Amelogenesis imperfecta (AI) is a hereditary developmental disorder
of the dental enamel, in both primary and permanent dentition. The main
clinical characteristics are extensive loss of tissue, poor esthetics, and
tooth sensitivity. A "wait-and-see" policy has commenly been adopted,
often resulting in the development of dental caries and excessive tooth wear.
Poor oral aesthetics can negatively impact on psychological development and
cause poor self-esteem. Because of this, it is essential to provide the best
appearance possible, even in the primary and mixed dentition, despite
challenges related to early treatment. It is designed to reduce sensitivity and
attrition of the teeth and to ensure masticatory function. In the past,
patients with AI were often managed with multiple extractions. Today many
different treatment options are available, including combined composite-GIC
restaurations, strip crowns, stainless steel crowns, adhesive castings,
porcellain veneers and full crowns. This clinical report describes a treatment
of a 2-year old boy with AI in ITN.
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