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Volume 8 Issue 8 (August, 2020)

Case Reports

Esthetic Rehabilitation of a patient with Amelogenesis Imperfecta- An innovative approach
Nayana Paul, Sumit Kumar Roy

Amelogenesis imperfecta is a term commonly used for a clinically and genetically heterogeneous group of conditions that affect the enamel formation and maturation. AI patients report with severe discoloration of teeth and a low self-esteem. The biggest challenge in management of patients suffering with amelogenesis imperfecta is to restore aesthetic, function and occlusal stability while conserving remaining tooth structure as much as possible. The article describes a case of 28-year-old male patient diagnosed with hypocalcified type of AI. A detailed treatment planning was carried out with the help of digital smile design (DSD) system and mock-up techniques. Digital smile designing and traditional mock-up techniques can serve as important diagnostic tools and will also help the patients to visualize the final result even before the treatment is initiated. Once the patient was satisfied with the mock-up, a full mouth rehabilitation was done with CAD/CAM fabricated zirconia crowns. The full mouth rehabilitation resulted in improved occlusion, better oral health, and improved esthetic appearance. The combination of techniques offered predictability to results and increased the patient satisfaction as well. Key words: AI- Amelogenesis Imperfecta; DSD- Digital Smile Designing; VI- Vertical Dimension.

 
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