Sawan Nozha M
Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Int J Dent. 2021 Dec 23;2021:7343094. doi: 10.1155/2021/7343094. eCollection 2021.
Dentinogenesis imperfecta (DI) and amelogenesis imperfecta (AI) are hereditary abnormalities of dental hard tissues. Dental abnormalities may also be accompanied by symptoms of disorders such as osteogenesis imperfecta. AI and DI have a significant burden on socializing, function, and comfort; therefore, frequent screening and accurate diagnosis is the cornerstone of managing such conditions. Both AI and DI could be treated with many strategies, including restorative, prosthetic, periodontal, surgical, and orthodontics treatment. The interdisciplinary combination of orthodontic, prosthodontic, and periodontic treatment has been proven to improve the prognosis of AI and DI. Regarding orthodontic treatment, the most difficult element of orthodontic therapy may be maintaining a high level of motivation for what might be a prolonged form of treatment spanning several years. There are many forms of orthodontic management for AI and DI, including removable appliances, functional appliances, and fixed appliances. Clear aligner therapy (CAT) contains a broad range of equipment that works in different ways, has different construction processes, and is compatible with different malocclusion procedures. The application of CAT in patients with AI and DI is favorable over the fixed applicants. However, the available evidence regarding the application of CAT in AI is weak and heterogeneous. In this review, we discussed the current evidence regarding the application of clear CAT in patients with AI and DI.
牙本质发育不全（DI）和釉质发育不全（AI）是牙齿硬组织的遗传性异常。牙齿异常也可能伴有诸如成骨不全等疾病的症状。AI和DI在社交、功能和舒适度方面有很大负担；因此，频繁筛查和准确诊断是管理此类病症的基石。AI和DI都可以采用多种治疗策略，包括修复、修复体、牙周、手术和正畸治疗。正畸、修复和牙周治疗的多学科联合已被证明可改善AI和DI的预后。关于正畸治疗，正畸治疗中最困难的因素可能是在可能长达数年的长期治疗过程中保持高度的积极性。AI和DI有多种正畸治疗方式，包括可摘矫治器、功能性矫治器和固定矫治器。透明矫治器疗法（CAT）包含一系列以不同方式工作、具有不同制作工艺且适用于不同错牙合情况的设备。CAT在AI和DI患者中的应用优于固定矫治器。然而，关于CAT在AI中应用的现有证据薄弱且不一致。在本综述中，我们讨论了关于透明CAT在AI和DI患者中应用的当前证据。
