Prosthetic Reconstruction of a Patient with Amelogenesis Imperfecta: A Two-Year Follow-up Evaluation

Background: Amelogenesis imperfecta (AI) has been described as a heredity disorder affecting dental enamel formation. Case Report: This report represents a step-by-step treatment plan for the dental reconstruction of a patient suffering from AI complaining about esthetics and function. The treatment sequences in the rehabilitation in the present case included performing orthognathic and periodontal surgery, using CAD-CAM provisional restorations during the healing time, and preparing full-ceramic restorations (zirconia restorations). CAD-CAM provisional restorations reduce the risk of pulp sensitivity and ensure adequate strength during the healing process. Discussion: Oral manifestations of patients with AI include gingivitis, tooth sensitivity, deposition of calculus, anterior open bite, excessive wear and decrease of occlusal vertical dimensions, poor esthetics, loss of proximal contact, compromised chewing function due to tooth sensitivity, and vulnerability of teeth to incomplete eruption. Oral reconstruction of these patients requires a multidisciplinary approach, including periodontal and orthodontic procedures, orthognathic surgery, endodontic treatment, and restorative and prosthodontic rehabilitation. Conclusion: A two-year follow-up observation confirmed satisfaction, appropriate function, and esthetics.