Mete Jitendra J, Dange Shankar P, Khalikar Arun N, Vaidya Smita P
Department of Prosthodontics, Government Dental College, Aurangabad, 431001 Maharashtra India.
J Indian Prosthodont Soc. 2012 Jun;12(2):94-100. doi: 10.1007/s13191-011-0102-9. Epub 2011 Aug 28.
This clinical case report describes the oral rehabilitation of an adult female patient diagnosed with hypoplastic amelogenesis imperfecta with inadequate, deteriorated restorations of anterior teeth, inadequate clinical crown heights of posterior teeth due to severe attrition of hypoplastic enamel. Treatment included extraction of teeth with poor prognosis, root canal treatment and crown lengthening of severely worn out teeth & full coverage porcelain-fused-to metal fixed restoration of entire dentition. The main objectives of the selected treatment were to enhance the esthetics, restore masticatory function and eliminate the teeth sensitivity. These treatment objectives were successfully met by sequential fixed prosthodontics treatment using Pankey-Mann-Schuyler philosophy of complete occlusal rehabilitation. Treatment not only restored function and esthetic, but also showed a positive psychological impact and thereby improved perceived quality of life.
本临床病例报告描述了一名成年女性患者的口腔修复情况。该患者被诊断为发育不全型釉质发育不全，前牙修复体不足且已恶化，后牙由于发育不全釉质的严重磨损导致临床冠高度不足。治疗包括拔除预后不良的牙齿、对严重磨损的牙齿进行根管治疗和牙冠延长术，以及对全口牙列进行全瓷熔附金属固定修复。所选治疗的主要目标是改善美观、恢复咀嚼功能并消除牙齿敏感。通过采用潘基 - 曼 - 斯凯勒全牙列咬合重建理念的顺序性固定修复治疗，成功实现了这些治疗目标。治疗不仅恢复了功能和美观，还产生了积极的心理影响，从而提高了生活质量。
