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牙釉质发育不全的管理指南:病例报告及文献综述

Management guidelines for amelogenesis imperfecta: a case report and review of the literature.

作者信息

Roma M, Hegde Puneet, Durga Nandhini M, Hegde Shreya

机构信息

Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Department of Prosthodontics and Crown and Bridge, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

J Med Case Rep. 2021 Feb 9;15(1):67. doi: 10.1186/s13256-020-02586-4.

Abstract

BACKGROUND

Rehabilitation of the entire dentition with amelogenesis imperfecta (AI) tends to pose a great challenge to the clinician. Most of the cases of amelogenesis imperfecta are reported to be associated with skeletal and dental deformities which results in severe sensitivity of the dental tissues.

CASE PRESENTATION

This clinical case report marks out the total restoration of the oral condition of a young Indian patient diagnosed with the hypoplastic type of amelogenesis imperfecta. Fixed metal ceramic prosthesis were planned to strengthen the masticatory activity, aesthetics, to banish the dental sensitivity and to build up the general persona of the patient. The patient was followed-up at 6 months, 1 year and 2 years intervals. Functional and esthetic impairment was not visible after the follow up period and the treatment outcome was successful. The entire treatment plan was intended to enhance the functional, esthetic and the masticatory component of the occlusal architecture.

CONCLUSION

This case report details the presentation, characteristic radiographic findings, and management of a patient with an extremely rare condition of amelogenesis imperfecta.

摘要

背景

对患有牙釉质发育不全(AI)的全牙列进行修复对临床医生来说往往是一项巨大的挑战。据报道,大多数牙釉质发育不全病例与骨骼和牙齿畸形有关,这会导致牙齿组织严重敏感。

病例介绍

本临床病例报告记录了一名被诊断为发育不全型牙釉质发育不全的年轻印度患者口腔状况的全面恢复情况。计划采用固定金属烤瓷修复体来增强咀嚼功能、改善美观、消除牙齿敏感并塑造患者的整体形象。对患者进行了为期6个月、1年和2年的随访。随访期后未见功能和美观受损,治疗结果成功。整个治疗计划旨在增强咬合结构的功能、美观和咀嚼功能。

结论

本病例报告详细介绍了一名患有极其罕见的牙釉质发育不全病症患者的临床表现、特征性影像学检查结果及治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eab/7871387/f6eb1e3c6fee/13256_2020_2586_Fig1_HTML.jpg

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本文引用的文献

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