Marquezin Maria Carolina Salomé, Zancopé Bruna Raquel, Pacheco Larissa Ferreira, Gavião Maria Beatriz Duarte, Pascon Fernanda Miori
Department of Pediatric Dentistry, Piracicaba Dental School, University of Campinas (UNICAMP), 13414-903 Piracicaba, SP, Brazil.
Case Rep Dent. 2015;2015:790890. doi: 10.1155/2015/790890. Epub 2015 Feb 2.
The objective of this case report was to describe the oral rehabilitation of a five-year-old boy patient diagnosed with amelogenesis imperfecta (AI) in the primary dentition. AI is a group of hereditary disorders that affects the enamel structure. The patient was brought to the dental clinic complaining of tooth hypersensitivity during meals. The medical history and clinical examination were used to arrive at the diagnosis of AI. The treatment was oral rehabilitation of the primary molars with stainless steel crowns and resin-filled celluloid forms. The main objectives of the selected treatment were to enhance the esthetics, restore masticatory function, and eliminate the teeth sensitivity. The child was monitored in the pediatric dentistry clinic at four-month intervals until the mixed dentition stage. Treatment not only restored function and esthetic, but also showed a positive psychological impact and thereby improved perceived quality of life. The preventive, psychological, and curative measures of a young child with AI were successful. This result can encourage the clinicians to seek a cost-effective technique such as stainless steel crowns, and resin-filled celluloid forms to reestablish the oral functions and improve the child's psychosocial development.
本病例报告的目的是描述一名五岁男童患者乳牙列诊断为牙釉质发育不全(AI)后的口腔修复情况。AI是一组影响牙釉质结构的遗传性疾病。该患者因进食时牙齿过敏而被带到牙科诊所。通过病史和临床检查确诊为AI。治疗方法是用不锈钢冠和树脂填充赛璐珞牙托对乳磨牙进行口腔修复。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。该儿童在儿童牙科诊所每隔四个月接受监测,直至混合牙列期。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感知。对患有AI的幼儿采取的预防、心理和治疗措施取得了成功。这一结果可鼓励临床医生寻求如不锈钢冠和树脂填充赛璐珞牙托等具有成本效益的技术,以重建口腔功能并促进儿童的心理社会发展。