Kumar Sandeep, Gupta Seema
Department of Prosthodontics and Maxillofacial Prosthetics, Manipal College of Dental Sciences, Manipal, Karnataka, India.
J Contemp Dent Pract. 2009 Nov 1;10(6):E079-85.
The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 20-year-old patient with amelogenesis imperfecta (AI), facial asymmetry due to functional mandibular shift, and unilateral posterior crossbite.
AI is a group of hereditary defects of enamel unassociated with any other generalized defects. AI results in poor development or the complete absence of the enamel of the teeth caused by improper differentiation of ameloblasts.
This report describes the diagnosis and treatment of a young female patient with AI and facial asymmetry using a combined orthodontic-prosthodontic approach. Initially, the posterior crossbite, mandibular shift, and facial asymmetry were treated orthodontically. Later, metal-ceramic crowns for posterior teeth and all-ceramic crowns for anterior teeth were fabricated for final restorations.
Coordinated orthodontic and prosthodontic treatment, with careful consideration of patient expectations and requests, were critical for a successful outcome and patient satisfaction.
The complexity of the management of patients with AI supports the suggestion that the dental profession should have appropriate methods for the rehabilitation of rare dental disorders.
本病例报告旨在介绍一名20岁成釉不全（AI）患者牙齿的美学和功能修复情况，该患者因功能性下颌移位导致面部不对称以及单侧后牙反合。
成釉不全是一组与任何其他全身性缺陷无关的遗传性釉质缺陷。成釉不全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成釉不全和面部不对称的年轻女性患者采用正畸 - 修复联合治疗方法的诊断和治疗过程。最初，通过正畸治疗解决后牙反合、下颌移位和面部不对称问题。随后，制作后牙金属烤瓷冠和前牙全瓷冠进行最终修复。
协调的正畸和修复治疗，并仔细考虑患者的期望和要求，对于取得成功的治疗效果和患者满意度至关重要。
成釉不全患者治疗管理的复杂性支持了牙科专业应具备罕见牙病修复的适当方法这一建议。
