A conservative treatment for amelogenesis imperfecta with direct resin composite restorations: A case report

Rehabilitation of a patient with amelogenesis imperfecta (AI) from both the functional and esthetic standpoints represents a challenge. The complexity of the condition requires an interdisciplinary approach for optimal treatment outcomes. A number of treatment options have been proposed. Recently, the use of bonded restorations has gained popularity because of the many benefits associated with these materials; excellent esthetics, conservative approach, and improved wear make their use advantageous. This article describes a direct approach with resin composite restorations for the transitional treatment of an adolescent with hypoplastic AI who had not completed skeletal growth. Protection against further wear, sensitivity, and plaque accumulation while significantly enhancing the patient's esthetic appearance made this case a success. Furthermore, this article describes the use of a "Clear matrix" technique, which considerably helped simplify the placement of the bonded restorations. CLINICAL SIGNIFICANCE This article highlights (1) the importance of an interdisciplinary approach to the successful treatment planning of a patient with hypoplastic amelogenesis imperfecta (AI), and (2) the conservativeness and suitability of full coverage direct resin composite restorations for the transitional treatment of AI-affected teeth on an adolescent patient who has not yet completed skeletal growth.