Clinical aspects and treatment of amelogenesis imperfect: a case report
DOI:
https://doi.org/10.11606/issn.2357-8041.clrd.2022.192922Keywords:
Amelogenesis imperfecta, Dental enamel, Glass ionomer cements, Radiography panoramicAbstract
Objectives: This study discusses the clinical characteristics of a case of type IIA amelogenesis imperfecta (hypomatured with diffuse pigmentation), presenting the treatment methods and how this condition affects the patient’s quality of life. Materials and methods: A 7-year-old male patient with deciduous and permanent dentition sought dental care due to the following dental changes: brownish-yellow dental coloration, rough surface, presence of dental calculus on the lower incisors, end-to-end bite, and dentin hypersensitivity. Radiographic examination showed that the volume of dental tissues was normal, but there was a lack of contrast between enamel and dentin in all teeth – features compatible with the clinical diagnosis of AI-IIA. Treatment consisted of restorations performed with glass ionomer cement, application of fluoride varnish and daily mouthwash with 0.05% sodium fluoride. Results: The treatment performed was considered a success, since the patient’s complaints were addressed through an appropriate dental treatment, restoring the child’s function and aesthetics according to his needs. Conclusions: Early diagnosis of AI is of paramount importance for more conservative treatment focusing on preventing its effects. From the dental care point of view, AI treatment seeks to restore the patient’s oral health and consequently reintegrate them into social life with a higher quality of life.
Downloads
References
Azevedo MS, Goettems ML, Torriani DD, Romano AR, Demarco FF. Amelogenesis imperfecta: clinical aspects and treatment. Rev Gauch Odontol. 2013;61(1 Suppl):491-6.
Witkop CJ Jr. Amelogenesis imperfecta, dentinogenesis imperfecta and dentin dysplasia revisited: problems in classification. J Oral Pathol. 1988;17(9-10):547-53. Doi: https://doi.org/10.1111/j.1600-0714.1988.tb01332.x.
Crawford PJM, Aldred M, Bloch-Zupan A. Amelogenesis imperfecta. Orphanet J Rare Dis. 2007;2:17. Doi: https://doi.org/10.1186/1750-1172-2-17.
Beraldo CBS, Silva BJA, Valerio CS, Mazzieiro ET, Manzi FR, Cardoso CAA. Amelogenesis imperfecta: clinical case report. RFO UPF. 2015;20(1):101-4.
Morgado CL, Azul AC. A amelogénese imperfeita – uma revisão da literatura. Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial. 2009;50(4):243-50. Doi: https://doi.org/10.1016/s1646-2890(09)70025-1.
Couto ACF, Pupin MA, Dias MA, Dande JV, Barbosa D, Aleva LFG, et al. Amelogênese imperfeita: revisão da literatura. Revista Eletrônica Acervo Saúde. 2012;1 Supl:34-40.
Santos CT, Picini C, Czlusniak GD, Alves FBT. Anomalias do esmalte dentário – revisão de literatura. Arch Health Invest. 2014;3(4):74-81.
Trentesaux T, Rousset MM, Dehaynin E, Laumaillé M, Delfosse C. 15-year follow-up of a case of amelogenesis imperfecta: importance of psychological aspect and impact on quality of life. Eur Arch Paediatr Dent. 2013;14(1):47-51. Doi: https://doi.org/10.1007/s40368-012-0008-1.
Castagnoli TFB, Koubik ACGA. A importância dos aspectos clínicos e radiográficos da amelogênese imperfeita no auxílio do diagnóstico [trabalho de conclusão de curso]. Curitiba: Universidade Tuiuti do Paraná; 2013.
Borde BT, Araujo IRS, Valente AGLR, Tannure PN. Desafios no diagnóstico e tratamento da amelogênese imperfeita: relato de caso. Rev Odontol UNICID. 2018;30(2):216-22. Doi: https://doi.org/10.26843/ro_unicidv3022018p216-222.
Jokovic A, Locker D, Tompson B, Guyatt G. Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children. Pediatr Dent. 2004;26(6):512-8.
Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia oral e maxilofacial. 3a ed. Rio de Janeiro: Elsevier; 2009.
Adorno-Farias D, Ortega-Pinto A, Gajardo P, Salazar A, Morales-Bozo I, Werlinger F, et al. Diversity of clinical, radiographic and genealogical findings in 41 families with amelogenesis imperfecta. J Appl Oral Sci. 2019;27:e20180359. Doi: https://doi.org/10.1590/1678-7757-2018-0359.
Ceyhan D, Kirzioglu Z, Emek T. A long-term clinical study on individuals with amelogenesis imperfecta. Niger J Clin Pract. 2019;22(8):1157-62. Doi: https://doi.org/10.4103/njcp.njcp_227_18.
Coffield KD, Phillips C, Brady M, Roberts MW, Strauss RP, Wright JT. The psychosocial impact of developmental dental defects in people with hereditary amelogenesis imperfecta. J Am Dent Assoc. 2005;136(5):620-30. Doi: https://doi.org/10.14219/jada.archive.2005.0233.
Figueiredo RG, Moreira RF, Simões PS, Novaes SEA, Fonseca ACL, Miranda MS. Amelogenesis imperfecta: the importance of early diagnosis for adolescent health and development: Case report. Rev Adolesc Saude. 2016;13(2):87-93.
Silva FS, Lima VS. Tratamento restaurador conservador na amelogênese imperfeita: quando indicar essa opção? Rev Flum Odontol. 2018;(48):1-14. Doi: https://doi.org/10.22409/ijosd.v2i48.375.
Cocco AR, Baldissera RA, Lund RG, Martos J. Rehabilitation of dental function and aesthetics in a young patient presenting amelogenesis imperfect. J Clin Dent Res. 2017;14(2):72-82. Doi: https://doi.org/10.14436/2447-911x.14.2.072-082.oar.
Bogosavljević A, Misina V, Jordacević J, Abazović M, Dukić S, Ristić L, et al. Treatment of teeth in the esthetic zone in a patient with amelogenesis imperfecta using composite veneers and the clear matrix technique: A case report. Vojnosanit Pregl. 2016;73(3):288-92. Doi: https://doi.org/10.2298/vsp141125053b.
Ferreira SH, Pasini CM, Rodrigues PH, Cardoso MZ, Borges TS. Amelogenesis imperfecta in a child with cerebral palsy. Stomatos. 2017;23(44):13-23.
Ağaçkiran E, Tümen EC, Celenk S, Bolgül B, Atakul F. Restoring aesthetics and function in a young boy with hypomature amelogenesis imperfecta: A case report. ISRN Dent. 2011;2011:586854. Doi: https://doi.org/10.5402/2011/586854.
Holanda RC, Feitosa DMA, Gonçalves GKM, Alves KSS, Gouveia THN, Lobo PLD. Reabilitação estética e funcional em paciente com amelogênese imperfeita: relato de caso. Rev Fac Odontol Lins. 2017;27(2):45-52. Doi: https://doi.org/10.15600/2238-1236/fol.v27n2p45-52.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Bruna Mandrá da Cunha, Paula Guitarrara Nirschl Morais Nery, Cristina Luzia Lopes Borges Silva, João Paulo Silva Servato, Maria Angélica Hueb de Menezes Oliveira, Denise Tornavoi de Castro
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are requested to send, together with the letter to the Editors, a term of responsibility. Thus, the works submitted for appreciation for publication must be accompanied by a document containing the signature of each of the authors, the model of which is presented as follows:
I/We, _________________________, author(s) of the work entitled_______________, now submitted for the appreciation of Clinical and Laboratorial Research in Dentistry, agree that the authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Date: ____/____/____Signature(s): _______________
