AIM: To present a clinical approach for the restoration of Amelogenesis imperfecta (AI)-affected teeth with the Flow Injection Technique (FIT). METHODS: A 9-year-old uncooperative patient attended to the Dental Clinic of the University of Bologna reporting teeth sensitivity and functional difficulties. After medical, dental, photographical and radiographic examinations, the diagnosis of AI was made, with cusp collapse of teeth 16 and 26 and significant loss of 36 and 46 structure. After strategic collaborative education and dental hygiene instructions, the treatment plan consisted in direct composite restoration of 3.6 and 4.6, and intraoral scans to prepare a silicone template (ST) for FIT on 1.6 and 2.6 to reproduce cuspal anatomies (Omnichroma flow bulkfill, Tokuyama) after previous bonding procedures (EE-Bond universal adhesive used in etch-and-rinse mode, Tokuyama). After finishing and polishing, rx control was done and the patients followed up at 1 week, 3 and 6 months. RESULTS: The first educational approach was necessary to gain patient’s collaboration, improve dental hygiene maneuvers and provide support for tooth sensitivity relief. FIT allowed to easily rehabilitate cuspally-destroyed teeth in an esthetic and functional way. At 6 months, no discoloration, chipping or marginal infiltration were noted, and the patient referred no tooth sensitivity, and was satisfied with the esthetic result. CONCLUSIONS: The FIT can be considered a valid treatment approach for the esthetic and functional reconstruction of AI-affected teeth in growing patients. Acknowledgments. The authors would like to thanks Tokuyama SrL for the support through the partial provision of the materials used in the study. This study was financed by the European Union - NextGenerationEU through the Italian Ministry of University and Research under PNRR 2022 “M.E.T.A.D.E.N.T.I. Mih-affected tEeth: crossTalk between genetic background and ENviromenTal Influences ”, cod: 20222YTC5A settore LS3_10.
Florenzano, F., Maravic, T., Mazzitelli, C., Incerti Parenti, S., Cadenaro, M., Breschi, L., et al. (2024). Flow injection technique per il restauro di molari affetti da Amelogenesi Imperfetta in età pediatrica.
Flow injection technique per il restauro di molari affetti da Amelogenesi Imperfetta in età pediatrica
florenzano f.
Primo
;Maravic t.;Mazzitelli C.;Incerti Parenti S.;Breschi L.;Alessandri Bonetti G.;Mazzoni A.
2024
Abstract
AIM: To present a clinical approach for the restoration of Amelogenesis imperfecta (AI)-affected teeth with the Flow Injection Technique (FIT). METHODS: A 9-year-old uncooperative patient attended to the Dental Clinic of the University of Bologna reporting teeth sensitivity and functional difficulties. After medical, dental, photographical and radiographic examinations, the diagnosis of AI was made, with cusp collapse of teeth 16 and 26 and significant loss of 36 and 46 structure. After strategic collaborative education and dental hygiene instructions, the treatment plan consisted in direct composite restoration of 3.6 and 4.6, and intraoral scans to prepare a silicone template (ST) for FIT on 1.6 and 2.6 to reproduce cuspal anatomies (Omnichroma flow bulkfill, Tokuyama) after previous bonding procedures (EE-Bond universal adhesive used in etch-and-rinse mode, Tokuyama). After finishing and polishing, rx control was done and the patients followed up at 1 week, 3 and 6 months. RESULTS: The first educational approach was necessary to gain patient’s collaboration, improve dental hygiene maneuvers and provide support for tooth sensitivity relief. FIT allowed to easily rehabilitate cuspally-destroyed teeth in an esthetic and functional way. At 6 months, no discoloration, chipping or marginal infiltration were noted, and the patient referred no tooth sensitivity, and was satisfied with the esthetic result. CONCLUSIONS: The FIT can be considered a valid treatment approach for the esthetic and functional reconstruction of AI-affected teeth in growing patients. Acknowledgments. The authors would like to thanks Tokuyama SrL for the support through the partial provision of the materials used in the study. This study was financed by the European Union - NextGenerationEU through the Italian Ministry of University and Research under PNRR 2022 “M.E.T.A.D.E.N.T.I. Mih-affected tEeth: crossTalk between genetic background and ENviromenTal Influences ”, cod: 20222YTC5A settore LS3_10.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
