Canger Emin Murat, Celenk Peruze, Yenísey Murat, Odyakmaz Selcen Zeynep
Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.
Braz Dent J. 2010;21(2):170-4. doi: 10.1590/s0103-64402010000200014.
Amelogenesis imperfecta (AI) is a hereditary disorder expressing a group of conditions that cause developmental alterations in the structure of enamel. AI is a serious problem that reduces oral health-related quality of life and causes some physiological problems. The treatment of patients with AI may upgrade the quality of life and reinforce their self-esteem. Among the treatment options for AI, full-mouth metal reinforced porcelain restoration constitutes an important alternative because of its properties. This paper presents a case of AI of the hypoplastic rough type associated with a group of dental anomalies, and describes the prosthetic management of the patient. A 26-year-old female patient presented with a chief complaint of discolored teeth. Clinical and radiographic examination of the patient confirmed the diagnosis of rough pattern hypoplastic AI. The patient was treated with full-mouth metal reinforced porcelain fixed bridge. The adaptation of the temporomandibular joints and masticatory muscles was carefully observed periodically during 4 months and, after this period, the patient tolerated well her new vertical dimension. The patient received instructions on cleansing of the subpontic and interproximal areas. Follow-up visits were scheduled at 3 months and then at 6 months. No esthetic or functional problems were seen after the follow up period.
釉质发育不全（AI）是一种遗传性疾病，表现为一组导致牙釉质结构发育改变的病症。AI是一个严重问题，会降低与口腔健康相关的生活质量，并引发一些生理问题。对AI患者的治疗可以提升生活质量并增强他们的自尊。在AI的治疗选择中，全口金属增强瓷修复因其特性而构成一种重要的替代方案。本文介绍了一例与一组牙齿异常相关的发育不全粗糙型AI病例，并描述了该患者的修复治疗。一名26岁女性患者主诉牙齿变色。对该患者进行的临床和影像学检查确诊为粗糙型发育不全AI。该患者接受了全口金属增强瓷固定桥治疗。在4个月期间定期仔细观察颞下颌关节和咀嚼肌的适应性，在此期间过后，患者对其新的垂直距离耐受良好。患者接受了关于清洁桥体下方和邻间隙区域的指导。安排在3个月后进行随访，然后在6个月时再次随访。随访期过后未发现美学或功能问题。
