Intracanal pain remission in child with amelogenesis imperfecta. Case report

• Published in: Revista dor Vol. 16; no. 3; pp. 227 - 231
• Main Authors: Nascimento, Armiliana Soares, Barros, Criseuda Maria Benício, Soares, Renata de Souza Coelho, Fontes, Luciana de Barros Correia, Braz, Rodivan
• Format: Journal Article
• Language: English; Portuguese
• Published: Sociedade Brasileira para o Estudo da Dor 01-09-2015
• Subjects: amelogenesis imperfecta; CLINICAL NEUROLOGY; CRITICAL CARE MEDICINE; endodontic treatment; incomplete root formation; mineral trioxide aggregate; NEUROSCIENCES; pain; Agregado trióxido mineral; Endodontic treatment; Mineral trioxide aggregate; Pain; Dor; Amelogênese imperfeita; Incomplete root formation; Tratamento endodôntico; Amelogenesis imperfecta; Rizogênese incompleta
• ISSN: 2317-6393; 1806-0013; 2317-6393
• DOI: 10.5935/1806-0013.20150045

ABSTRACTBACKGROUND AND OBJECTIVES:Amelogenesis imperfecta is characterized by enamel structural defects, which may severely affect dental structure in both dentitions. When accompanied by severe decay, it may impair the pulp complex requiring endodontic treatment and in case of incomplete root formation treatment becomes more complex due to pulp volume and anatomic conditions. This study aimed at reporting a clinical case of patient with amelogenesis imperfecta and with multiple incomplete root formation as a consequence.CASE REPORT:Female patient, 12 years old, leucodermic, with painful symptoms, who has looked for dental assistance. At intraoral clinical evaluation teeth presented with shape and size changes, yellowish color, covered by a thin enamel layer with roughened surface and absent in some areas, with anterior vestibular sulcus fistula and without edema. At radiographic evaluation, both dentitions were affected by the abnormality with delayed chronology of permanent teeth eruption. At the end of all evaluations, patient was diagnosed with amelogenesis imperfecta, and periodontal treatment was started, followed by endodontic treatment.CONCLUSION:Amelogenesis treatment is complex, especially when in more advanced stages of dental structure destruction. However, it is possible to reestablish patient’s functionality and esthetics with good planning and multidisciplinary approach.