Conservative Dental Management of a Patient With Amelogenesis Imperfecta Under Oral Sedation: A Case Report

Amelogenesis imperfecta (AI) is a rare hereditary developmental disease that has a significant effect on theenamel structure. Both primary and permanent dentition could be affected by this condition. The pivotalcharacteristics are loss of the tooth structure, wear of enamel, and exposed dentinal areas at the occlusalsurface of posterior teeth. AI may be inherited in autosomal dominant, autosomal recessive, or X‐linkedtypes. Treatments of AI cases should be initiated in childhood and continue into adolescence. Consideringthat AI is a rare and heterogeneous condition, the dental team faces various difficulties regarding choosingthe appropriate treatment plan. The oral rehabilitation of patients with AI is a challenging condition thatneeds a multidisciplinary approach. Many treatment options have been reported for solving cosmetic andrestorative problems in AI cases. The conservative treatment plan in this hypoplastic-hypomature AI caseincluded esthetic rehabilitation with a sequential method, innovative non-invasive pulp-therapy methods,and dental restorations under oral sedation. The written consent for the treatments was obtained afterconsultation with the child and his parents.

کلیدواژه ها:

Amelogenesis imperfecta ، Conscious sedation ، Dental enamel hypoplasia ، Tooth hypomineralization