Dental Rehabilitation of a Patient with Amelogenesis Imperfecta and Intellectual Disability: A case report
DOI:
https://doi.org/10.52076/eacad-v6i3.669Keywords:
Amelogenesis Imperfecta; Intellectual Disability; Dentistry; Mouth Rehabilitation; Patient Care Team.Abstract
Amelogenesis Imperfecta (AI) is a rare genetic disorder that affects enamel formation, leading to structural and esthetic defects involving both the primary and permanent dentitions. This study aims to report the clinical case of a patient with AI associated with intellectual disability, emphasizing the diagnostic challenges and the restorative and rehabilitative strategies employed. The patient presented with multiple carious lesions, dental hypersensitivity, and esthetic concerns, having previously received an inaccurate diagnosis and an excessively invasive treatment plan. After thorough clinical and radiographic evaluation, a conservative treatment approach was developed, including restorations with resin-modified glass ionomer cement, followed by endodontic treatment and anterior rehabilitation using fiberglass posts and direct composite veneers. The treatment resulted in functional, esthetic, and psychosocial improvements, evidenced by restored mastication, reduced sensitivity, and increased self-esteem. This case reinforces that the clinical management of AI requires a multidisciplinary and humanized approach, considering not only dental rehabilitation but also the emotional and social well-being of the patient. Early diagnosis, continuous follow-up, and individualized treatment planning are essential for achieving therapeutic success and maintaining both oral and emotional health.
References
Bücheli-Kamber, R.; Meyer-Lückel, H.; Jaeggi T. (2024). Total rehabilitation in case of amelogenesis imperfecta. Swiss Dent J. 134(1):84-104. German. doi: 10.61872/sdj-2024-03-02.
Ceyhan, D.; Kirzioglu, Z.; Emek, T. (2019). A Long-Term Clinical Study on Individuals with Amelogenesis Imperfecta. Nigerian Journal of Clinical Practice. 22(8):1157-62. https://journals.lww.com//njcp/fulltext/2019/22080/a_long_term_clinical_study_on_individuals_with.18.aspx#O3-18-2
Chen, R.; Lin, Y.; Sun, Y.; Pan, X.; Xu, Y.; Kong, X.; Zhang, L. (2024). Full-mouth rehabilitation with lithium disilicate ceramic crowns in hypoplastic amelogenesis imperfecta: a case report and review of literature. BMC Oral Health. 24(1):1139. https://pmc.ncbi.nlm.gov/articles/PMC11437823/pdf/12903_2024_Article_4929.pdf
Das, R.; Børstad, E.; Jullumstrø Feuerherm, A.; Slåttelid Skeie, M.; Lundgren, G.P.; Dahllöf, G. (2025). Early Ceramic Crown Intervention in Adolescents with Severe Amelogenesis Imperfecta: A Clinical Case Series. Clin Case Rep. 13(10):e71202. doi: 10.1002/ccr3.71202.
Dixit, D.; Kaushal, S.; Pathak, A.K.; Lal, N. (2025). Comprehensive management and oral rehabilitation of amelogenesis imperfecta: a multidisciplinary treatment approach. BMJ Case Rep.18(1):e262170. doi: 10.1136/bcr-2024-262170.
Elfseyie, M.T.; Alfirjani1, S.A.; Said, B.E. (2022). Non-invasive rehabilitation of hypoplastic amelogenesis imperfecta of a 14-year-old child. Sci Dent J. 6(2):94-100.
Herrera-Rojas, N.A.; Perona-Miguel de Priego, G.A. (2023). Amelogenesis imperfecta. case report. Rev Cient Odontol. 11(2):e156. http://pmc.ncbi.nlm.gov/articles/PMC10809965/pdf/odontologica-11-e156.pdf
Leevailoj, C.; Lawanrattanakul, S.; Mahatumarat, K. (2017). Amelogenesis Imperfecta: Case Study. Oper Dent. 42(5):457-469. doi: 10.2341/13-256-S.
Markovic, D.; Petrovic, B.; Peric, T. (2010). Case series: clinical findings and oral rehabilitation of patients with amelogenesis imperfecta. Eur Arch Paediatr Dent. 11(4):201-8. doi: 10.1007/BF03262745.
Möhn, M.; Bulski, J.C.; Krämer, N.; Rahman, A.; Schulz-Weidner, N. (2021). Management of Amelogenesis Imperfecta in Childhood: Two Case Reports. Int J Environ Res Public Health. 18(13):7204.
Nazeer, M.R.; Ghafoor, R.; Zafar, K.; Khan, F.R. (2020). Full mouth functional and aesthetic rehabilitation of a patient affected with hypoplastic type of amelogenesis imperfecta. J Clin Exp Dent. 12(3):e310-6.
Ohrvik, H.G.; Hjortsjö, C. (2020). Retrospective study of patients with amelogenesis imperfecta treated with different bonded restoration techniques. Clin Exp Dent Res. 6-16-30. https://doi.org/10.1002/cre2.243
Pascareli-Carlos, A.M.; Ribeiro, R.M.; Souza, B.T.A.; Floriano, I.; Diniz, M.B.; Bezerra, S.J.C.; Silva, E.M.; Raggio, D.P.; Novaes, T.F.; Tedesco, T.K. (2025). Management strategies for posterior deciduous and permanent teeth with developmental defects of enamel presenting post-eruptive breakdown or atypical cavitated carious lesions: systematic review and meta-analysis. Evid Based Dent. 26(3):154.
Patel, M., McDonnell, S.T.; Iram, S.; Chan, M.F. (2013). Amelogenesis imperfecta - lifelong management. Restorative management of the adult patient. Br Dent J. 215(9):449-57. https://www.nature.com/articles/sj.bdj.2013.1045
Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria. Editora da UFSM.
Rizzo, N.S.P.; da Cunha, L.F.; Sotelo, B.V.; Gonzaga, C.C.; Correr, G.M.; Gaião, U. (2019). Esthetic Rehabilitation with Direct Composite Resin in a Patient with Amelogenesis Imperfecta: A 2-Year Follow-Up. Case Rep Dent. (7):1-4.
Roma, M.; Hegde, P.; Durga Nandhini, M.; Hegde, S. (2021). Management guidelines for amelogenesis imperfecta: a case report and review of the literature. J Med Case Rep. 15(1):67. https://pmc.ncbi.nlm.nih.gov/articles/PMC7871387/#Sec2
Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paulista de Enfermagem. 20(2), 5-6.
Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da saúde. (2ed). Editora da UFRGS.
Wimalarathna, A.; Abeyasinghe, U.; Jayasooriya, P.; Herath, C. (2022). Amelogenesis imperfecta: A literature review-based guide to diagnosis and management. J Multidiscipl Dent. 10(3):94-101.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nathália da Silva Barreto; Nelly Cristina C dos Santos; Vanessa Ferreira Satyro; Janaina Sampaio de Oliveira; Thais Cordeschi; Beatriz Cruz Ferreira; Danielle Monsores Vieira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
1) Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
2) Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
3) Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.
