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Case report: Rehabilitation of a child with dentinogenesis imperfecta and congenitally missing lateral incisors.
[dentinogenesis imperfecta]
Dentinogenesis
imperfecta
is
one
of
the
most
common
hereditary
disorders
of
dentine
formation
.
Opalescent
teeth
composed
of
irregularly
formed
and
undemineralised
dentine
that
obliterates
pulp
chambers
and
root
canals
characterize
it
.
Complete
-coverage
crowns
are
usually
the
preferred
restoration
for
patients
with
this
condition
.
A
9
year
-old
girl
presented
with
dentinogenesis
imperfecta
,
congenitally
missing
maxillary
lateral
incisors
and
maxillary
right
permanent
second
molar
retention
.
The
treatment
comprised
an
initial
approach
to
allow
the
correct
eruption
of
the
retained
second
molar
.
The
use
of
low
-
fusion
metal
ceramic
restorations
comprised
a
second
stage
to
improve
the
aesthetic
appearance
and
decrease
the
risk
of
overload
on
teeth
with
limited
value
.
The
patient
has
been
recalled
regularly
and
at
the
last
visit
,
10
years
after
initial
prosthetic
treatment
,
no
problems
or
signs
of
complications
have
occurred
.
The
patient
is
now
aged
25
years
and
is
still
satisfied
with
the
prosthetic
rehabilitation
.
This
case
illustrates
the
need
for
appropriate
and
timely
restorative
treatment
to
prevent
deterioration
of
the
dentition
.
This
case
will
also
demonstrate
that
low
-
fusion
metal
ceramic
restoration
is
a
viable
esthetic
treatment
option
for
today
's
patients
.
