背景:全牙列的复健与牙釉质不全症(AI)往往对临床医生构成巨大的挑战。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。
方法:该临床病例报告表明,一名年轻的印度患者被诊断为发育不良型不全症,其口腔状况已完全恢复。计划固定金属陶瓷假体以加强咀嚼活动,美学,消除牙齿敏感性并建立患者的一般形象。患者随访6个月,1年和2年的间隔。随访期后未发现功能和美学损害,治疗结果成功。整个治疗计划旨在增强功能,美学和咬合结构的咀嚼组成部分。
结论:本病例报告详细介绍了特征性射线照相发现,以及对一位极为罕见的牙釉质发育不全患者的治疗。
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.
METHODS: 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.
CONCLUSIONS: This case report details the presentation, characteristic radiographic findings, and management of a patient with an extremely rare condition of amelogenesis imperfecta.