Amelogenesis imperfectában szenvedő páciens komplex protetikai ellátása digitális munkafolyamatokkal

Klaudia Lipták; Laura Lipták; Tamás Déri; Péter Hermann

doi:10.33891/FSZ.116.4.184-190

Klaudia Lipták Semmelweis Egyetem, Fogorvostudományi Kar, Fogpótlástani Klinika https://orcid.org/0009-0003-5177-1390
Laura Lipták Semmelweis Egyetem, Fogorvostudományi Kar, Gyermekfogászati és Fogszabályozási Klinika https://orcid.org/0009-0009-5470-3469
Tamás Déri Semmelweis Egyetem, Fogorvostudományi Kar, Fogpótlástani Klinika https://orcid.org/0009-0007-6266-4469
Péter Hermann Semmelweis Egyetem, Fogorvostudományi Kar, Fogpótlástani Klinika https://orcid.org/0000-0002-6013-1526

DOI: https://doi.org/10.33891/FSZ.116.4.184-190

Keywords: amelogenesis imperfecta, open bite, digital, monolithic zirconia, prosthetic rehabilitation

Abstract

Introduction: Amelogenesis imperfecta (AI) is a diverse collection of inherited diseases that show quantitative and qualitative
defects in tooth enamel in the absence of systemic manifestations. Patients with AI often have open bite, which
also requires complex care. In the final dental treatment, the focus should be on the preparation of indirect restorations,
so early detection and care can be key factors for long-term success, as poor-quality enamel can be more easily attacked
by caries.
Case report: A 15-year-old young female patient presented to the Department of Prosthodontics of Semmelweis University
in 2022 because of her worn down teeth due to amelogenesis imperfecta. The patient also had open bite. During
the intraoral examination, reduced enamel was detected on all teeth, with partial enamel breakdown, exposing the
dentin. Following the current professional recommendations, we planned monolithic zirconia crowns and splints as well
as bridges to correct the tooth gaps on the upper and lower arches. In the first phase of the treatment, we increased the
occlusal vertical dimension using a gothic arch tracer and digital face bow (Zebris for Ceramill). The impressions were
taken by the 3Shape Trios 3 Pod, making it more comfortable for the patient and easier to copy accurately the increased
occlusal vertical dimension from the temporary restoration to the final restoration. Due to the damaged tooth structure,
for the final cementation resin modified glass ionomer was used. Protecting the monolithic zirconia restorations, the temporomandibular
joint and the muscles, a Michigan-splint was created for the patient.
Summary: For patients with AI, the appearance of the teeth can cause psychological and functional problems, so the
goal of every treatment plan is restoration, and regular follow-up. Maintaining proper oral hygiene is also essential for
patients with AI, and according to the literature, treatment with indirect restorations increases success compared to direct
treatments.

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Complex prosthetic rehabilitation of a patient with amelogenesis imperfecta with digital workflows

Abstract

References

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