Correction of malocclusion and oral rehabilitation in a case of amelogenesis imperfecta by insertion of dental implants followed by Le Fort I distraction osteogenesis of the edentulous atrophic maxilla

BMC Oral Health

Abdulsamet Kundakcioglu²  Sevin Ureturk⁴  Bulent Sermet³  Aysegul Apaydin¹ 

[1] Istanbul Universitesi, Dıs Hekimligi Fakultesi, Cene cerrahisi, Capa, Sakayik sok., Buket apt, 39/2, No 27 Da 3, Nisantasi, Istanbul, Turkey;Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey;Department of Prostodontics, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey;Department of Orthodontics, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey

关键词: Malocclusion;    Dental implants;    Edentulous maxilla;    Le Fort I Distraction osteogenesis;    Amelogenesis imperfecta;   

Others  :  1091783
DOI  :  10.1186/1472-6831-14-116

 received in 2013-10-28, accepted in 2014-09-09,  发布年份 2014

【 摘 要 】

Background

Amelogenesis imperfecta refers a group of hereditary diseases affecting the teeth and can present a variety of clinical forms and appearances, compromising esthetic appearance. Amelogenesis imperfecta variably reduces oral health quality and can result in severe psychological problems.

Case presentation

We present the management of an amelogenesis imperfecta Angle class III malocclusion case with speech, esthetics and functional problems. This is an example of the rarely presented delayed eruption with multiple morphologic dental alterations and edentulous maxilla.

There are only a few available reports in which this method is used method to correct sagittal discrepancies in edentulous patients.

Our treatment plan consisted of a preoperative diagnostic and prosthodontics phase (including preparation of guiding prosthesis), followed by a surgical phase of Le Fort I osteotomy, distraction osteogenesis to correct the malocclusion, implant insertion and a follow up final restorative phase.

Conclusions

Our treatment strategy attempts to serve patient needs, achieving function and esthetics while also minimizing the risk of reconstruction failure. Treatment not only restored function and esthetics, but also showed a positive psychological impact and thereby improved perceived quality of life.

【 授权许可】

   
2014 Apaydin et al.; licensee BioMed Central Ltd.

【 图 表 】

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