Minimally invasive adhesive full mouth reconstruction of a patient with amelogenesis imperfecta

Amelogenesis imperfecta (AI) is a dental condition affecting the structure and condition of dental enamel with occasional involvement of other oral structures. AI has been classified many times, both clinically and genetically; Table 1 demonstrates an example of one such classification.

Amelogenesis imperfecta has traditionally been managed in a hospital setting and, depending on the severity of the enamel condition, the treatment has involved paediatrics, orthodontics and restorative departments.³

Historically, treatment has involved conventional cast restoration for posterior teeth using gold or porcelain bonded to metal crowns to overcome problems with fracture and sensitivity, while anterior teeth were restored using porcelain veneers to improve aesthetic deficiencies caused by discoloration associated with amelogenesis imperfecta.

However, such approaches are destructive to tooth structure with the potential for irreversible damage to pulpal status.⁴ Preparation of teeth for indirect conventional cast restorations have been demonstrated to cause pulpal necrosis and subsequent periapical periodontitis.⁴ This, in combination with the fact that the presenting patients are very young individuals, reduces the long-term prognosis of the dentition, thereby speeding up the restorative cycle.