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Amelogenesis imperfecta: Analysis of the genetic basis and treatment with a digital workflow: A clinical report. | LitMetric

Amelogenesis imperfecta: Analysis of the genetic basis and treatment with a digital workflow: A clinical report.

J Prosthet Dent

Professor and Chair, Department of Prosthodontics, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany; Moorenstraße 5, 40225 Düsseldorf, Germany; and Professor and Chair, Center for Rare Diseases, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Germany; Moorenstraße 5, 40225 Düsseldorf, Germany.

Published: November 2024

AI Article Synopsis

  • - A 20-year-old woman with type I hypoplastic amelogenesis imperfecta experienced aesthetic issues and sensitivity, prompting a complete mouth rehabilitation using a fully digital workflow.
  • - An interdisciplinary approach included a multigene panel analysis and digital scans to guide minimally invasive dental preparations, resulting in interim restorations made of high-performance polycarbonate and final restorations in translucent zirconia.
  • - This efficient treatment plan not only addressed her dental concerns but also enhanced her understanding of her genetic condition, highlighting the importance of genetics in her treatment, with a strong follow-up plan to ensure long-term success.

Article Abstract

A 20-year-old woman with type I hypoplastic amelogenesis imperfecta (AI) experiencing esthetic concerns and hypersensitivity is presented. The treatment was aimed at both functional and esthetic aspects, focusing on complete mouth rehabilitation using a fully digital workflow. In an interdisciplinary approach, a multigene panel analysis was performed. Digital intraoral scans and a face scan facilitated precise virtual planning, guiding minimally invasive preparations. Long-term interim restorations milled from high-performance polycarbonate preceded definitive restorations in translucent zirconia. This approach resulted in a time- and cost-efficient treatment, helped the patient to understand her disease by highlighting the pivotal role of genetics, and demonstrated the success of collaborative dental interventions. A strict recall program will be most important for the long-term success of this patient with AI and a pathogenic frameshift variant in the AMELX gene.

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Source
http://dx.doi.org/10.1016/j.prosdent.2024.09.032DOI Listing

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