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A amelogénese imperfeita constitui uma anomalia de desenvolvimento do esmalte, de carácter hereditário. A sua prevalência é de , podendo o esmalte. Amelogenesis imperfecta (AI) is a congenital disorder that presents with a rare abnormal formation of the enamel or external layer of the crown of teeth. 19 jul. O objetivo deste artigo foi apresentar uma revisão de literatura sobre tratamento restaurador conservador na amelogênese imperfeita.

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Before application of the adhesive system, he had already been using desensitizing toothpaste, although he could not eat cold food because of the high sensitivity.

The symptoms of the patient prevent her understanding of the dental treatment and, consequently, cause her to resist any procedures.

The gene can be transmitted either as an autosomal dominant or autosomal recessive trait, or it can be X-linked.

The patient was joined by her parents, who reported that the child had cerebral palsy and aesthetically impaired teeth Figure 1. Once the teeth were prepared, the color of the resin was selected.

Amelogenesis imperfecta

ameloyenese In most cases, males with an X-linked form of this condition experience more severe dental abnormalities than affected females. For all other comments, please send your remarks via contact us. For the conduction of the physical examination, the patient had to be physically restrained due to her psychomotor alterations Figure 3A.

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It aims at the comfort of the patient without harm to the dental caregiver, with the objective of providing a highly safe treatment for the dental surgeon, the dental team and the patient 9. The dental care of amelogwnese affected by disabilities is often out of the usual routine, requiring specialized knowledge, greater sensitivity, increased attention and adequate environment 7.

Recent genetic studies suggest that the cause of a significant proportion of amelogenesis imperfecta cases remains to be discovered. Condition is of autosomal dominant pattern. These teeth are more prone to abrasion, which causes loss of vertical dimension, with aesthetic impairment and dentin exposure, possibly leading to sensitivity to temperature changes. The information found in the Literature is conflicting in regards to the occurrence of oral diseases in patients affected by CP 6.


The authors have no conflicts of interest to declare concerning the publication of this manuscript. However, before curing, polyester matrices were placed in order to prevent adhesion to the adjacent teeth and ensure polishing of amelogendse surfaces.

J Dent Res ; Amelogenesis Imperfecta AI is an inherited alteration that affects the enamel of primary and permanent teeth, with no systemic manifestations.

The restraint of the subject is precisely indicated for cases in which neuromotor disorders lead the patient to make involuntary movements. The case shows that it is possible to perform complex dental care of disabled patients in an outpatient environment. The option was to use aversive techniques that restricted the movements anelogenese the patient.

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There are many classifications of AI but the general management of this condition is similar. In addition to the cerebral palsy systemic frame, this patient presented amelogenesis imperfecta, a malformation imlerfeita the dental enamel that affects both primary and permanent dentition Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from June The Literature shows conflicting results, since some authors report no differences between sound dental structures and those affected by AI 19only presenting relation to uncertain patterns of acid conditioning and adhesive system.

Alport syndrome Dent’s disease X-linked nephrogenic diabetes insipidus. Aesthetic and functional rehabilitation of the primary dentition affected by amelogenesis imperfecta.

If the patient has primary or mixed dentition, lab-made composite veneers may be provided temporarily, to be replaced by permanent porcelain veneers once the patient has stabilized permanent dentition. Summary and related texts. After adapting the acetate crown, additional retentions were created in the vestibular surface of teeth 11 and 21 using a drill. Specialised Social Services Eurordis directory. Int J Paediatr Dent ; For these restorations, prefabricated acetate crowns were selected.


Amelogenesis imperfecta – Wikipedia

No intraoral anomalies are exclusive imeprfeita people with cerebral palsy, but they can be more severe than in the general population. Noninvasive and multidisciplinary approach to the functional and esthetic rehabilitation of amelogenesis imperfecta: Enamel appears to be comparable to dentine in its radiodensity on radiograpshs. If necessary, new applications will be made.

Furthermore, this could protect the tooth from biofilm formation and from consequent caries development The patient was subjected to clinical and radiographic examinations and received orientation for oral hygiene and treatment of sensitivity with fluoride. All the principles that guide resin restorations were followed, using relative isolation, dental aspirator and adhesive system.

December 11, ; Accepted: The literature presents different treatments that use all types of glass ionomer cements, stainless steel crowns, amalgam restorations, adhesive restorations, metal-ceramic crowns, prefabricated resin veneer, and multiple extractions requiring an overdenture 7, The parents were unable to confirm the presence of the condition on other familymembers, since the child was adopted.

These teeth present different levels of color alteration, presenting dark brown color, increase of roughness amlogenese susceptibility to attrition, which results in lmperfeita reduction of vertical dimension 457.

The current medical history of the patient do not present further systemic alterations, and she is not under any medication. Color blindness red and green, but not blue Ocular albinism 1 Norrie disease Choroideremia Other: Views Read Edit View history.

An analysis of contributory factors and implications for treatment”. O paciente com necessidades especiais na odontologia: Since their spastic muscles are in a state of continuous contraction, it is difficult for them to be properly seated in the chair.