Rehabilitation of a patient with amelogenesis imperfecta using porcelain veneers and CAD/CAM polymer restorations: A clinical report
Quintessence Int. 2015 Nov-Dec;46(10):843-52. doi: 10.3290/j.qi.a34721.
Amelogenesis imperfecta represents a group of genetically determined dental diseases characterized by a defect in enamel formation. It can affect individual teeth or the entire milk or permanent dentition. Most frequently, patients complain about aesthetic problems, sensitivity to mechanical and chemical stimuli and impaired phonetics due to the loss of the vertical dimension of the occlusion.
The complete dental rehabilitation of patients with a vertical dimension loss caused by structural enamel deficits associated with amelogenesis imperfecta represents a difficult challenge for restorative teams. Therefore, an accurate analysis and treatment planning is important prerequisites for successful results. That includes esthetic and functional evaluations and adequate material selection.
Longterm provisional restorations play an important role in exploring and elucidating the patient’s esthetic demands and functional needs.
Restorative treatment options can vary from requiring only oralhygiene instructions to extensive dental restorations that include composite fillings, ceramic veneers, metal-ceramic, or all-ceramic crowns.