Enhancing Localized, Occlusal Space by Relative Axial Tooth Movement in Patient with Dentinogenesis Imperfecta—A Case Report

Dentinogenesis imperfecta (DI) is a hereditary disorder that affects dentin formation, leading to discolored, fragile teeth with increased susceptibility to wear and fracture. A 41-year-old woman presented with a family history of DI and significant tooth wear primarily affecting her maxillary anter...

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Main Author: Mohammad Abdullah Zayed Alqhtani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1337_24
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author Mohammad Abdullah Zayed Alqhtani
author_facet Mohammad Abdullah Zayed Alqhtani
author_sort Mohammad Abdullah Zayed Alqhtani
collection DOAJ
description Dentinogenesis imperfecta (DI) is a hereditary disorder that affects dentin formation, leading to discolored, fragile teeth with increased susceptibility to wear and fracture. A 41-year-old woman presented with a family history of DI and significant tooth wear primarily affecting her maxillary anterior teeth due to parafunctional habits. She reported dissatisfaction with her smile, indicating that her front teeth were short and did not show when smiling. Examination revealed blue-gray teeth with craze lines characteristic of DI, receded pulp chambers, and evidence of significant tooth surface loss due to attrition. The patient had no significant medical history or allergies, with a regular history of dental attendance. The management plan involved restorative treatment using a staged approach. Initially, non-surgical debridement, management of caries, and the placement of provisional restorations using a fixed Dahl appliance were performed to create occlusal space. This was followed by definitive ceramic restorations to restore esthetics and function. The treatment successfully improved the patient’s smile and functional outcomes. This case highlights the importance of a comprehensive, phased treatment approach for managing DI, emphasizing the need for occlusal space creation, caries management, and esthetic restoration to improve patient satisfaction and dental health outcomes.
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spelling doaj-art-d7e40f6a69c3408e89ef85b99f1b313c2025-01-13T10:38:32ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3915S391710.4103/jpbs.jpbs_1337_24Enhancing Localized, Occlusal Space by Relative Axial Tooth Movement in Patient with Dentinogenesis Imperfecta—A Case ReportMohammad Abdullah Zayed AlqhtaniDentinogenesis imperfecta (DI) is a hereditary disorder that affects dentin formation, leading to discolored, fragile teeth with increased susceptibility to wear and fracture. A 41-year-old woman presented with a family history of DI and significant tooth wear primarily affecting her maxillary anterior teeth due to parafunctional habits. She reported dissatisfaction with her smile, indicating that her front teeth were short and did not show when smiling. Examination revealed blue-gray teeth with craze lines characteristic of DI, receded pulp chambers, and evidence of significant tooth surface loss due to attrition. The patient had no significant medical history or allergies, with a regular history of dental attendance. The management plan involved restorative treatment using a staged approach. Initially, non-surgical debridement, management of caries, and the placement of provisional restorations using a fixed Dahl appliance were performed to create occlusal space. This was followed by definitive ceramic restorations to restore esthetics and function. The treatment successfully improved the patient’s smile and functional outcomes. This case highlights the importance of a comprehensive, phased treatment approach for managing DI, emphasizing the need for occlusal space creation, caries management, and esthetic restoration to improve patient satisfaction and dental health outcomes.https://journals.lww.com/10.4103/jpbs.jpbs_1337_24esthetic restorationdahl appliancedental rehabilitationdentinogenesis imperfectaocclusal spacetooth wear
spellingShingle Mohammad Abdullah Zayed Alqhtani
Enhancing Localized, Occlusal Space by Relative Axial Tooth Movement in Patient with Dentinogenesis Imperfecta—A Case Report
Journal of Pharmacy and Bioallied Sciences
esthetic restoration
dahl appliance
dental rehabilitation
dentinogenesis imperfecta
occlusal space
tooth wear
title Enhancing Localized, Occlusal Space by Relative Axial Tooth Movement in Patient with Dentinogenesis Imperfecta—A Case Report
title_full Enhancing Localized, Occlusal Space by Relative Axial Tooth Movement in Patient with Dentinogenesis Imperfecta—A Case Report
title_fullStr Enhancing Localized, Occlusal Space by Relative Axial Tooth Movement in Patient with Dentinogenesis Imperfecta—A Case Report
title_full_unstemmed Enhancing Localized, Occlusal Space by Relative Axial Tooth Movement in Patient with Dentinogenesis Imperfecta—A Case Report
title_short Enhancing Localized, Occlusal Space by Relative Axial Tooth Movement in Patient with Dentinogenesis Imperfecta—A Case Report
title_sort enhancing localized occlusal space by relative axial tooth movement in patient with dentinogenesis imperfecta a case report
topic esthetic restoration
dahl appliance
dental rehabilitation
dentinogenesis imperfecta
occlusal space
tooth wear
url https://journals.lww.com/10.4103/jpbs.jpbs_1337_24
work_keys_str_mv AT mohammadabdullahzayedalqhtani enhancinglocalizedocclusalspacebyrelativeaxialtoothmovementinpatientwithdentinogenesisimperfectaacasereport