Conservative esthetic rehabilitation of a young patient with amelogenesis imperfecta

Conservative management of young adult patients with amelogenesis imperfecta using contemporary materials and techniques is needed in dentistry. These patients have malformed enamel that tends to wear down at a faster rate than normal and is prone to decay. Conventional management of such patients requires devitalization of all involved teeth, followed by post cores and crown lengthening and preparing them to provide sufficient space to receive full-coverage restorations. This article outlines a minimally invasive method of managing such cases. By increasing the vertical dimension of occlusion and using very minimal or no preparations and fabrication of lithium-disilicate crowns to adhesively bond to the remaining tooth structure, these teeth can be saved from being devitalized, as demonstrated in a case. This allows the structural integrity of the teeth to be maintained, along with their vitality.