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Case Reports in Dentistry
Volume 2014, Article ID 127175, 5 pages
http://dx.doi.org/10.1155/2014/127175
Case Report

Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

1Graduate Program in Dentistry, School of Dentistry, Positivo University, Rua Professor Pedro Viriato Parigot de Souza, 5300 Curitiba, PR, Brazil
2Department of Pediatric Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista, UNESP, Araraquara, SP, Brazil
3Master’s Program in Dentistry, CEUMA University, UNICEUMA, São Luís, MA, Brazil
4Department of Restorative Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista, UNESP, Araraquara, SP, Brazil

Received 13 March 2014; Accepted 17 June 2014; Published 2 July 2014

Academic Editor: Anut Itthagarun

Copyright © 2014 Juliana Feltrin de Souza et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth. Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed . Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.