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Managing vertical dimensions in patients with Amelogenesis Imperfecta: A case report
Warren Farao1, Imaan A Roomaney2
1Department of Conservative Dentistry, Faculty of Dentistry University of Western Cape Cape Town South Africa.
Amelogenesis imperfecta (AI) causes inherited enamel defects and severe tooth wear, leading to difficult dental rehabilitation. This case report details restoring vertical dimensions in a young adult with AI, highlighting early OVD preservation.
Area of Science:
- Dentistry
- Oral Health
- Genetics
Background:
- Amelogenesis imperfecta (AI) is a group of inherited enamel defects.
- AI frequently leads to progressive loss of occlusal vertical dimensions (OVD) and challenging dental rehabilitation.
Observation:
- A 24-year-old male patient with AI experienced continuous tooth wear despite prior dental treatments.
- The patient presented with significantly reduced OVD.
Findings:
- A two-phase treatment approach was employed to restore the patient's OVD.
- Phase one involved provisional restorations to establish improved OVD.
- Phase two utilized full-coverage crowns (monolithic zirconia and lithium disilicate) and a protective removable appliance.
Implications:
- Restoring OVD in AI patients is crucial for long-term dental health.
- Early intervention and preservation of OVD can prevent complex and costly future treatments.
- This case highlights a successful management strategy for AI-related OVD loss.
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