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Restoring function and aesthetics in a patient previously treated for amelogenesis imperfecta
Samira K Al-Salehi1, Kevin Dooley, Ian R Harris
1School of Dentistry, The University of Manchester, Manchester, UK. samira.al-salehi@manchester.ac.uk
The European Journal of Prosthodontics and Restorative Dentistry
|February 18, 2010
Summary
This case study details managing dental crowns in a patient with Amelogenesis Imperfecta and a jaw fracture. Effective treatment restored function and aesthetics despite complex dental issues.
Area of Science:
- Dentistry
- Prosthodontics
- Oral Surgery
Background:
- A 26-year-old male with Amelogenesis Imperfecta presented with generalized gingival recession around crowns placed during adolescence.
- The patient had a history of mandibular fracture at age 22, resulting in an anterior open bite and limited occlusal contact.
Observation:
- Gingival recession was noted at the crown margins, indicating potential issues with long-term prosthodontic stability.
- Severe malocclusion was evident, with only the third molars (teeth 28 and 38) in contact in the retruded position.
Findings:
- The case highlights the challenges of managing compromised fixed prosthodontic care in a patient experiencing further developmental changes and significant trauma.
- Successful management involved addressing both the gingival recession and the severe occlusal discrepancies.
Implications:
- This demonstrates that comprehensive treatment can achieve favorable functional and aesthetic outcomes even in complex, long-term dental rehabilitation cases.
- The findings underscore the importance of considering growth and potential trauma when planning and maintaining prosthodontic treatment.
