1
|
Pousette Lundgren G, Dahllöf G. Advances in clinical diagnosis and management of amelogenesis imperfecta in children and adolescents. J Dent 2024; 147:105149. [PMID: 38909645 DOI: 10.1016/j.jdent.2024.105149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Revised: 06/19/2024] [Accepted: 06/20/2024] [Indexed: 06/25/2024] Open
Abstract
OBJECTIVE To summarize studies published between 2017 and 2023 examining the clinical diagnosis and restorative management of amelogenesis imperfecta (AI) in children and adolescents. DATA The review incorporated publications on clinical diagnosis, patient-reported outcomes, clinical trials, cohort studies, and case reports that included individuals below 19 years of age with non-syndromic AI. SOURCES A literature search was conducted across electronic databases, PubMed, Web of Science, and CINAHL, including papers published between 2017 and 2023. The search yielded 335 unique results, of which 38 were eligible for inclusion. RESULTS New evidence on the genetic background of AI makes it now advisable to recommend genetic testing to supplement a clinical AI diagnosis. The discussions of the dental profession and the public on social media do not always incorporate recent scientific evidence. Interview studies are finding that the impact of AI on quality of life is more severe than previously appreciated. New evidence suggests that single-tooth ceramic crowns should be the first choice of treatment. Due to incomplete reporting, case reports have been of limited value. CONCLUSION In young patients with AI symptoms of pain and hypersensitivity decreased, and aesthetics were improved following all types of restorative therapy. Resin composite restorations were mainly performed in cases with hypoplastic AI and mild symptoms. Single tooth ceramic crown restorations have a high success rate in all types of AI and can be used in young individuals with AI. CLINICAL SIGNIFICANCE Prosthetic rehabilitation in adolescents with severe AI is cost effective, improves esthetics, reduces tooth sensitivity, and improves oral health-related quality of life.
Collapse
Affiliation(s)
- Gunilla Pousette Lundgren
- Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, POB 4064 SE-141 04 Huddinge, Sweden
| | - Göran Dahllöf
- Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, POB 4064 SE-141 04 Huddinge, Sweden; Center for Oral Health Services and Research, Mid-Norway, TkMidt, Professor Brochs gt. 2 7030 Trondheim, Norway.
| |
Collapse
|
2
|
Caussin É, Courson F, Dursun E, Brukarz Y, Dot D, Chaussain C, Attal J, François P. Interdisciplinary full mouth rehabilitation of a patient with amelogenesis imperfecta from childhood to young adult-hood: A 12-year case report. Clin Case Rep 2024; 12:e8704. [PMID: 38523819 PMCID: PMC10957491 DOI: 10.1002/ccr3.8704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 02/24/2024] [Accepted: 02/29/2024] [Indexed: 03/26/2024] Open
Abstract
Treatment of patients with amelogenesis imperfecta extends over many years, from childhood to early adulthood. Their management at any age is complex and has to be adapted in relation to therapies validated in the general population.
Collapse
Affiliation(s)
- Élisa Caussin
- Faculty of Dental SurgeryUniversity of Paris CitéMontrougeFrance
- Bretonneau Hospital, AP‐HPParisFrance
- URB2i, Université of Paris CitéMontrougeFrance
| | - Frédéric Courson
- Faculty of Dental SurgeryUniversity of Paris CitéMontrougeFrance
- Bretonneau Hospital, AP‐HPParisFrance
- URB2i, Université of Paris CitéMontrougeFrance
| | - Elisabeth Dursun
- Faculty of Dental SurgeryUniversity of Paris CitéMontrougeFrance
- URB2i, Université of Paris CitéMontrougeFrance
- Henri Mondor Hospital, AP‐HPCréteilFrance
| | | | - Daniel Dot
- Faculty of Dental SurgeryUniversity of Paris CitéMontrougeFrance
- Bretonneau Hospital, AP‐HPParisFrance
| | - Catherine Chaussain
- Faculty of Dental SurgeryUniversity of Paris CitéMontrougeFrance
- Bretonneau Hospital, AP‐HPParisFrance
- Laboratory Unité de Recherche 2496 Orofacial Pathologies, Imaging and Biotherapies, University of Paris CitéParisFrance
| | - Jean‐Pierre Attal
- Faculty of Dental SurgeryUniversity of Paris CitéMontrougeFrance
- URB2i, Université of Paris CitéMontrougeFrance
- Charles Foix Hospital, AP‐HPIvry‐Sur‐SeineFrance
| | - Philippe François
- Faculty of Dental SurgeryUniversity of Paris CitéMontrougeFrance
- Bretonneau Hospital, AP‐HPParisFrance
- URB2i, Université of Paris CitéMontrougeFrance
| |
Collapse
|
3
|
Bin Saleh SS. Etiology, Classification, and Restorative Management of Amelogenesis Imperfecta Among Children and Young Adults: A Scoping Review. Cureus 2023; 15:e49968. [PMID: 38179349 PMCID: PMC10765965 DOI: 10.7759/cureus.49968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/05/2023] [Indexed: 01/06/2024] Open
Abstract
Amelogenesis imperfecta (AI) is a rare genetic disorder affecting children and adults. Knowledge about AI is limited to clinical representation and radiographical findings. Various treatments are provided to children with AI, yet no definitive treatment guideline has been suggested in the literature. This scoping review highlights the knowledge of the etiology and classification of AI and synthesizes these findings in a comprehensive review, focusing mainly on the various forms of AI in children and management with a restorative conservative approach. Five electronic databases, namely, PubMed, Google Scholar, Embase, Web of Science, and Scopus, were searched for the relevant articles. The search was performed in two phases: first for title and abstract, and second for full-text articles. The studies included in this scoping review were published from 2013 to August 2023. The data extraction was done on a customized sheet. A total of 33 studies were included in this review, of which 19 were reports and series, seven were observational, and seven were reviews. Most patients included in this review suffered from the hypoplastic type of AI (54%), followed by hypomatured (36%), and hypocalcified (10%). The treatment modalities explained were divided into the following three phases: temporary, transient, and permanent. Almost all included reports suggested the requirement for guidelines for treating AI among young children. This scoping review suggests the need for guidelines for treating AI in children. Moreover, pediatric dentists should prioritize early diagnosis and treatment and long-term follow-up for AI in children to effectively enhance the patient's psychological well-being and overall quality of life.
Collapse
Affiliation(s)
- Saad S Bin Saleh
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, SAU
| |
Collapse
|
4
|
Lim TW, Tan SK, Li KY, Burrow MF. SURVIVAL AND COMPLICATION RATES OF RESIN COMPOSITE LAMINATE VENEERS: A SYSTEMATIC REVIEW AND META-ANALYSIS. J Evid Based Dent Pract 2023; 23:101911. [PMID: 38035903 DOI: 10.1016/j.jebdp.2023.101911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 06/25/2023] [Accepted: 07/05/2023] [Indexed: 12/02/2023]
Abstract
OBJECTIVES The aim of this systematic review was to evaluate the survival and complication rates of resin composite laminate veneers. METHODS Randomized controlled trials and cohort studies with a minimum 2-year follow-up assessing survival and complication rates of resin composite laminate veneers on permanent dentition from 1998 to May 2022. Literature searches were conducted in MEDLINE (PubMed), Scopus, and the Cochrane Central Register of Controlled Trials electronic databases. References cited in the related reviews and included full-text articles were also hand-searched to further identify potentially relevant studies. RESULTS A total of 827 articles were identified. Twenty-two studies were considered for full-text review after the title and abstract screening stage. After exclusion, 7 studies (3 randomized controlled trials and 4 cohort studies) were included in the systematic review. Three published scales were adopted for the quality and risk of bias assessment. At the survival rate threshold, the overall heterogeneity (I2) for randomized controlled trials was 50.5% (P = .108). The overall pooled survival rate of the randomized controlled trials was 88% (95% CI: 81%-94%), with the mean follow-up time ranging from 24 to 97 months. Surface roughness, color mismatch, and marginal discoloration were the most reported complications. CONCLUSION Resin composite laminate veneers demonstrated moderately high survival rates for the entire sample and the direct laminate veneer group demonstrated higher survival rates than the indirect approach. Most of the complications were regarded as clinically acceptable with or without reintervention.
Collapse
Affiliation(s)
- Tong Wah Lim
- Division of Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, Hong Kong SAR.
| | - Su Keng Tan
- Centre of Oral and Maxillofacial Surgery Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia
| | - Kar Yan Li
- Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, Hong Kong SAR
| | - Michael Francis Burrow
- Division of Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, Hong Kong SAR.
| |
Collapse
|
5
|
Karveli A, Papazoglou E, Koletsi D, Anagnostou M. Surface profile characterization of prefabricated resin composite veneers following simulated abrasion. An in vitro study. J Clin Exp Dent 2023; 15:e796-e803. [PMID: 37933393 PMCID: PMC10625684 DOI: 10.4317/jced.60420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 05/22/2023] [Indexed: 11/08/2023] Open
Abstract
Background The surface of resin composite veneers is susceptible to the effect of the oral environment and surface profile characterization of different veneer systems is of importance to the longevity and clinical performance of the materials. The aim of the present study was to evaluate surface profile properties, as defined by gloss and roughness parameters, of prefabricated resin composite veneers (PCV) and compare with a laboratory resin composite (LRC) system, following simulated abrasion. Material and Methods Twenty eight composite veneers equally divided to a prefabricated composite veneer (PCV) system and a laboratory resin composite (LRC) (control group) were tested following abrasion under a toothbrush simulator. Alterations in gloss (ΔGloss) and roughness (ΔSa, ΔSz, ΔSci, ΔSdr) parameters were examined (after- before abrasion) using a glossmeter and a 3D-optical profilometer, respectively. Correlation matrices between ΔGloss and ΔRoughness parameters were sought across the two resin composite veneer groups. Results Τhere was weak evidence that the PCV group exhibited less change in surface gloss after experimental abrasion (PCV vs LRC: mean difference ΔGloss in GU, (MD: -1.7; 95% CI: -3.3, -0.1; p=0.04). For the roughness parameters, ΔSci in nm3/nm2 (MD : 0.2; 95% CI: 0.1, 0.3; p=0.002) and ΔSdr in percentage (MD: 10.6; 95% CI: 3.7, 17.5; p=0.004), exhibited the most pronounced differences between the groups with strong evidence demonstrating greater changes for the PCV group compared to the LRC. No strong correlation pattern could be identified between changes in gloss and roughness parameters across the groups. Conclusions After abrasion, both PCV and LCR showed an increase in surface gloss, while the PCV group demonstrated a rougher core surface profile than LRC. Key words:Prefabricated, resin composite, veneers, gloss, roughness.
Collapse
Affiliation(s)
- Angeliki Karveli
- Department of Operative Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Greece
| | - Efstratios Papazoglou
- Department of Operative Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Greece
| | - Despina Koletsi
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
- Meta-Research Innovation Center at Stanford (METRICS), Stanford University, CA, USA
| | - Maria Anagnostou
- Department of Operative Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Greece
| |
Collapse
|
6
|
Tan L, Guo Y, Zhong MM, Zhao YQ, Zhao J, Aimee DM, Feng Y, Ye Q, Hu J, Ou-Yang ZY, Chen NX, Su XL, Zhang Q, Liu Q, Yuan H, Wang MY, Feng YZ, Zhang FY. Tooth ultrastructure changes induced by a nonsense mutation in the FAM83H gene: insights into the diversity of amelogenesis imperfecta. Clin Oral Investig 2023; 27:6111-6123. [PMID: 37615776 DOI: 10.1007/s00784-023-05228-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 08/17/2023] [Indexed: 08/25/2023]
Abstract
OBJECTIVES The current research on single-nucleotide polymorphism (SNP) mutation sites at different positions of the FAM83H gene and their phenotypic changes leading to amelogenesis imperfecta (AI) is inconsistent. We identified a previously reported heterozygous nonsense mutation c.1192C>T (p.Q398*) in the FAM83H gene and conducted a comprehensive analysis of the dental ultrastructure and chemical composition changes induced by this mutation. Additionally, we predicted the protein feature affected by this mutation site. The aim was to further deepen our understanding of the diversity of AI caused by different mutation sites in the FAM83H gene. METHODS Whole-exome sequencing (WES) and Sanger sequencing were used to confirm the mutation sites. Physical features of the patient's teeth were investigated using various methods including cone beam computer tomography (CBCT), scanning electron microscopy (SEM), contact profilometry (roughness measurement), and a nanomechanical tester (nanoindentation measurement). The protein features of wild-type and mutant FAM83H were predicted using bioinformatics methods. RESULTS One previously discovered FAM83H heterozygous nonsense mutation c.1192C>T (p.Q398*) was detected in the patient. SEM revealed inconsistent dentinal tubules, and EDS showed that calcium and phosphorus were lower in the patient's dentin but higher in the enamel compared to the control tooth. Roughness measurements showed that AI patients' teeth had rougher occlusal surfaces than those of the control tooth. Nanoindentation measurements showed that the enamel and dentin hardness values of the AI patients' teeth were both significantly reduced compared to those of the control tooth. Compared to the wild-type FAM83H protein, the mutant FAM83H protein shows alterations in stability, hydrophobicity, secondary structure, and tertiary structure. These changes could underlie functional differences and AI phenotype variations caused by this mutation site. CONCLUSIONS This study expands the understanding of the effects of FAM83H mutations on tooth structure. CLINICAL RELEVANCE Our study enhances our understanding of the genetic basis of AI and may contribute to improved diagnostics and personalized treatment strategies for patients with FAM83H-related AI.
Collapse
Affiliation(s)
- Li Tan
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Yue Guo
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Meng-Mei Zhong
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Ya-Qiong Zhao
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Jie Zhao
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Dusenge Marie Aimee
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Yao Feng
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Qin Ye
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Jing Hu
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Ze-Yue Ou-Yang
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Ning-Xin Chen
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Xiao-Lin Su
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Qian Zhang
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Qiong Liu
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Hui Yuan
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Min-Yuan Wang
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Yun-Zhi Feng
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China
| | - Feng-Yi Zhang
- Department of Stomatology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
| |
Collapse
|
7
|
Swanson AK, Duqum IS, Heimisdóttir LH, Wright JT. Digital restorative workflows for developmental dental defects in young patients: A case series. J Am Dent Assoc 2023; 154:340-348. [PMID: 36641328 DOI: 10.1016/j.adaj.2022.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Revised: 11/18/2022] [Accepted: 11/25/2022] [Indexed: 01/15/2023]
Abstract
BACKGROUND Digital technology is rapidly changing the provision of oral health care, although its adoption for the oral health care of young patients has lagged. The authors describe digitally supported treatment approaches for managing treatment of developmental dental defects in the early permanent dentition. CASE DESCRIPTION Four adolescent patients with amelogenesis imperfecta received transitional anterior restorations for esthetic and functional rehabilitation using a variety of digital workflows. Combinations of restoration type, materials, and fabrication methods were selected to meet the needs of each patient on the basis of their specific amelogenesis imperfecta phenotype and chief symptoms. These cases highlight the application of digital technology in pediatric and adolescent dentistry for managing the treatment of developmental dental defects. PRACTICAL IMPLICATIONS Digitally supported restorative approaches, as described in this report, offer broad applicability of materials and techniques directed at treating the complex restorative needs of young patients in the transitional and early permanent dentition.
Collapse
|
8
|
Henrick V, Marks S, Balmer R, Barber S. Public and dental professionals' use of social media to discuss amelogenesis imperfecta. Int J Paediatr Dent 2022; 32:903-914. [PMID: 35771161 PMCID: PMC9796443 DOI: 10.1111/ipd.13015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 05/13/2022] [Accepted: 06/13/2022] [Indexed: 01/01/2023]
Abstract
BACKGROUND Amelogenesis imperfecta (AI) is an inherited disorder of enamel development that is challenging to treat and often associated with negative patient and parental outcomes. Social media provides a valuable perspective on patients' and dental professionals' experience of AI and dental care. AIM To explore how the public and dental professionals use social media to discuss AI. DESIGN A cross-sectional study involving a systemic search of eight social media platforms using the search term 'amelogenesis imperfecta'. Relevant posts were selected using predefined eligibility criteria. Word content of eligible posts was qualitatively analysed using a thematic framework approach. RESULTS A total of 555 posts were identified, of which 144 were eligible for analysis. For dental professionals, the posts included case reports and seeking and sharing of information. For the public, the posts were related to individuals' experience of AI, dental treatment and outcome of treatment. CONCLUSIONS Posts from individuals affected by AI suggest a need for better distribution of reliable information and greater support. Case reports indicate that dental professionals find it challenging to recognise AI and determine appropriate treatment options. Social media could potentially be used to inform and support people with AI and allow dental professionals to share information and learning with peers.
Collapse
Affiliation(s)
| | | | - Richard Balmer
- School of DentistryUniversity of LeedsLeedsUK,University of LeedsLeedsUK
| | - Sophy Barber
- School of DentistryUniversity of LeedsLeedsUK,University of LeedsLeedsUK,Mid Yorkshire NHS Hospitals TrustWakefieldUK
| |
Collapse
|
9
|
|
10
|
Macroabrasion and/or Partial Veneers: Techniques for the Removal of Localized White Spots. Case Rep Dent 2022; 2022:3941488. [PMID: 35186335 PMCID: PMC8853814 DOI: 10.1155/2022/3941488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 12/19/2021] [Accepted: 01/11/2022] [Indexed: 11/18/2022] Open
Abstract
Macroabrasion is a technique for the removal of localized white spots using a high-speed, intermittent high speed turbine finishing diamond tip. It is fast, safe, efficient, and an alternative to enamel microabrasion. However, when the stain is deeper, these localized intrinsic stains or defects can be treated with partial direct veneers. A conservative preparation should be done and that allows stratification of the resin to mask the hypoplasia and provide naturalness to the tooth. Thus, the objective of this work is to demonstrate, through a clinical case, macroabrasion and a partial veneer from the preparation, restoration, to the finishing and polishing to remove hypoplastic stains.
Collapse
|
11
|
Pousette Lundgren G, Davidson T, Dahllöf G. Cost analysis of prosthetic rehabilitation in young patients with Amelogenesis imperfecta. J Dent 2021; 115:103850. [PMID: 34656659 DOI: 10.1016/j.jdent.2021.103850] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 10/01/2021] [Accepted: 10/07/2021] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVES Children and adolescents with amelogenesis imperfecta (AI) have extensive treatment needs, but costs have not been explored previously. We calculated the costs of prosthetic rehabilitation and analyzed whether costs of treatment begun in early adolescence are lower compared with in early adulthood. METHODS Data from the dental records of 25 patients with AI and 25 age- and sex-matched controls were analyzed. Patients were followed for a mean period of 12.3 ± 1.5 years. Number of dental visits, dental treatment costs, and indirect costs were calculated during three time periods, before, during and after prosthetic therapy. Swedish national reference prices for general and specialist dental care were used. RESULTS The mean number of visits was significantly higher in the AI group: 43.3 ± 19.7 (controls: 17.5 ± 19.8; p < .001). Mean total costs were 8.5 times higher for patients with AI: €16,257 ± 5,595 (controls: €1,904 ± 993). Mean number of crowns made in patients with AI was 12 ± 7 (range 1 - 31). Indirect costs were significantly higher in the AI group and constituted 22% of the total costs. After crown therapy, costs between groups ceased to differ significantly. Calculations of total costs in the hypothetical scenario (discount rate at 3% annually) were €18,475 for prosthetic rehabilitation began at age 12 years compared with €20,227 if treatment began at 20 years of age. CONCLUSIONS Prosthetic rehabilitation costs for children and adolescents with AI can be high. Early crown therapy is associated with lower costs and a lower number of dental visits. CLINICAL IMPLICATIONS Early crown therapy in children and adolescents with severe AI is a cost-reducing treatment associated with few complications and reduced need of dental care during adolescence compared with treatment begun at age 20.
Collapse
Affiliation(s)
- Gunilla Pousette Lundgren
- Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
| | - Thomas Davidson
- Division of Health Care Analysis, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
| | - Göran Dahllöf
- Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden; Center for Oral Health Services and Research, Mid-Norway, TkMidt, Trondheim, Norway
| |
Collapse
|
12
|
Restorative Treatment of Amelogenesis Imperfecta with Prefabricated Composite Veneers. Case Rep Dent 2021; 2021:3192882. [PMID: 34394996 PMCID: PMC8355976 DOI: 10.1155/2021/3192882] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 07/14/2021] [Accepted: 07/24/2021] [Indexed: 12/05/2022] Open
Abstract
This case report presents the use of prefabricated composite veneers for restorative treatment of amelogenesis imperfecta (AI). This technique bridges the gap between a conventional direct technique and a conventional indirect technique and introduces an alternative semidirect restorative technique for AI patients. The aim of this case report is to describe restoration of a young girl with severe AI using prefabricated composite veneers and to discuss the benefits and limitations of this technique compared to the alternative restorative techniques.
Collapse
|
13
|
Möhn M, Bulski JC, Krämer N, Rahman A, Schulz-Weidner N. Management of Amelogenesis Imperfecta in Childhood: Two Case Reports. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18137204. [PMID: 34281141 PMCID: PMC8297319 DOI: 10.3390/ijerph18137204] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Revised: 06/29/2021] [Accepted: 06/29/2021] [Indexed: 11/16/2022]
Abstract
Amelogenesis imperfecta (AI) is defined as an interruption of enamel formation due to genetic inheritance. To prevent malfunction of the masticatory system and an unaesthetic appearance, various treatment options are described. While restoration with a compomer in the anterior region and stainless steel crowns in the posterior region is recommended for deciduous dentition, the challenges when treating such structural defects in mixed or permanent dentition are changing teeth and growing jaw, allowing only temporary restoration. The purpose of this case report is to demonstrate oral rehabilitation from mixed to permanent dentition. The dentition of a 7-year-old patient with AI type I and a 12-year-old patient with AI type II was restored under general anesthesia to improve their poor aesthetics and increase vertical dimension, which are related to problems with self-confidence and reduced oral health quality of life. These two cases show the complexity of dental care for structural anomalies of genetic origin and the challenges in rehabilitating the different phases of dentition.
Collapse
Affiliation(s)
- Mirja Möhn
- Dental Clinic, Department of Pediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany; (J.C.B.); (N.K.); (N.S.-W.)
- Correspondence: ; Tel.: +49-641-9946241
| | - Julia Camilla Bulski
- Dental Clinic, Department of Pediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany; (J.C.B.); (N.K.); (N.S.-W.)
| | - Norbert Krämer
- Dental Clinic, Department of Pediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany; (J.C.B.); (N.K.); (N.S.-W.)
| | - Alexander Rahman
- Department of Conservative Dentistry, Periodontology and Preventive Dentistry, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany;
| | - Nelly Schulz-Weidner
- Dental Clinic, Department of Pediatric Dentistry, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany; (J.C.B.); (N.K.); (N.S.-W.)
| |
Collapse
|