Luzzi V, Bossù M, Cavallè E, Ottolenghi L, Polimeni A
Department of Paediatric Dentistry, University of Rome, Italy.
Eur J Paediatr Dent. 2003 Sep;4(3):149-54.
The fundamental therapeutic problems related to amelogenesis imperfecta treatment are governed by the need to effect primary prevention interventions, reducing the risk of calculus accumulation and caries. There are also aesthetic and functional rehabilitative needs. Clinical management rehabilitation techniques vary depending on the AI type, but usually require restoration of affected teeth. Where orthodontic problems also exist, these should be corrected prior to the final restorative treatment.
The use of composite resins in aesthetic restoration of permanent anterior and posterior teeth as affected by hypoplastic AI type is described. This case illustrates a patient who suffered from less attrition than those of the hypomineralized varieties. The therapeutic choice has allowed the correction of vertical dimension without the use of preformed crowns.
与牙釉质发育不全治疗相关的基本治疗问题受以下因素支配:需要进行一级预防干预,降低牙石堆积和龋齿的风险。此外还存在美学和功能康复需求。临床管理康复技术因牙釉质发育不全的类型而异,但通常需要对患牙进行修复。若同时存在正畸问题,应在最终修复治疗前予以纠正。
描述了使用复合树脂对发育不全型牙釉质发育不全所影响的恒牙前牙和后牙进行美学修复的情况。该病例中的患者磨耗程度低于矿化不全型患者。治疗选择避免了使用预成冠即可矫正垂直距离。