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Timeline of Amelogenesis Imperfecta Management
Alexandra Jimenez-Armijo1,2, Paola L Carvajal Monroy3, Saranda Ombashi3
1Hôpitaux Universitaires de Strasbourg (HUS), Pôle de Médecine et Chirurgie Bucco-dentaires, Hôpital Civil, Centre de référence des maladies rares orales et dentaires, CRMR O-Rares, Filire Santé Maladies rares TETECOU, European Reference Network ERN CRANIO, Strasbourg, France.
Amelogenesis imperfecta, a rare genetic disorder affecting teeth, requires lifelong multidisciplinary care. This article outlines healthcare professional roles and timelines to improve management for affected individuals and families.
Area of Science:
- Dental genetics
- Rare diseases
- Orodental health
Background:
- Amelogenesis imperfecta (AI) encompasses over 100 rare genetic conditions affecting tooth enamel development.
- Patients and families experience significant diagnostic delays and a fragmented therapeutic journey.
- Multidisciplinary management is crucial throughout a patient's life, from childhood to adulthood.
Purpose of the Study:
- To define the roles of healthcare professionals involved in managing Amelogenesis imperfecta.
- To establish guidelines and timelines for critical intervention periods.
- To enhance the overall care and management strategies for AI patients.
Main Methods:
- Review of current clinical and genetic diagnostic approaches for AI.
- Description of the multidisciplinary team's responsibilities.
- Development of proposed management timelines based on expert consensus from the ERN CRANIO Orodental group.
Main Results:
- Detailed outline of the specific contributions of various health professionals (e.g., geneticists, dentists, therapists).
- Identification of key developmental and intervention milestones.
- Framework for improved coordination of care across different specialties.
Conclusions:
- Standardized roles and timely interventions are essential for optimizing Amelogenesis imperfecta management.
- Effective multidisciplinary collaboration improves diagnostic accuracy and therapeutic outcomes.
- Guidelines provided aim to reduce patient 'treatment odyssey' and improve quality of life.
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