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Rhaiem M, Chalbi M, Bousaid S, Zouaoui W, Chemli MA. Dental treatment approaches of amelogenesis imperfecta in children and young adults: A systematic review of the literature. J ESTHET RESTOR DENT 2024; 36:881-891. [PMID: 38258433 DOI: 10.1111/jerd.13191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 12/13/2023] [Accepted: 12/15/2023] [Indexed: 01/24/2024]
Abstract
OBJECTIVE The aim of this review was to compare various types of restorations used in children and young adults affected with amelogenesis imperfecta (AI) to determine the most effective restorative treatment. METHODS This systematic review included randomized controlled trials, retrospective and prospective cohorts conducted on children and young adults diagnosed with amelogenesis imperfecta and written in French or English. A systematic search was conducted using four databases, namely Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE via PubMed, Science Direct and Scopus, using a selection of MeSH terms: "Amelogenesis Imperfecta," "Therapeutics," "Treatment Outcome," "Adult, young," "Child," "Dental Restoration, Permanent," "Dental Restoration, Temporary," and "Esthetics, Dental." RESULTS Out of 138 articles identified in the initial search, four articles met all the inclusion criteria. The results showed that ceramic restorations had better quality scores and longevity compared to other restorations. CONCLUSION Ceramic restorations could be considered the restorative treatment modality of choice for AI-affected children and young adults. However, more high-quality clinical trials involving young patients affected with AI are required to evaluate and compare the outcomes of different restorative approaches. CLINICAL SIGNIFICANCE Young patients affected with amelogenesis imperfecta usually suffer from low self-esteem, psychological problems and social avoidance, caused by the alteration of teeth such as discoloration, sensitivity, fractures and reduced size. For the dentist, selecting the appropriate restorative treatment for AI in young patients could be a veritable challenge. Therefore, it is important to have an evidence-based modality. For this reason, in this review, the different restorative approaches used in AI-affected young patients were compared to recommend the most effective treatment.
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Affiliation(s)
- Miniar Rhaiem
- Pediatric Dentistry Department, La Rabta Hospital, Tunis, Tunisia
- Laboratory of Research ABCDF, University of Monastir, Monastir, Tunisia
- Pediatric Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia
| | - Manel Chalbi
- Pediatric Dentistry Department, La Rabta Hospital, Tunis, Tunisia
- Laboratory of Research ABCDF, University of Monastir, Monastir, Tunisia
- Pediatric Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia
| | - Soumaya Bousaid
- Rheumatology Department, La Rabta Hospital, Tunis, Tunisia
- Rheuamatology Department, Faculty of Medicine of Tunis, Tunis, Tunisia
- Rheumatology Department, Tunis El Manar University, Tunis, Tunisia
| | - Wiem Zouaoui
- Pediatric Dentistry Department, La Rabta Hospital, Tunis, Tunisia
- Laboratory of Research ABCDF, University of Monastir, Monastir, Tunisia
- Pediatric Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia
| | - Mohamed Ali Chemli
- Pediatric Dentistry Department, La Rabta Hospital, Tunis, Tunisia
- Laboratory of Research ABCDF, University of Monastir, Monastir, Tunisia
- Pediatric Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia
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Monteiro J, Balmer R, Lafferty F, Lyne A, Mighell A, O'Donnell K, Parekh S. Establishment of a clinical network for children with amelogenesis imperfecta and dentinogenesis imperfecta in the UK: 4-year experience. Eur Arch Paediatr Dent 2024; 25:85-91. [PMID: 38308725 PMCID: PMC10943134 DOI: 10.1007/s40368-023-00859-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 12/13/2023] [Indexed: 02/05/2024]
Abstract
BACKGROUND Amelogenesis imperfecta (AI) and dentinogenesis imperfecta (DI) are two groups of genetically inherited conditions resulting in abnormal enamel and dentin formation, respectively. Children and young people may be adversely affected by these conditions, with significant reduction in oral health related quality of life. Dental management of children with AI and DI is often complex, which is exacerbated by the absence of clear referral pathways and scarce evidence-based guidelines. METHOD The need for increased knowledge and peer support led to the development of a group of UK paediatric dentists with a special clinical interest in the management of children with AI and DI. PURPOSE The aims of this paper are to describe the establishment of an AI/DI Clinical Excellence Network (AI/DI CEN) in paediatric dentistry including outputs and future plans, and to share our collective learning to help support others anywhere in the world advance the care of people with AI or DI.
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Affiliation(s)
- J Monteiro
- Sheffield Teaching Hospitals, University of Sheffield, Sheffield, UK.
| | - R Balmer
- School of Dentistry, The University of Leeds, Leeds, UK
| | | | - A Lyne
- RNENTEDH, University College London Hospitals, London, UK
| | - A Mighell
- School of Dentistry, The University of Leeds, Leeds, UK
| | | | - S Parekh
- UCL Eastman Dental Institute, London, UK
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3
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Sinada N, Wang CI. Fixed prosthodontic rehabilitation with a fully digital workflow for a teenage patient with amelogenesis imperfecta: A 2-year follow-up. J Prosthet Dent 2024; 131:1-6. [PMID: 35473905 DOI: 10.1016/j.prosdent.2022.02.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 02/20/2022] [Accepted: 02/21/2022] [Indexed: 11/21/2022]
Abstract
Amelogenesis imperfecta is a hereditary disorder that affects the enamel formation of the primary and permanent dentition and has significant consequences because hypersensitivity causes difficulty with oral hygiene, function, self-esteem, and quality of life. Patients diagnosed with amelogenesis imperfecta often require extensive treatment, often at an early age. Prosthodontic intervention of adolescent patients with amelogenesis imperfecta presents specific clinical challenges. This clinical report describes the fixed prosthodontic rehabilitation of a teenage patient with amelogenesis imperfecta by using a fully digital workflow throughout the treatment process, which facilitated functional, biomechanical, esthetic, and sociopsychological improvements.
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Limones A, Celemín-Viñuela A, Romeo-Rubio M, Castillo-Oyagüe R, Gómez-Polo M, Martínez Vázquez de Parga JA. Outcome measurements and quality of randomized controlled clinical trials of tooth-supported fixed dental prostheses: A systematic review and qualitative analysis. J Prosthet Dent 2022:S0022-3913(22)00282-7. [PMID: 36109260 DOI: 10.1016/j.prosdent.2022.04.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 04/25/2022] [Accepted: 04/26/2022] [Indexed: 11/16/2022]
Abstract
STATEMENT OF PROBLEM The lack of consensus regarding a standardized set of outcome measurements and noncompliance with current reporting guidelines in clinical trials of tooth-supported fixed dental prostheses (FDPs) hamper interstudy comparability, compromise scientific evidence, and waste research effort and resources in prosthetic dentistry. PURPOSE The primary objective of this systematic review was to identify all primary and secondary outcome measurements assessed in randomized controlled trials (RCTs) of tooth-supported FDPs. Secondary objectives were to assess their methodological quality by using the Cochrane Collaboration's risk of bias tool (RoB, v2.0) and their reporting quality by means of a standardized 16-item CONSORT assessment tool through published reports. MATERIAL AND METHODS An electronic search was conducted in MEDLINE, EMBASE, and Cochrane library to identify all RCT-related articles published in the past 10 years. Differences in RoB were tested with the Pearson chi-square test, and those in CONSORT score with the Student t test. RESULTS A total of 64 RCTs from 79 publications were deemed eligible. The diversity of outcome measures used in the field is apparent. Twenty percent of the included studies had a low RoB, 79% showed some concerns, and 1% had a high RoB. The mean ±standard deviation CONSORT compliance score was 22.56 ±3.17. Trials adhered to the CONSORT statement reported lower RoB than those that did not adhere (P<.001). RCTs with a low RoB reported more comprehensive adherence to CONSORT guidelines than those with some concerns (MD 4 [95% CI 1.52-6.48]; P=.004). CONCLUSIONS A standardized core outcome reporting set in clinical research on tooth-supported FDPs remains evident. Adherence to the CONSORT statement continues to be low, with some RoB concerns that can be improved.
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Affiliation(s)
- Alvaro Limones
- Student, Assistant Professor, Department of Conservative & Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid (UCM), Madrid, Spain.
| | - Alicia Celemín-Viñuela
- Professor, Department of Conservative & Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid (UCM), Madrid, Spain
| | - Marta Romeo-Rubio
- Professor, Department of Conservative & Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid (UCM), Madrid, Spain
| | - Raquel Castillo-Oyagüe
- Cathedratic Professor, Department of Conservative & Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid (UCM), Madrid, Spain
| | - Miguel Gómez-Polo
- Professor, Department of Conservative & Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid (UCM), Madrid, Spain
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5
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Farao W, Roomaney IA. Managing vertical dimensions in patients with Amelogenesis Imperfecta: A case report. Clin Case Rep 2022; 10:e6135. [PMID: 36017113 PMCID: PMC9393875 DOI: 10.1002/ccr3.6135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 06/29/2022] [Accepted: 07/05/2022] [Indexed: 11/12/2022] Open
Affiliation(s)
- Warren Farao
- Department of Conservative Dentistry, Faculty of Dentistry University of Western Cape Cape Town South Africa
| | - Imaan A. Roomaney
- Department of Craniofacial Biology, Faculty of Dentistry University of Western Cape Cape Town South Africa
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Singh SK, Goyal A, Gauba K, Bhandari S, Kaur S. Full coverage crowns for rehabilitation of MIH affected molars: 24 month randomized clinical trial. Eur Arch Paediatr Dent 2022; 23:147-158. [PMID: 34398412 DOI: 10.1007/s40368-021-00657-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 08/09/2021] [Indexed: 12/16/2022]
Abstract
BACKGROUND Teeth affected with severe molar incisor hypomineralization (MIH) require extensive restorations, which do not last for a long time and often require treatment in the form of onlays or full coverage restorations. AIM To evaluate and compare the clinical performance of zirconia, lithium disilicate, and cast metal crowns as full-coverage restorations on MIH-affected first permanent molars (FPMs). METHODS 60 MIH affected FPMs requiring full-coverage crowns were identified in children aged 8-15 years and were randomly allocated to the three treatment groups according to the type of full coverage restoration received using block randomization technique. After an adequate removal of the MIH defect and restoration with composite resin, the tooth preparation was done followed by fabrication of crown and its cementation using resin cement. The intergroup comparison was done on the basis of USPHS criteria, gingival, plaque scores, patient and parents acceptance through a visual analog scale to decipher their clinical performance at 6, 12, 24 months. RESULTS After 24 months, the crowns showed similar clinical success in terms of the criterias used to compare their clinical performance. The retention, marginal adaptation, relief from hypersensitivity, proximal contact, gingival health with no statistically significant difference among the three groups. CONCLUSION Based on the observations, Lithium disilicate, Zirconia and full cast metal crowns showed similar clinical success in rehabilitation of First permanent molars with severe MIH over 24 months of evaluation. The clinical success is not influenced by the material of the restoration. However, prospective studies with a longer follow-up are required to reach a more definitive conclusion.
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Affiliation(s)
- S K Singh
- Oral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | - A Goyal
- Oral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - K Gauba
- Oral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - S Bhandari
- Oral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - S Kaur
- Oral Health Sciences Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Hosney S, Ercoli C, Dilbone D, Carranza MG, Chochlidakis K. Esthetic and Functional Rehabilitation of an Adolescent Patient with Severe Dental Fluorosis: A Clinical Report. J Prosthodont 2021; 31:96-101. [PMID: 34825418 DOI: 10.1111/jopr.13453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/02/2021] [Indexed: 10/19/2022] Open
Abstract
Dental fluorosis is a developmental defect affecting amelogenesis. It presents clinically in different forms depending on the concentration, duration, and time of exposure to fluoride. Several therapeutic modalities have been described to manage mild and moderate forms of dental fluorosis; however, limited literature is available on the restorative management of severe forms of dental fluorosis, specifically in young individuals. This clinical report describes a complete prosthodontic rehabilitation of an adolescent patient with severe dental fluorosis affecting his permanent dentition. The patient was treated with a combination of monolithic, minimally-veneered zirconia crowns and direct composite resins. At the 1-year follow-up appointment, there were no complications, and both the patient's oral health and the integrity of the restorations remained stable.
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Affiliation(s)
- Sherif Hosney
- Division of Prosthodontics, Department of Restorative Dental Sciences, University of Florida College of Dentistry, Gainesville, FL
| | - Carlo Ercoli
- Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
| | - Deborah Dilbone
- Department of Restorative Dental Sciences, University of Florida College of Dentistry, Gainesville, FL
| | - Maria Gabriela Carranza
- Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
| | - Konstantinos Chochlidakis
- Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY
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Pousette Lundgren G, Davidson T, Dahllöf G. Cost analysis of prosthetic rehabilitation in young patients with Amelogenesis imperfecta. J Dent 2021; 115:103850. [PMID: 34656659 DOI: 10.1016/j.jdent.2021.103850] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 10/01/2021] [Accepted: 10/07/2021] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVES Children and adolescents with amelogenesis imperfecta (AI) have extensive treatment needs, but costs have not been explored previously. We calculated the costs of prosthetic rehabilitation and analyzed whether costs of treatment begun in early adolescence are lower compared with in early adulthood. METHODS Data from the dental records of 25 patients with AI and 25 age- and sex-matched controls were analyzed. Patients were followed for a mean period of 12.3 ± 1.5 years. Number of dental visits, dental treatment costs, and indirect costs were calculated during three time periods, before, during and after prosthetic therapy. Swedish national reference prices for general and specialist dental care were used. RESULTS The mean number of visits was significantly higher in the AI group: 43.3 ± 19.7 (controls: 17.5 ± 19.8; p < .001). Mean total costs were 8.5 times higher for patients with AI: €16,257 ± 5,595 (controls: €1,904 ± 993). Mean number of crowns made in patients with AI was 12 ± 7 (range 1 - 31). Indirect costs were significantly higher in the AI group and constituted 22% of the total costs. After crown therapy, costs between groups ceased to differ significantly. Calculations of total costs in the hypothetical scenario (discount rate at 3% annually) were €18,475 for prosthetic rehabilitation began at age 12 years compared with €20,227 if treatment began at 20 years of age. CONCLUSIONS Prosthetic rehabilitation costs for children and adolescents with AI can be high. Early crown therapy is associated with lower costs and a lower number of dental visits. CLINICAL IMPLICATIONS Early crown therapy in children and adolescents with severe AI is a cost-reducing treatment associated with few complications and reduced need of dental care during adolescence compared with treatment begun at age 20.
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Affiliation(s)
- Gunilla Pousette Lundgren
- Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
| | - Thomas Davidson
- Division of Health Care Analysis, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
| | - Göran Dahllöf
- Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden; Center for Oral Health Services and Research, Mid-Norway, TkMidt, Trondheim, Norway
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9
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Restorative Treatment of Amelogenesis Imperfecta with Prefabricated Composite Veneers. Case Rep Dent 2021; 2021:3192882. [PMID: 34394996 PMCID: PMC8355976 DOI: 10.1155/2021/3192882] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 07/14/2021] [Accepted: 07/24/2021] [Indexed: 12/05/2022] Open
Abstract
This case report presents the use of prefabricated composite veneers for restorative treatment of amelogenesis imperfecta (AI). This technique bridges the gap between a conventional direct technique and a conventional indirect technique and introduces an alternative semidirect restorative technique for AI patients. The aim of this case report is to describe restoration of a young girl with severe AI using prefabricated composite veneers and to discuss the benefits and limitations of this technique compared to the alternative restorative techniques.
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10
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Watson E, Eason B, Kreher M, Glogauer M. The DMFS160: A new index for measuring post-radiation caries. Oral Oncol 2020; 108:104823. [PMID: 32521312 DOI: 10.1016/j.oraloncology.2020.104823] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 05/17/2020] [Accepted: 05/24/2020] [Indexed: 12/14/2022]
Abstract
The current systems used to measure post-radiation caries underestimate the severity of the disease by failing to account for the unique spread of post-radiation caries, including incisal-edge and cusp tip decay, enamel delamination and crown amputation. A novel and clinically applicable index to measure post-radiation caries is proposed. The DMFS160 index counts 5 surfaces per tooth, accounting for incisal-edge caries, and is broken down into missing surfaces and decayed/filled surfaces. A staging and grading system is used to capture enamel delamination and crown amputation. The staging and grading provides a clinically-relevant measure at the whole-mouth level and is paired with evidence-based treatment strategies. In this paper the DMFS160 index is applied to three cases and compared to the DMFS index, demonstrating the improved accuracy of the DMFS160 index in measuring the extent of post-radiation caries.
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Affiliation(s)
- Erin Watson
- Princess Margaret Cancer Centre, 610 University Avenue, Room 2-933, Toronto, Ontario M5G2M9, Canada.
| | - Brady Eason
- Princess Margaret Cancer Centre, 610 University Avenue, Room 2-933, Toronto, Ontario M5G2M9, Canada.
| | - Matthew Kreher
- Princess Margaret Cancer Centre, 610 University Avenue, Room 2-933, Toronto, Ontario M5G2M9, Canada.
| | - Michael Glogauer
- Princess Margaret Cancer Centre, 610 University Avenue, Room 2-933, Toronto, Ontario M5G2M9, Canada; University of Toronto, Faculty of Dentistry, 101 Elm Street, Toronto, Ontario M5G2L3, Canada.
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11
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Nazeer MR, Ghafoor R, Zafar K, Khan FR. Full mouth functional and aesthetic rehabilitation of a patient affected with hypoplastic type of amelogenesis imperfecta. J Clin Exp Dent 2020; 12:e310-e316. [PMID: 32190203 PMCID: PMC7071539 DOI: 10.4317/jced.56217] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 10/07/2019] [Indexed: 11/06/2022] Open
Abstract
The management of Amelogenesis imperfecta often poses a challenge for the dentists. It not only includes aesthetic and functional rehabilitation of the patient, but also requires a positive rapport building with the patient due to psychosocial issues. The treatment plan is driven by patient demands, age, cost-affordability, severity of the disease and the presenting condition. The present case report elucidates step by step management of a 20 year-old female who presented with generalized hypersensitivity, intermittent pain associated with multiple decayed posterior teeth, poor dental aesthetics and anterior deep bite. The management consisted of endodontic treatments in all teeth, crown lengthening to gain ferrule in some teeth, provision of provisional bridges at an increased vertical dimension for six weeks followed by full mouth all ceramic crowns on all teeth. The prosthetic management aimed at reorganized occlusal scheme. There was a significant improvement in the aesthetics, deep bite, and along with correction of the vertical dimension of occlusion. Key words:Amelogenesis imperfecta, hypoplastic enamel, mouth rehabilitation, dental esthetics.
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Affiliation(s)
- Muhammad-Rizwan Nazeer
- BDS, FCPS, Senior registrar in Operative Dentistry at the Baharia University Medical and Dental College, Karachi, Pakistan
| | - Robia Ghafoor
- BDS, FCPS, Consultant in Operative Dentistry at the Aga Khan University Hospital, Karachi, Pakistan
| | - Kamil Zafar
- BDS, Instructor in Operative Dentistry at the Aga Khan University Hospital, Karachi, Pakistan
| | - Farhan-Raza Khan
- BDS, MCPS, FCPS, and M.Sc., Consultant in Operative Dentistry at the Aga Khan University Hospital, Karachi, Pakistan
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12
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Ohrvik HG, Hjortsjö C. Retrospective study of patients with amelogenesis imperfecta treated with different bonded restoration techniques. Clin Exp Dent Res 2019; 6:16-23. [PMID: 32067400 PMCID: PMC7025981 DOI: 10.1002/cre2.243] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 08/09/2019] [Accepted: 08/09/2019] [Indexed: 12/03/2022] Open
Abstract
Objective The aim of this retrospective study was to evaluate clinical success and satisfaction of patients with amelogenesis imperfecta treated with three different types of bonded restorations at a university clinic. Materials and Methods One hundred fifty‐four restorations in 15 subjects with mean age of 17.3 years (SD 8.2) were evaluated after treatment with three different types of bonded restorations: all ceramic enamel‐dentin bonded restorations, prefabricated composite veneers, and direct composite resin restorations. A modified version of the Californian Dental Association system for quality evaluation of dental care and a questionnaire assessing patient satisfaction were used for classification. The restorations were evaluated with respect to patient satisfaction, esthetics, technical, and biological complications. Results Mean observation period for the restorations was 42.5 months (SD 35.6). All restorations were in place at the time of the examination. Surface and color calibration showed a success of 95% for the ceramic enamel‐dentin bonded restorations, 44% for the direct composite resin restorations, and 0% for the prefabricated composite veneers. The same pattern was evident for anatomy and marginal integrity. The subjects reported a high degree of satisfaction with both the esthetics and function of their restorations. Conclusion The results indicated that all ceramic restorations demonstrated the best results for patients with amelogenesis imperfecta.
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Affiliation(s)
- Hanne G Ohrvik
- Department of Prosthetic Dentistry and Oral Function, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Carl Hjortsjö
- Department of Prosthetic Dentistry and Oral Function, Faculty of Dentistry, University of Oslo, Oslo, Norway
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13
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Adorno-Farias D, Ortega-Pinto A, Gajardo P, Salazar A, Morales-Bozo I, Werlinger F, Rojas-Flores S, Molina-Berríos A, Echeverría-López S, Jara-Sandoval J, Jara L, Urzúa B. Diversity of clinical, radiographic and genealogical findings in 41 families with amelogenesis imperfecta. J Appl Oral Sci 2019; 27:e20180359. [PMID: 30970114 PMCID: PMC6442841 DOI: 10.1590/1678-7757-2018-0359] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2018] [Accepted: 10/14/2018] [Indexed: 04/01/2023] Open
Abstract
Amelogenesis imperfecta (AI) is a group of enamel development disorders that alter the structure and chemical composition of the tissue. There is great variability in the clinical presentation; according to Witkop, AI can be categorized into 14 subtypes, which makes its diagnosis extremely complex. OBJECTIVE This study aimed to describe and determine the frequency of clinical and radiographic features and inheritance patterns found in 41 Chilean families diagnosed with diverse types of AI. MATERIAL AND METHODS We analyzed the clinical records, photographs, pedigrees and radiographs of 121 individuals recruited between 2003 and 2016. All of the information was included in a database that was analyzed using the application Stata 14. RESULTS The 72 affected individuals had average age of 16 years, and no sex association with the presence of AI was found. The most frequent clinical subtypes were as follows: 43% hypomature, 25% hypoplastic, 21% hypomature/hypoplastic, 7% hypocalcified and 4% hypocalcified/hypoplastic. The number of severely affected teeth was 22, which occurred in the patients with hypocalcified and hypocalcified/hypoplasic AI who presented the highest number of damaged teeth. Caries and periodontal disease were found in 47 and 32% of the patients, respectively. Malocclusions were observed in 43% of the individuals with AI, with open bite being the most frequent. Radiographically, the thickness of the enamel decreased in 51% of the patients, and 80% showed decreased radiopacity of the enamel compared to that of dentin. Autosomal dominant inheritance pattern was found in 37% of the families with hypoplastic AI, and autosomal recessive pattern was present in 56% of the other clinical subtypes, but more frequently in those affected with hypomature and hypocalcified AI. CONCLUSION Of the five clinical subtypes, autosomal recessive hypomature, autosomal dominant hypoplastic and autosomal recessive hypomature/hypoplastic AI were the most prevalent subtypes in this group.
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Affiliation(s)
- Daniela Adorno-Farias
- Universidad de Chile, Facultad de Odontología, Departamento de Patología y Medicina Oral, Santiago, Chile.,U-Odontología: Red de Investigación en Enfermedades Orales Complejas, Santiago, Chile
| | - Ana Ortega-Pinto
- Universidad de Chile, Facultad de Odontología, Departamento de Patología y Medicina Oral, Santiago, Chile.,U-Odontología: Red de Investigación en Enfermedades Orales Complejas, Santiago, Chile
| | - Paulina Gajardo
- Universidad de Chile, Facultad de Odontología, Santiago, Chile
| | - Ana Salazar
- Universidad de Chile, Facultad de Odontología, Programa de Magister en Ciencias Odontológicas, Santiago, Chile
| | - Irene Morales-Bozo
- Universidad de Chile, Facultad de Odontología, Instituto de Investigación en Ciencias Odontológicas, Santiago, Chile
| | - Fabiola Werlinger
- Universidad de Chile, Facultad de Odontología, Instituto de Investigación en Ciencias Odontológicas, Santiago, Chile
| | - Sandra Rojas-Flores
- Universidad de Chile, Facultad de Odontología, Departamento del Niño y Ortopedia Dentomaxilar, Santiago, Chile
| | - Alfredo Molina-Berríos
- Universidad de Chile, Facultad de Odontología, Instituto de Investigación en Ciencias Odontológicas, Santiago, Chile.,U-Odontología: Red de Investigación en Enfermedades Orales Complejas, Santiago, Chile
| | - Sonia Echeverría-López
- Universidad de Chile, Facultad de Odontología, Departamento del Niño y Ortopedia Dentomaxilar, Santiago, Chile
| | - José Jara-Sandoval
- Universidad de Chile, Facultad de Odontología, Instituto de Investigación en Ciencias Odontológicas, Santiago, Chile.,U-Odontología: Red de Investigación en Enfermedades Orales Complejas, Santiago, Chile
| | - Lilian Jara
- Universidad de Chile, Facultad de Medicina, Instituto de Ciencias Biomédicas, Santiago, Chile.,U-Odontología: Red de Investigación en Enfermedades Orales Complejas, Santiago, Chile
| | - Blanca Urzúa
- Universidad de Chile, Facultad de Odontología, Instituto de Investigación en Ciencias Odontológicas, Santiago, Chile.,U-Odontología: Red de Investigación en Enfermedades Orales Complejas, Santiago, Chile
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14
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Lundgren GP, Vestlund GIM, Dahllöf G. Crown therapy in young individuals with amelogenesis imperfecta: Long term follow-up of a randomized controlled trial. J Dent 2018; 76:102-108. [DOI: 10.1016/j.jdent.2018.06.020] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Revised: 06/23/2018] [Accepted: 06/27/2018] [Indexed: 12/30/2022] Open
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15
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Ergun G, Ataol AS. An Interdisciplinary Approach for Hypoplastic Amelogenesis Imperfecta: A Case Report. Open Dent J 2018; 12:466-475. [PMID: 29988328 PMCID: PMC6018135 DOI: 10.2174/1874210601812010466] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 05/20/2018] [Accepted: 05/24/2018] [Indexed: 11/22/2022] Open
Abstract
Introduction:
Generally, the appropriate rehabilitation concepts of patients with Amelogenesis Imperfecta (AI) should include a multidisciplinary treatment approach.
Case Report:
This case report describes full mouth rehabilitation of a patient with AI. A 20 years old woman was referred to our clinic with a chief complaint of tooth discoloration, diastema, unsatisfactory esthetics and slight tooth sensitivity. Clinical, histological and radiographic examination revealed hypoplastic AI. Short crowns, diastema, occlusal wear with exposed dentin in the posterior areas, the lack of contact points, dental caries and discoloration were the other clinical findings.
Results:
As a result of the periodontal and prosthetic evaluation, gingivectomy and ostectomy were planned, and they followed a full mouth fixed prosthetic restoration.
Conclusion:
There was no complication or complaint in a 3-year follow-up. At the end of this follow-up period, the patient was satisfied with esthetics, function and phonation properties of her prostheses.
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16
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Toupenay S, Fournier BP, Manière MC, Ifi-Naulin C, Berdal A, de La Dure-Molla M. Amelogenesis imperfecta: therapeutic strategy from primary to permanent dentition across case reports. BMC Oral Health 2018; 18:108. [PMID: 29907114 PMCID: PMC6003150 DOI: 10.1186/s12903-018-0554-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Accepted: 05/22/2018] [Indexed: 11/10/2022] Open
Abstract
Background Hereditary enamel defect diseases are regrouped under the name “Amelogenesis Imperfecta” (AIH). Both dentitions are affected. Clinical expression is heterogeneous and varies between patients. Mutations responsible for this multigene disease may alter various genes and the inheritance can be either autosomal dominant or recessive, or X-linked. Until now, no therapeutic consensus has emerged for this rare disease. Case presentation The purpose of this article was to report treatments of AIH patients from childhood to early adulthood. Treatment of three patients of 3, 8 16 years old are described. Each therapeutic option was discussed according to patients’ age and type of enamel alteration. Paediatric crowns and resin based bonding must be preferred in primary teeth. In permanent teeth, non-invasive or minimally invasive dentistry should be the first choice in order to follow a therapeutic gradient from the less invasive options to prosthodontic treatments. Conclusion Functional and aesthetic issues require patients to be treated; this clinical care should be provided as early as possible to enable a harmonious growth of the maxillofacial complex and to prevent pain.
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Affiliation(s)
- Steve Toupenay
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France
| | - Benjamin Philippe Fournier
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France.,UFR d'Odontologie, Université Paris-Diderot, F-75006, Paris, France.,Université Paris-Descartes, F-75006, Paris, France.,Université Pierre et Marie Curie-Paris, F-75006, Paris, France.,Centre de Recherche des Cordeliers, INSERM UMRS 1138, Laboratory of Molecular Oral Pathophysiology, F-75006, Paris, France
| | - Marie-Cécile Manière
- Hôpitaux Universitaires de Strasbourg, Pôle de Médecine et Chirurgie Bucco-Dentaires, Centre de Référence des Maladies Rares Orales et Dentaires, CRMR O-Rares, Strasbourg, France.,Faculté de Chirurgie Dentaire, Université de Strasbourg, Strasbourg, France
| | - Chantal Ifi-Naulin
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France
| | - Ariane Berdal
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France.,UFR d'Odontologie, Université Paris-Diderot, F-75006, Paris, France.,Université Paris-Descartes, F-75006, Paris, France.,Université Pierre et Marie Curie-Paris, F-75006, Paris, France.,Centre de Recherche des Cordeliers, INSERM UMRS 1138, Laboratory of Molecular Oral Pathophysiology, F-75006, Paris, France
| | - Muriel de La Dure-Molla
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France. .,Université Pierre et Marie Curie-Paris, F-75006, Paris, France. .,INSERM UMR_S1163 Bases moléculaires et physiopathologiques des ostéochondrodysplasies, Institut Imagine, Necker, Paris, France. .,Odontology Department, Rothschild Hospital, 5 rue Santerre, 75012, Paris, France.
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17
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Strauch S, Hahnel S. Restorative Treatment in Patients with Amelogenesis Imperfecta: A Review. J Prosthodont 2018; 27:618-623. [PMID: 29377372 DOI: 10.1111/jopr.12736] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2017] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To summarize the contemporary scientific evidence available regarding restorative dental treatment in patients with Amelogenesis imperfecta (AI). METHODS An electronic literature search was conducted using the search term "Amelogenesis imperfecta" and the PubMed/MEDLINE database as well as Google Scholar. Prospective and retrospective clinical studies that investigated the outcome of direct and/or indirect dental restorative treatment in patients with AI, were published in English, and had an observation time of at least 1 year were included in this review. The articles identified were screened and analyzed by two reviewers according to inclusion and exclusion criteria in three review rounds. RESULTS Six prospective or retrospective clinical studies analyzing longevity and complications associated with dental restorative treatment in patients with AI met the inclusion criteria. Extracted data suggest that in patients with AI, indirect restorations feature superior predictability and longevity than direct restorations. CONCLUSIONS As endodontic complications were infrequently observed and periodontal parameters regularly improve with the insertion of indirect restorations, dental treatment in patients with AI should focus on indirect restorations as soon as possible. While adhesive bonding techniques to enamel surfaces in patients with AI feature merely limited predictability and longevity and as the available data is scarce, further laboratory and clinical studies should be performed to investigate the performance of minimally invasive indirect restorations bonded to enamel in patients with AI. RECOMMENDATION Scientific evidence indicates that indirect restorations should be preferred over direct restorations in patients with AI.
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Affiliation(s)
- Susanne Strauch
- Department of Prosthetic Dentistry, Regensburg University Medical Center, Regensburg, Germany
| | - Sebastian Hahnel
- Department of Prosthetic Dentistry, Regensburg University Medical Center, Regensburg, Germany
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18
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Amelogenesis imperfecta: review of diagnostic findings and treatment concepts. Odontology 2016; 104:245-56. [DOI: 10.1007/s10266-016-0266-1] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Accepted: 07/25/2016] [Indexed: 10/21/2022]
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19
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Pousette Lundgren G, Wickström A, Hasselblad T, Dahllöf G. Amelogenesis Imperfecta and Early Restorative Crown Therapy: An Interview Study with Adolescents and Young Adults on Their Experiences. PLoS One 2016; 11:e0156879. [PMID: 27359125 PMCID: PMC4928800 DOI: 10.1371/journal.pone.0156879] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2016] [Accepted: 05/21/2016] [Indexed: 11/19/2022] Open
Abstract
Patients with Amelogenesis imperfecta (AI) can present with rapid tooth loss or fractures of enamel as well as alterations in enamel thickness, color, and shape; factors that may compromise aesthetic appearance and masticatory function. The aim was to explore the experiences and perceptions of adolescents and young adults living with AI and receiving early prosthetic therapy. Seven patients with severe AI aged 16 to 23 years who underwent porcelain crown therapy participated in one-to-one individual interviews. The interviews followed a topic guide consisting of open-ended questions related to experiences of having AI. Transcripts from the interviews were analyzed using thematic analysis. The analysis process identified three main themes: Disturbances in daily life, Managing disturbances, and Normalization of daily life. These themes explain the experiences of patients living with enamel disturbances caused by AI and receiving early crown therapy. Experiences include severe pain and sensitivity problems, feelings of embarrassment, and dealing with dental staff that lack knowledge and understanding of their condition. The patients described ways to manage their disturbances and to reduce pain when eating or drinking, and strategies for meeting other people. After definitive treatment with porcelain crown therapy, they described feeling like a normal patient. In conclusion the results showed that adolescents and young adults describe a profound effect of AI on several aspects of their daily life.
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Affiliation(s)
- Gunilla Pousette Lundgren
- Department of Dental Medicine, Division of Pediatric Dentistry, Karolinska Institutet, Stockholm, Sweden
- Center for Pediatric Oral Health Research, Stockholm, Sweden
- Department of Pediatric Dentistry, Public Dental Service, Dalarna County, Falun, Sweden
- * E-mail:
| | - Anette Wickström
- Department of Thematic Studies, Child Studies, Linköping University, Linköping, Sweden
| | - Tove Hasselblad
- Department of Dental Medicine, Division of Pediatric Dentistry, Karolinska Institutet, Stockholm, Sweden
- Center for Pediatric Oral Health Research, Stockholm, Sweden
| | - Göran Dahllöf
- Department of Dental Medicine, Division of Pediatric Dentistry, Karolinska Institutet, Stockholm, Sweden
- Center for Pediatric Oral Health Research, Stockholm, Sweden
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20
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Pousette Lundgren G, Karsten A, Dahllöf G. Oral health-related quality of life before and after crown therapy in young patients with amelogenesis imperfecta. Health Qual Life Outcomes 2015; 13:197. [PMID: 26651486 PMCID: PMC4676094 DOI: 10.1186/s12955-015-0393-3] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Accepted: 12/01/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Amelogenesis imperfecta (AI) is a rare, genetically determined defect in enamel mineralization associated with poor esthetics and dental sensitivity. Because the condition is associated with negative social outcomes, this study evaluated oral health-related quality of life (OHRQoL), dental fear, and dental beliefs before and after early prosthetic crown therapy for AI during adolescence. METHODS The study included 69 patients with AI, aged 6-25 yr: 33 males and 36 females (mean age 14.5 ± 4.3); healthy controls (n = 80), patients with cleft lip and palate (CLP; n = 30), and patients with molar incisor hypomineralization (MIH; n = 39). All matched in age and gender, and all but the CLP group insocioeconomic area. Patients completed three questionnaires measuring OHRQoL (OHIP-14), dental fear (CFSS-DS), and dental beliefs (DBS-R). Twenty-six patients with severe AI between ages 9 and 22 yr received crown therapy and completed the questionnaires twice: before and after therapy. RESULTS OHIP-14 scores were significantly higher among patients with AI (7.0 ± 6.7), MIH (6.8 ± 7.6) and CLP (13.6 ± 12.1) than healthy controls (1.4 ± 2.4) (p < 0.001). After crown therapy, quality of life problems in the 26 patients with severe AI decreased significantly, from 7.8 ± 6.1 to 3.0 ± 4.8 (p < 0.001). Early prosthetic therapy did not increase dental fear or negative attitudes toward dental treatment. CONCLUSIONS OHRQoL increased after early crown therapy in patients with severe AI. Therapy did not increase dental fear or negative attitudes toward dental treatment.
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Affiliation(s)
- Gunilla Pousette Lundgren
- Department of Dental Medicine, Division of Pediatric Dentistry, Karolinska Institutet, POB 4064, SE-141 04, Huddinge, Stockholm, Sweden. .,Department of Pediatric Dentistry, Public Dental Service, Dalarna County, Falun, Sweden.
| | - Agneta Karsten
- Department of Dental Medicine, Division of Orthodontics, Karolinska Institutet, Stockholm, Sweden
| | - Göran Dahllöf
- Department of Dental Medicine, Division of Pediatric Dentistry, Karolinska Institutet, POB 4064, SE-141 04, Huddinge, Stockholm, Sweden
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