EARLY ORAL REHABILITATION OF A CHILD WITH AMELOGENESIS IMPERFECTA A CASE REPORT

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EARLY  ORAL REHABILITATION  OF A CHILD WITH  AMELOGENESIS IMPERFECTA A CASE REPORT Powered By Docstoc
					EARLY ORAL REHABILITATION                   OF A CHILD WITH            AMELOGENESIS
IMPERFECTA: A CASE REPORT

By Dr.Deepa Vinod Bhat, IInd year P.G.T., Dep. of Pediatric Dentistry, R.A.D.C & H,
Kolkata-14.

Abstract

Managing a menace.....A faded hope revived to an unending happiness.

 The term amelogenesis imperfecta has been defined to include a variety of genetically
determined disorders that primarily affect the enamel of all or nearly all the teeth
without causing detectable alteration elsewhere in the body. Thus amelogenesis
imperfect represents an inherited group of anomalies of enamel formation with an
incidence of 1:718 to 1:14,000. AI follows an autosomal dominant, autosomal recessive
or x-linked pattern of inheritance. The main clinical characteristics are extensive loss of
tooth tissue, poor esthetics and tooth sensitivity. At least 14 different subtypes of
amelogenesis imperfect exist with numerous patterns of inheritance and a variety of
clinical manifestations. On the clinical and radiographic basis,three broad types
exist,i.e. hypoplastic, hypocalcified and hypomaturation. This clinical report describes
the management of a 12 year old girl with hypomaturation type of AI. The patient
presented with mottled opaque white to yellow brown enamel affecting all teeth.
Patient’s main concern was esthetic. The enamel was hard and the cusps on molars
were intact.Initially preventive measures were advised to the patient followed by
placement of stainless steel crowns on all the first permanent molars. This was followed
by composite veneering on all the anterior teeth. The performed treatment achieved
satisfactory esthetic and function, which resulted in an improvement in the child’s
quality of life.

				
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