Documente Academic
Documente Profesional
Documente Cultură
152
sive castings on posterior teeth. The latter may need to be
replaced in adolescence/early adulthood by a porcelain
bonded full crown (Table 37.2).
Recommended reading
Cameron A, Widmer R (eds) 2008 Dental anomalies. In:
Handbook of Paediatric Dentistry, 3rd edn. Mosby-
Wolfe, St Louis, pp 217277.
Crawford PJM, Aldred MJ 2005 Anomalies of tooth
formation and eruption. In: Welbury RR, Duggal MS,
Hosey MT (eds) Paediatric Dentistry, 3rd edn. Oxford
Univerty Press, Oxford, pp 297318.
For revision, see Mind Map 37, page 199.
Marks major concern was the staining and roughness of
his front teeth. Fortunately there was no wear of his poste-
rior teeth and his problem, therefore, was solely a cosmetic
one. The pitting or hypoplasia on the upper and lower inci-
sors can be masked by a thin, directly applied composite
veneer. This should be extended to include the canines and
rst premolars when the arches are complete. On occasions,
if the smile is a very wide one, it may be necessary to
include second premolars. Composite veneers can be
replaced by porcelain veneers at age 18 when the gingival
contour has achieved adult levels.
If the amelogenesis had been of the hypomineralized
variety with more destruction of enamel, it may have been
necessary to consider full porcelain crowns for aesthetics in
the anterior teeth and either stainless steel crowns or adhe-
41
199
MI N D MA P 3 7
alleviate symptoms
maintain / restore occlusal height
improve aesthetics
Treatment principles
adhesive restorations
SSCs
cast onlays
full crowns
composite veneers
porcelain veneers
Treatment modalities
hypoplastic
hypocalcified
hypomature
mixed
Main clinical types
autosomal dominant
autosomal recessive
X-linked
Inheritance
1 in 10000
Incidence
epidermolysis bullosa
tuberous sclerosis
pseudohypoparathyroidism
trichodento-osseous syndrome
occulodento-osseous dysplasia
vitamin D dependent rickets
Amelo-cerebrohypohidrotic syndrome
Amelo-onychohypohidrotic syndrome
mucopolysaccharidosis
Generalized disorder association
Amelogenesis Imperfecta