Critical Overview of Multidisciplinary Treatment Approach of a Patient with Amelogenesis Imperfecta: A Case Report

Introduction: Amelogenesis Imperfecta (AI) is a developmental disturbance, genomic in origin, which
interferes with normal enamel formation of both primary and permanent dentitions in the absence of a
systemic disorder. Three major categories can be recognized clinically, namely hypoplastic,
hypomaturation and hypocalcified. Timely and comprehensive intervention is critical to spare the
patient from psychological consequences of these disfiguring conditions.
Clinical Report: A 10-year-old boy was presented with dissatisfaction with appearance of his teeth
sensitivity and poor masticatory efficiency. His medical history was noncontributory. Composite
restorative material was selected as a suitable replacement of the defective structures because of its
esthetics and high sustainability.
Treatment Objectives: The multidisciplinary approach was oriented toward achieving functional and
esthetic rehabilitation of these teeth with minimal chair-side time.
Treatment Outcomes: The use of composite restorative material resulted in successful and
satisfactory enhancement of the patient’s esthetic appearance, as well as protection against further
wear and sensitivity thereby improving his functional demands. The longevity of the treatment
outcome required meticulous maintenance of oral hygiene and patient compliance.
Conclusion: Management of a patient with AI is a challenge for the clinician. Treatment options vary
considerably depending on several factors such as age of the patient, socioeconomic status, severity
of the disorder, and most importantly, the patient’s cooperation. Composite restorative material is
considered an excellent conservative transitional treatment for protection of AI weakened teeth.