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Quintessence International
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Quintessence Int 32 (2001), No. 3     1. Mar. 2001
Quintessence Int 32 (2001), No. 3  (01.03.2001)

Page 183-189


Amelogenesis imperfecta: Diagnosis and resolution of a case with hypoplasia and hypocalcification of enamel, dental agenesis, and skeletal open bite
Encinas, Rosa Pulgar / García-Espona, Ignacio / de Mondelo, Jose Manuel Navajas Rodriguez
A case of amelogenesis imperfecta with hypoplasia, hypocalcification of the enamel, congenital absence of teeth 12 and 22, delayed eruption of tooth 23, edge-to-edge incisal relationship, open bite, and bilateral posterior cross bite at the level of the first and second premolars is presented. Lateral skull teleradiography indicated a Class III skeletal pattern of maxillary origin associated with a dolichofacial pattern with multiple indicators of facial hyperdivergence. The patient presented a major esthetic abnormality of the face and required orthodontic treatment prior to a prosthetic solution with full-coverage metal-ceramic crowns in both the maxilla and the mandible. The diagnosis of cases such as this one and the therapeutic implications from an orthodontic and prosthetic standpoint are reported.