J Korean Assoc Maxillofac Plast Reconstr Surg.  2007 Jan;29(1):91-96.

Multidisciplinary management for amelogenesis imperfecta patient with skeletal CIII malocclusion

• Oh JH
• Kim HR
• Hwang YT
• Kim YG
• Ryu DM
• Lee BS
• Yoon BW
• Jeon JH

Abstract

Amelogenesis imperfecta (AI) is a hereditary disease that affects enamel formation. The patients with AI have esthetic and functional problems due to damage of multiple teeth. So most AI patients resolve these problem through the conservative and prosthodontic treatments. In our case, It was difficult to obtain good results in means of conservative and prosthodontic treatments, because the AI patient had skeletal Class III malocclusion. Moreover, because of vertical dimension loss due to severe dental caries and maxillofacial skeletal disharmony, the ordinary prosthodontic treatment was troublesome. So we planned orthognathic surgery to resolve these problems. After the endodontic treatment, temporary restoration was delivered for stable post-operative occlusion. Then orthognathic surgery was done, and final restoration was delivered in stable period. We obtained satisfactory results in esthetic and functional aspects through multidisciplinary management(conservative treatment, prosthodontics and orthognathic surgery).

Keyword

Amelogenesis imperfecta; Orthognathic surgery; Skeletal Class III

MeSH Terms

Amelogenesis Imperfecta*
Amelogenesis*
Dental Caries
Dental Enamel
Genetic Diseases, Inborn
Humans
Malocclusion*
Orthognathic Surgery
Prosthodontics
Tooth
Vertical Dimension