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Interdisciplinary Care for a Patient with Amelogenesis Imperfecta: A Clinical Report
Catherine Millet1,2, Jean-Pierre Duprez2,3, Christine Khoury3
1Department of Prosthodontics, Faculty of Dentistry, Université Lyon 1, Lyon, France.
Summary
This study details an 8-year interdisciplinary treatment for hypocalcified amelogenesis imperfecta and anterior open bite, combining surgery and prosthodontics. Results show satisfactory esthetics and function after 2 years with zirconia crowns.
Area of Science:
- Dentistry
- Oral Surgery
- Prosthodontics
Background:
- Hypocalcified amelogenesis imperfecta presents significant esthetic and functional challenges.
- Anterior open bite often requires complex, multi-stage treatment.
- Interdisciplinary care is crucial for managing severe dental anomalies.
Purpose of the Study:
- To describe an 8-year interdisciplinary treatment protocol.
- To restore esthetics and function in a patient with amelogenesis imperfecta and open bite.
- To evaluate the long-term outcomes of surgical and prosthodontic interventions.
Main Methods:
- Combined orthodontic, maxillofacial surgery (Le Fort I, mandibular osteotomies, genioplasty), and prosthodontic rehabilitation.
- Utilized transitional restorations and definitive zirconia-based ceramic single crowns.
- Monitored outcomes via clinical evaluation, photographs, and radiographs.
Main Results:
- Successful surgical correction of jaw discrepancies and open bite.
- Restoration of esthetics and function with 28 zirconia single crowns.
- Satisfactory clinical results with no deterioration observed at the 2-year follow-up.
Conclusions:
- An 8-year interdisciplinary approach is effective for treating severe hypocalcified amelogenesis imperfecta with anterior open bite.
- Zirconia-based restorations provide durable and esthetic solutions.
- Long-term follow-up confirms the stability and success of the combined treatment strategy.
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