ABSTRACT
This paper considers the role of the restorative dentist in the interdisciplinary management of patients with amelogenesis imperfecta. General restorative considerations as well as the techniques available are reviewed. Two clinical cases are described to illustrate this.
Subject(s)
Amelogenesis Imperfecta/therapy , Dental Restoration, Permanent/methods , Patient Care Planning , Tooth Discoloration/therapy , Adult , Composite Resins , Crowns , Dental Veneers , Female , Humans , Male , Young AdultABSTRACT
A diagnosis of amelogenesis imperfecta can present challenges for patient and clinician alike. This can be further complicated in a child due to cooperation and the ever-changing dentition. This paper looks at the ideals for management at various stages of the developing dentition but also considers the compromises which may have to be made depending on the child's ability to cope. The importance of early diagnosis, prevention and the benefits of a multi disciplinary approach are also discussed.
Subject(s)
Amelogenesis Imperfecta/therapy , Dentition, Mixed , Pediatric Dentistry/methods , Tooth, Deciduous , Amelogenesis Imperfecta/diagnostic imaging , Child , Dental Anxiety , Humans , Oral Health/education , Radiography , Tooth/diagnostic imagingABSTRACT
Orthodontics in patients with amelogenesis imperfecta can be complicated by commonly occurring dental features in this group as well as patient factors. In this article we examine ways to avoid the common pitfalls of orthodontic management and the importance of adequate and timely liaison between the general dental practitioner and the multidisciplinary team.
Subject(s)
Amelogenesis Imperfecta , Dental Restoration, Permanent , Orthodontics, Corrective/methods , Amelogenesis Imperfecta/complications , Amelogenesis Imperfecta/physiopathology , Amelogenesis Imperfecta/therapy , Humans , Patient ComplianceABSTRACT
Amelogenesis imperfecta (AI) is an inherited disorder that is associated with mutations in five genes (AMEL; ENAM; MMP20; KLK4 and FAM83H) with a wide range of clinical presentations (phenotypes). It affects the structure and appearance of enamel of all teeth, both in the primary and secondary dentition. In this review paper, we look at the epidemiology, classification, aetiology, clinical description and diagnosis of AI. In the following three papers of this series, we aim to describe the role of paediatric dentists, orthodontists and restorative dentists in the clinical management of patients with AI.
Subject(s)
Amelogenesis Imperfecta , Dental Enamel/physiopathology , Amelogenesis Imperfecta/classification , Amelogenesis Imperfecta/diagnosis , Amelogenesis Imperfecta/genetics , Dental Enamel Proteins/genetics , Dental Enamel Proteins/metabolism , Humans , PhenotypeABSTRACT
Changes within the dental profession have led to a possible need for mentoring and consideration is given in this paper to different structures for possible implementation of mentoring schemes. Further information is needed to determine whether or not mentoring may play a useful role in dentistry in general and in orthodontic specialist training in particular.