What is amelogenesis imperfecta?
Amelogenesis imperfecta is a group of rare genetic conditions in which the outer layer of the teeth (enamel) fails to develop properly. People with amelogenesis imperfecta will have small, yellow, or brown teeth that are very prone to damage and breakage
The main symptom of amelogenesis imperfecta is defective enamel. This occurs in both baby teeth and adult permanent teeth. In general, symptoms include:
• smaller-than-normal teeth
• yellow or brown discoloration of the teeth
• teeth that are prone to damage and breakage
• sensitive teeth
• open bite malocclusion
The exact characteristics of the enamel depends on the type of amelogenesis imperfecta:
my clinical case :7 years old boySuffering from amelogenesis imperfecta in most permanen
How is amelogenesis imperfecta treated?At the moment, there is no standard treatment for amelogenesis imperfecta. Treatment depends on the type and severity of the condition. Your dentist will have to also take into consideration your age, the overall condition of your teeth, and the treatments you can afford.Some examples of treatment options include:BondingIn tooth bonding, high-density, modern plastics called composite resins or porcelain veneers are attached to teeth to fill in gaps. Bonding procedures are often used for people with hypoplastic amelogenesis imperfecta because their teeth are usually hard enough to hold on to the bond.Full crown restorationA crown is a tooth-shaped cap that is placed over an existing tooth. It helps restore that tooth’s shape and size.In the hypocalcified and hypomaturation types, the enamel is usually too weak to hold on to bonded restorations. So crowns are one of the most durable and predictable options for restoring these teeth. Crowns can also help prevent or eliminate tooth decay.Temporary crowns of gold, porcelain, or stainless steel can be created for children or adolescents with the condition. Permanent crowns are often delayed by dentists until early adulthood, when all the teeth are present and stable.Orthodontic treatmentPeople with amelogenesis often need orthodontic treatment, such as braces or appliances. The goal isn’t necessarily to make the teeth perfectly straight, but rather to get the teeth in a better position for restorations.Good dental hygieneBefore any restorative treatment can be done, it’s important to have optimal dental health. Bleeding or inflamed gums (gingivitis) makes placement of bonded restorations extremely difficult. Excellent oral hygiene at home is crucial.If you have painful sensitivity to heat and cold, you can use a desensitizing toothpaste.Visiting a dentist on a regular schedule to have a professional cleaning is also very important.Low-sugar dietSimilar to good dental hygiene, diets that are low in sugar can help prevent cavities and gum disease, promoting healthy teethJust discolouration removal and i can’t smoothening the preparation to prevent pulp exposure to receive the filling restoration
Selective etching
Bonding and building
Resin coating on dentin and to block the irregularity
