Sabatini Camila, Guzmán-Armstrong Sandra
Assistant professor, Department of Restorative Dentistry, School of Dental Medicine, Buffalo, NY, USA.
J Esthet Restor Dent. 2009;21(3):161-9; discussion 170. doi: 10.1111/j.1708-8240.2009.00258.x.
Rehabilitation of a patient with amelogenesis imperfecta (AI) from both the functional and esthetic standpoints represents a challenge. The complexity of the condition requires an interdisciplinary approach for optimal treatment outcomes. A number of treatment options have been proposed. Recently, the use of bonded restorations has gained popularity because of the many benefits associated with these materials; excellent esthetics, conservative approach, and improved wear make their use advantageous. This article describes a direct approach with resin composite restorations for the transitional treatment of an adolescent with hypoplastic AI who had not completed skeletal growth. Protection against further wear, sensitivity, and plaque accumulation while significantly enhancing the patient's esthetic appearance made this case a success. Furthermore, this article describes the use of a "Clear matrix" technique, which considerably helped simplify the placement of the bonded restorations.
从功能和美学角度对一名牙釉质发育不全（AI）患者进行修复是一项挑战。该病症的复杂性需要采用多学科方法以实现最佳治疗效果。已经提出了多种治疗方案。最近，粘结修复体的使用因其与这些材料相关的诸多优点而受到欢迎；出色的美学效果、保守的方法以及改善的耐磨性使其使用具有优势。本文描述了一种采用树脂复合材料修复体的直接方法，用于对一名骨骼生长尚未完成的青少年发育不全型AI患者进行过渡治疗。防止进一步磨损、敏感和菌斑积聚，同时显著改善患者的美学外观，使该病例取得了成功。此外，本文还描述了“透明基质”技术的使用，这极大地有助于简化粘结修复体的放置。
