Amelogenesis imperfecta: Functional and esthetic restoration of a severelycompromised dentition

The treatment of patients with severe forms of amelogenesis imperfecta pres ents an interesting challenge to the dental team. A 16-year-old girl presen ted with a severely compromised occlusion and poor esthetics that had lower ed her self-esteem. Preoperative investigations included the determination of completion of growth, an accurate diagnostic waxup, and an evaluation of clinical crown lengths. Periodontal full-flap surgery was planned to lengt hen clinical crowns and create gingival harmony. This was to be followed by placement of 28 complete crowns to restore occlusal function and gain a pl easing esthetic result. All-porcelain crowns were placed from premolar to p remolar in each arch (2Q crowns), and porcelain-fused-to-metal crowns were placed on each molar tooth in each arch (8 crowns). The final treatment res ult provided this patient with a mutually protective occlusion and with est hetics that greatly enhanced her self-image.