ve tipi, planlama yapıldığı süreçteki intraoral durum ve en önemlisi hasta kooperasyonu gibi pek çok faktör rol oynamaktadır.

Amelogenezis İmperfektalı Çocuk Hastada Estetik ve Fonksiyonun Sağlanması ile Elde Edilen Memnuniyet: Olgu Sunumu

Amelogenesis imperfecta (AI) is a hereditary disorder that disrupts the formation of enamel in both primary and permanent dentition. Management of AI is a challenge for the patient and the clinician. This case report presents the management of AI in a sixyear-old female patient. Considering the patient's age, we decided to make removable dentures in order to avoid growth and development problems. Conventional complete dentures were made, vertical dimension was increased, and the desired aesthetics and function were gained. Additionally, satisfaction with prosthodontic rehabilitation was evaluated using a questionnaire. A high level of patient and parent satisfaction was obtained. Treatment planning for patients with AI is related to many factors including the age and socioeconomic status of the patient, the type and severity of the disorder, the intraoral situation at the time the treatment is planned and most importantly, cooperation of the patient plays a major role.

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  • Bharath Shetty Y, Shetty A. Oral rehabilitation of a young adult with amelogenesis imperfecta: a clinical report. J Indian Prosthodont Soc 2010; 10: 240-5.
  • Rao S, Witkop CJ Jr. Inherited defects in tooth structure. Birth Defects Orig Artic Ser 1971; 7: 153-84.
  • Witkop CJ. Hereditary defects in enamel and dentin. Acta Genet Stat Med 1957; 7: 236-9.
  • Ağackiran E, Tümen EC, Celenk S, Bolgül B, Atakul F. Restoring aesthetics and function in a young boy with hypomature amelogenesis imperfecta: a case report. ISRN Dent 2011; 586854.
  • Aldred MJ, Crawford PJ. Variable expression in Amelogenesis imperfecta with taurodontism. J Oral Pathol 1988; 17: 327-33.
  • Ayers KM, Drummond BK, Harding WJ, Salis SG, Liston PN. Amelogenesis imperfecta-multidisciplinary management from eruption to adulthood. Review and case report. N Z Dent J 2004; 100: 101-4.
  • Bedi R. The management of children with amelogenesis imperfecta. Restorative Dent 1989; 5: 31-4.
  • Bouvier D, Duprez JP, Pirel C, Vincent B. Amelogenesis imperfecta a prosthetic rehabilitation: A clinical report. J Prosthet Dent 1999; 82: 130-1.
  • Doruk C, Ozturk F, Sari F, Turgut M. Restoring function and aesthetics in a class II division 1 patient with amelogenesis imperfecta: a clinical report. Eur J Dent 2011; 5: 220-8.
  • Kovacic I, Badrov J, Vidovic N, Celebic A. Preliminary clinical report of satisfaction with prosthodontic rehabilitation of intellectually disabled young adults provided by parents or caregivers. Int J Prosthodont 2011; 24: 303-5.
  • Mackie IC, Blinkhorn AS. Amelogenesis imperfecta: early interception to prevent attrition. Dent Update 1991; 18: 79-80.
  • Lamb DJ. The treatment of amelogenesis imperfecta. J Prosthet Dent 1976; 36: 286-91.
  • Canger EM, Celenk P, Yenisey M, Odyakmaz SZ. Amelogenesis imperfecta, hypoplastic type associated with some dental abnormalities: a case report. Braz Dent J 2010; 21: 170-4.
  • Gokce K, Canpolat C, Ozel E. Restoring function and esthetics in a patient with amelogenesis imperfecta: a case report. J Contemp Dent Pract 2007; 8: 95-101.
  • Ozturk N, Sari Z, Ozturk B. An interdisciplinary approach for restoring function and esthetics in a patient with amelogenesis imperfecta and malocclusion: a clinical report. J Prosthet Dent 2004; 92: 112-5.
  • Mathew L, Hegde AM, Shetty YR. Oral rehabilitation of a case of amelogenesis imperfecta with multiple periapical cysts. Int J Clin Pediatr Dent 2008; 1: 25-31.
  • Chamarthi V, Varma BR, Jayanthi M. Amelogenesis imperfecta: a clinician's challenge. J Indian Soc Pedod Prev Dent 2012; 30: 70-3.
  • de Souza-e-Silva CM, Parisotto TM, Steiner-Oliveira C, Gaviao MB, Nobre-Dos-Santos M. Oral rehabilitation of primary dentition affected by amelogenesis imperfecta: a case report. J Contemp Dent Pract 2010; 11: 071-7.
  • Ghodsi S, Rasaeipour S, Vojdani M. Oral rehabilitation of a patient with amelogenesis imperfecta using removable overlay denture: a clinical report. J Contemp Dent Pract 2012; 13: 227-31.
  • Zarati S, Ahmadian L, Arbabi R. A transitional overlay partial denture for a young patient: a clinical report. J Prosthodont 2009; 18: 76-9.