Interdisciplinary treatment of a young patient with "amelogenesis imperfecta" : a case report

Amelogenesis imperfecta it is a congenital disorder with abnormal structure of the enamel. Lesions include primary and permanent teeth. This disease is a developmental malformation of the enamel and ectodermal abnormality of genetic origin. Frequency of amelogenesis is from 1:4000 to 1:14 000. There was presented the most common Witkop classification and the other authors ratings. The prevalence depends on the population, the highest states are in sparsely populated areas. The aim of this paper is to describe a case of amelogenesis imperfecta diagnosed in a 14-year-old patient. Symptoms of disease in the mouth were described. Tooth crowns demonstrated hypocalcification features. The panoramic x-ray showedvisible contrast between the enamel and dentin, tooth chambers had the correct shape and size. During subsequent visits abundant plaque deposits onand subgingival were found, which caused changes in the periodontal tissues. Patient acquired enamel defects reconstructive treatment. Prophylactic procedures towards the prevention of caries and periodontal treatment were provided. It is planned to implement the orthodontic and prosthetic treatment. There was found need for implementation of the orthodontic treatment, and the prosthetic treatment after the end of growth.