Singh Abanish, Agrawal Santosh Kumari, Shrestha Ashish, Bhagat Tarakant
Department of Public Health Dentistry, BP Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2018 Nov-Dec;56(214):977-979. doi: 10.31729/jnma.3709.
Amelogenesis Imperfecta is a hereditary disorder affecting the formation of enamel structure. Two female children and one male (11 years, 12 years and 6 years respectively) reported with chief complaint of yellowish discoloration of teeth since their childhood. They reported that they had similar discoloration in their deciduous teeth. Clinical examination showed generalized deposits of plaque and calculus, yellowish discoloration of the teeth with chipping off of the incisal and cuspal enamel structures. OPG revealed thin lining of enamel with thick dentin layer and pulp chamber. PA view revealed unfused anterior fontanels and lateral cephalogram indicated vertebrae in growing phase. The patients were instructed to maintain proper oral hygiene and regular follow up till the growth cessation. Permanent skeletal, functional, esthetic needs is addressed after growth completion. Oral rehabilitation through multidisciplinary approach can certainly provide a good prognosis and patients were counselled and motivated to maintain good oral hygiene. Keywords: Amelogenesis Imperfecta; esthetic; yellowish discoloration.
釉质发育不全是一种影响牙釉质结构形成的遗传性疾病。两名女童和一名男童(分别为11岁、12岁和6岁)主诉自幼牙齿发黄。他们报告说乳牙也有类似的变色情况。临床检查显示有广泛的菌斑和牙结石沉积,牙齿发黄,切端和牙尖釉质结构有缺损。全景片显示釉质层薄,牙本质层和牙髓腔厚。根尖片显示前囟未融合,头颅侧位片显示椎体处于生长阶段。嘱咐患者保持良好的口腔卫生,并定期随访直至生长停止。生长完成后解决永久性骨骼、功能和美观需求。通过多学科方法进行口腔修复肯定能提供良好的预后,并向患者提供咨询和鼓励,以保持良好的口腔卫生。关键词:釉质发育不全;美观;牙齿发黄