Salvaging the lost smile in amelogenesis imperfecta

Abstract

Amelogenesis imperfecta has been described as a group of hereditary enamel defects not associated with systemic diseases. Restoration of these defects is important not only because of esthetic and functional concern, but also because there may be a positive psychological impact on the patient. Among various treatments described for rehabilitation of amelogenesis imperfecta, this case report described the rehabilitation of patient utilizing twin stage procedure with aim of improving patient′s function, appearance, restoring the proper contacts, and simplifying the prosthetic clinical and lab work procedures. Twin stage procedure is based on the fact that prevents horizontal forces acting during various mandibular excursion in full mouth rehabilitation case, to control horizontal forces which in turn depends upon the condylar path, incisal path, and cusp angle. Among them, role of cusp angle is more supported whereas condylar path and incisal path role is considered unreliable.

Keywords

• amelogenesis imperfecta
• full mouth rehabilitation
• hobo twin-stage technique
• template