Mesh : Amelogenesis Imperfecta / diagnosis therapy Child Dental Veneers Humans Male Malocclusion / therapy Orthodontic Appliances Overbite / therapy Palatal Expansion Technique Tooth Movement Techniques

来  源:   DOI:10.2341/13-256-S   PDF(Sci-hub)

Abstract:
Amelogenesis imperfecta (AI) refers to a group of rare genetic disorders that involve tooth development and that are passed down through families as a dominant trait. This condition is characterized by abnormal enamel formation caused by gene mutations that alter the quality and/or quantity of enamel. This dental problem can impact both primary and permanent dentition, varies among affected individuals, and results in esthetic and functional problems. This condition caused the patient in the current case report to have a lack of confidence when speaking. The treatment for amelogenesis imperfecta depends on the severity of the problem and age of the patient. It is crucial to plan a proper remedy, which requires collaboration among dental specialties to execute comprehensive dental treatment in order to provide a long-term solution with adequate esthetics. The current clinical study presents a patient affected by AI that was diagnosed when the patient was a child. The interdisciplinary treatment continued throughout his childhood and into adult life. The initial treatment consisted of resin composite veneers and stainless-steel crowns to restore the defective tooth structure. The malocclusion of the patient was corrected using a fixed orthodontic appliance that was placed when he had an entire permanent dentition. The treatment plan was eventually intended to include all ceramic crowns and veneers.
摘要:
成釉发育不全症(AI)是指一组罕见的遗传性疾病,涉及牙齿发育,并通过家庭作为主要特征传承。这种情况的特征在于由改变牙釉质的质量和/或数量的基因突变引起的异常牙釉质形成。这种牙齿问题会影响原发性和永久性牙列,受影响的个体各不相同,并导致审美和功能问题。这种情况导致当前病例报告中的患者说话时缺乏信心。牙釉质不全症的治疗取决于问题的严重程度和患者的年龄。计划适当的补救措施至关重要,这需要牙科专业之间的合作,以执行全面的牙科治疗,以提供具有足够美学的长期解决方案。目前的临床研究提出了一名受AI影响的患者,该患者在患者还是儿童时被诊断出。跨学科治疗一直持续到他的童年和成年生活。初始治疗包括树脂复合材料贴面和不锈钢牙冠,以恢复有缺陷的牙齿结构。使用固定的正畸矫治器纠正患者的错牙合畸形,该矫治器在他有整个恒牙牙列时放置。治疗计划最终旨在包括所有陶瓷冠和贴面。
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