Gokce Kagan, Canpolat Ceyhun, Ozel Emre
Department of Operative Dentistry, Faculty of Dentistry, Yeditepe University, Istanbul, Turkey.
J Contemp Dent Pract. 2007 May 1;8(4):95-101.
The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 22-year-old patient with Amelogenesis imperfecta (AI).
AI is a group of hereditary defects of enamel, unassociated with any other generalized defects. It is a rare developmental abnormality of the enamel, with a variable occurrence of approximately 1:4000 to 1:14000 in Western populations. Al results in poor development or complete absence of the enamel of the teeth caused by improper differentiation of the ameloblasts.
This report describes the diagnosis and treatment of a young male patient with AI and missing molar teeth using contemporary restorative strategies. Initially, the tooth surfaces were treated with a professional cleaning along with conservative restorative treatment. Later, metal-ceramic crowns for posterior teeth and full-ceramic crowns for anterior teeth were utilized for final restorations.
The complexity of the management of patients with AI supports the suggestion the dental profession should have appropriate methods for the rehabilitation of rare dental disorders. The treatment of patients with AI should start with early diagnosis and intervention to prevent later restorative problems.
本病例报告旨在介绍一名22岁釉质发育不全（AI）患者牙齿的美学和功能修复情况。
AI是一组牙釉质的遗传性缺陷，与任何其他全身性缺陷无关。它是一种罕见的牙釉质发育异常，在西方人群中的发病率约为1:4000至1:14000，存在差异。AI是由成釉细胞分化不当导致牙齿釉质发育不良或完全缺失。
本报告描述了一名患有AI且磨牙缺失的年轻男性患者采用当代修复策略的诊断和治疗过程。最初，对牙齿表面进行专业清洁并进行保守修复治疗。后来，后牙采用金属烤瓷冠，前牙采用全瓷冠进行最终修复。
AI患者管理的复杂性支持了牙科行业应有适当方法来修复罕见牙病的建议。AI患者的治疗应从早期诊断和干预开始，以预防后期的修复问题。
