Full Mouth Rehabilitation with All-Ceramic Restorations in a Patient with Amelogenesis Imperfecta: A Case Report with...

Background: Amelogenesis imperfecta (AI) includes a group of inherited disorders that affect enamel formation, both in quality and quantity. It may cause anomalies in a number of teeth or a group of teeth, or it may be present in the whole dentition. The main complaints of patients who are affected by AI are increased sensibility to hot and cold food, impaired esthetic appearance, discoloration of mandibular and maxillary anterior teeth, and masticatory problems. The treatment of adult patients with amelogenesis imperfecta usually demands a multidisciplinary approach because several problems are present. Pediatric treatment is usually undertaken at an early stage, and orthodontic treatment usually begins in adolescence. Periodontal and prosthetic treatments are usually required for the rehabilitation of patients who usually have been expecting this treatment for years. Objective: The aim of this case report is to present a full mouth rehabilitation with all-ceramic restorations in a young patient with amelogenesis imperfecta, with follow-up at 10 years. Treatment: An 18-year-old with amelogenesis imperfecta presented for functional and esthetic rehabilitation. The patient underwent a second orthodontic treatment, conservative periodontal therapy, and restored with all-ceramic restorations. Results: The patient was fully satisfied with the outcome of the therapy, and the clinical situation remained stable at 10-year recall. Conclusions: All-ceramic restorations can be a clinically acceptable option for the rehabilitation of patients with amelogenesis imperfecta.