Akin Hakan, Tasveren Semih, Yeler Defne Yalçin
Department of Prosthodontics, Cumhuriyet University, Sivas, Turkey.
J Esthet Restor Dent. 2007;19(3):131-5; discussion 136. doi: 10.1111/j.1708-8240.2007.00083.x.
Treatment of a patient with amelogenesis imperfecta (AI) presents a real problem from both functional and esthetic points of view. An esthetic result also will result in an improvement in the patient's quality of life. This clinical report illustrates the oral rehabilitation of a 24-year-old man diagnosed with hypomature type of AI. The aim of treatment was to both restore esthetics and improve masticatory function. Esthetic expectations of the patient were successfully attained by placing all-porcelain crowns from canine to canine in each arch, 12 crowns total. Moreover, metal-ceramic three-unit fixed partial dentures for the missing mandibular right first molars were fabricated for the patient's masticatory function. Resin composite restorations were applied to the maxillary premolars, the maxillary right first molar, the mandibular left premolars, and the right first premolar to modify the occlusion. No deterioration in the restorations and no pathology associated with the rehabilitation were found at the 1-year recall, and the patient's esthetic and functional expectations were satisfied. CLINICAL SIGNIFICANCE This article provides an overview of an interdisciplinary approach to treating the difficult condition of AI using a combination of treatments to achieve optimal esthetics and function.
从功能和美观的角度来看，治疗牙釉质发育不全（AI）患者都存在实际问题。美观的治疗效果也将改善患者的生活质量。本临床报告阐述了一名被诊断为低成熟型AI的24岁男性的口腔修复情况。治疗目的是恢复美观并改善咀嚼功能。通过在每个牙弓的尖牙到尖牙处放置全瓷冠，共12个冠，成功实现了患者的美观期望。此外，为患者的咀嚼功能制作了金属烤瓷三单位固定局部义齿，用于修复下颌右侧第一磨牙缺失。对上颌前磨牙、上颌右侧第一磨牙、下颌左侧前磨牙和右侧第一前磨牙应用树脂复合材料修复体来调整咬合。在1年的复查中，未发现修复体恶化以及与修复相关的病变，患者的美观和功能期望均得到满足。临床意义本文概述了一种跨学科方法，即通过联合多种治疗手段来治疗AI这种疑难病症，以实现最佳的美观和功能效果。
