Fixed rehabilitation of an ACP PDI Class III patient with amelogenesis imperfecta

Abstract

This clinical report describes the oral rehabilitation of a 19-year-old woman diagnosed with hypoplastic-type amelogenesis imperfecta (AI). She presented with discolored and mutilated teeth, missing teeth, anterior open bite, and posterior short crowns. She was classified as an American College of Prosthodontists Prosthodontic Diagnostic Index (ACP PDI) class III patient. The aim of treatment was to restore esthetics and improve masticatory function. The patient's esthetic and functional expectations were successfully attained with porcelain laminate veneers and all-ceramic and metal-ceramic restorations after extensive crown lengthening. The patient was regularly recalled during the postoperative period. Loss of retention of one all-ceramic crown and minimal recession of the gingiva of one laminate veneer were noted at 4-year recall. © 2008 by The American College of Prosthodontists.