Column Weider – Total rehabilitation with porcelain in a patient affected by imperfect amelogenesis

Vol. 10 – Number 38 – 2021 Column Weider Page 21-27 Total rehabilitation with porcelain in a patient affected by imperfect amelogenesis Weider de Oliveira Silva1 Gabriela Barbosa de Sá2 Tarcísio Pinto3 Gil Montenegro3 Ismael Lucas Pinto4 Abstract Amelogenesis imperfecta (AI) is a disorder of genetic origin, linked to the amelogenin gene, which presents developmental abnormalities in the quantity and quality of tooth enamel. The main clinical problems are the extensive loss of dental tissue, occlusal problems, impaired aesthetics, tooth sensitivity and gingival inflammation. This study described a clinical case and the approach in the treatment of a patient with AI, with gingival plastic surgery, porcelain crowns on the posterior teeth, porcelain veneers on the anterior teeth and application of botulinum toxin to correct the gingival smile. AI is an anomaly with complex development and early diagnosis is essential for the conduct and success of the case, to improve aesthetics and function, preserving the characteristic tooth wear. Descriptors: Amelogenesis imperfecta, dental enamel, mouth rehabilitation. 1 Specialist in Prosthodontics, Specialist in Dentistry, Specialist in Orofacial Harmonization, M.Sc. in Implant Dentistry. 2 Specialist in Prosthodontics. 3 Master of Dentistry. 4 Master in Laser Dentistry. DOI: 10.24077/2021;1038-W2127