법랑질형성부전 환자의 교정치료 치험례
Orthodontic Treatment of Amelogenesis Imperfecta - A Case Review
박제혁, 이강규, 전영미, 김정기,
소속 상세정보
박제혁 ( Park Je-Hyeok ) - 전북대학교 치과대학 치과교정학교실
이강규 ( Lee Kang-Gyu ) - 전북대학교 치과대학 치과교정학교실
전영미 ( Jeon Young-Mi ) - 전북대학교 치과대학 치과교정학교실
김정기 ( Kim Jong-Ghee ) - 전북대학교 치과대학 치과교정학교실
KMID : 1149720180080040010
Abstract
Amelogenesis imperfecta (AI) is an inherited disorder in enamel development of both primary and permanent dentitions. It accompanies various clinical implications such as rapid attrition, excessive calculus deposition and often other development disorders of teeth. A 27-year-old woman had hypoplastic type of AI and two congenital missing of mandibular lateral incisors. She had Class II molar relationship and showed excessive showing of the maxillary incisors. We decided to extract her maxillary first premolars, and close the extraction space using skeletal anchorage. Periodontal and conservative treatment was done prior to orthodontic treatment, and maxillary incisors were retracted with intrusive force. Adequate occlusion was achieved after 18 months of treatment. After additional full mouth rehabilitation with prosthetics, patient was satisfied with her esthetic smile. Orthodontist’s role in AI interdisciplinary treatment is important because adjunctive specialties treatment such as periodontics and prosthodontics is frequently required.
키워드
Amelogenesis imperfecta; Congenital missing teeth
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