Dental Clinic, Department of Pediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany.
Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany.
Int J Environ Res Public Health. 2021 Jul 5;18(13):7204. doi: 10.3390/ijerph18137204.
Amelogenesis imperfecta (AI) is defined as an interruption of enamel formation due to genetic inheritance. To prevent malfunction of the masticatory system and an unaesthetic appearance, various treatment options are described. While restoration with a compomer in the anterior region and stainless steel crowns in the posterior region is recommended for deciduous dentition, the challenges when treating such structural defects in mixed or permanent dentition are changing teeth and growing jaw, allowing only temporary restoration. The purpose of this case report is to demonstrate oral rehabilitation from mixed to permanent dentition. The dentition of a 7-year-old patient with AI type I and a 12-year-old patient with AI type II was restored under general anesthesia to improve their poor aesthetics and increase vertical dimension, which are related to problems with self-confidence and reduced oral health quality of life. These two cases show the complexity of dental care for structural anomalies of genetic origin and the challenges in rehabilitating the different phases of dentition.
遗传性牙釉质发育不全（AI）是由于基因遗传导致的釉质形成中断。为了防止咀嚼系统功能障碍和不美观的外观，描述了各种治疗选择。虽然对于乳牙，在前牙区域推荐使用复合树脂修复，在后牙区域推荐使用不锈钢冠，但在混合或恒牙列中治疗这种结构缺陷的挑战是牙齿和颌骨的生长，只允许进行临时修复。本病例报告的目的是展示从混合牙列到恒牙列的口腔修复。对一名患有 I 型 AI 和一名患有 II 型 AI 的 7 岁和 12 岁患者的牙列进行了全身麻醉下的修复，以改善他们的不良美观和增加垂直高度，这与自信心问题和降低口腔健康生活质量有关。这两个案例说明了遗传性结构异常的牙科护理的复杂性，以及在修复不同阶段的牙列方面的挑战。
