Treatment of teeth in the esthetic zone in a patient with amelogenesis imperfecta using composite veneers and the clear matrix technique: A case report
Aleksandar Bogosavljevic, Vanja Misina, Jovana Jordacevic, Milka Abazovic, Smiljka Dukic, Ljubisa Ristic, Dragana Dakovic
2016
Vojnosanitetski Pregled
Introduction. Restorative dental treatment of patients with a generalized form of amelogenesis imperfecta (AI) remains a challenge even today. The treatment approach is multidisciplinary and includes action of several dental disciplines such as restorative, orthodontic, and prosthetic dental specialties. Case report. A 18-year-old female patent was referred to the Department of Restorative Dentistry and Periodontology at the Military Medical Academy of Belgrade, Serbia. She was diagnosed with
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... and formerly had been treated for a long period of time at the Department of Pediatric Dentistry and Orthodontics. Her primary concern upon arrival was discomfort and concern for the esthetic appearance of the anterior teeth. The treatment was done with the modified clear matrix technique used in composite veneer restoration of teeth in the esthetic zone. Conclusion. Because fixed prosthetic restoration with crowns, is the final treatment of AI patients it involves severe tooth structure loss. The clear matrix method which was done in this case allowed for greater comfort, functionality, simplicity, speed, greater economic efficiency and tooth structure preservation. Uvod. Restorativno lečenje zuba kod osoba sa opštom amelogenesis imperfecta (AI) i danas predstavlja problem. Terapijski pristup je multidisciplinaran i uključuje nekoliko specijalista iz oblasti stomatologije, kao što su restorativna stomatologija, ortodoncija i protetika. Prikaz bolesnika. Ženska osoba, stara 18 godina, primljena je na Odeljenje konzervativne stomatologije i parodontologije Vojnomedicinske akademije u Beogradu. Ona je obolela od AI, a pre toga je bila dugogodišnji pacijent na Odeljenju dečje stomatologije i ortodoncije. Njen primarni razlog posete bio je nelagodnost i zabrinutost zbog izgleda svojih zuba, naročito u zoni osmeha. Lečenje je sprovedeno korišćenjem kompozitnih vinira i modifikovanom clear matrix tehnikom. Zaključak. S obzirom na to da protetsko zbrinjavanje kao finalno rešenje kod osoba sa AI podrazumeva brušenje velikog broja zuba, modifikovana clear matrix metoda koja je primenjena u ovom slučaju je znatno komfornija, funkcionalnija, jednostavnija, brža, ekonomski prihvatljivija, a omogućava očuvanje zubnih struktura.
doi:10.2298/vsp141125053b
pmid:27295917
fatcat:7i5vc4qz2jbkrd7r47kaezbiye