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Comprehensive Oral Rehabilitation of a Patient With Dentinogenesis Imperfecta
Hamasat Gheddaf Dam1,2, Panagiotis Papaspyridakos2, Chun-Jung Chen2
1Department of Prosthodontics and Operative Dentistry, Tufts University School of Dental Medicine, Boston, MA.
Clinical Advances in Periodontics
|July 24, 2020
Summary
Dentinogenesis imperfecta (DI) treatment involves staged rehabilitation with implants. Full-mouth rehabilitation using implants is recommended for advanced DI cases when teeth are non-restorable.
Area of Science:
- Dentistry
- Prosthodontics
- Oral Rehabilitation
Background:
- Dentinogenesis imperfecta (DI) presents complex treatment challenges requiring a multidisciplinary approach.
- Advanced DI often leads to severe tooth structure loss, impacting aesthetics and function.
- Early diagnosis is crucial for preventive interventions in DI cases.
Observation:
- This case report details the long-term rehabilitation of a middle-aged female with DI and severe attrition.
- Treatment involved initial temporary restorations followed by staged prosthetic rehabilitation with implants.
- Deteriorated teeth were utilized as abutments for temporary restorations during the treatment phases.
Findings:
- All teeth were eventually extracted and replaced with fixed implant-supported prostheses.
- A staged approach was employed, using remaining teeth for interim support and provisional prosthesis retention.
- Meticulous pretreatment planning regarding bone/soft tissue removal and implant placement is essential.
Implications:
- For questionable or non-restorable teeth in DI patients, implant-supported prostheses are the treatment of choice.
- Fixed implant solutions are often preferable for long-term functional and aesthetic outcomes in DI rehabilitation.
- Comprehensive treatment planning is vital for successful outcomes in complex dentinogenesis imperfecta cases.
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