A Case Report of a Patient Complaining of an Esthetic Problem due to Enamel Hypoplasia

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  • Terui Yoshiyuki
    Department of Fixed Prosthodontics, School of Dentistry, Iwate Medical University
  • Fujisawa Masanori
    Department of Fixed Prosthodontics, School of Dentistry, Iwate Medical University
  • Okada Jiro
    Department of Fixed Prosthodontics, School of Dentistry, Iwate Medical University
  • Kawase Shinichiro
    Department of Fixed Prosthodontics, School of Dentistry, Iwate Medical University
  • Kanno Daisuke
    Department of Fixed Prosthodontics, School of Dentistry, Iwate Medical University
  • Shioyama Tsukasa
    Department of Fixed Prosthodontics, School of Dentistry, Iwate Medical University
  • Ishibashi Kanji
    Department of Fixed Prosthodontics, School of Dentistry, Iwate Medical University
  • Yonai Tadashi
    Yonai Dental Clinic

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Other Title
  • 審美障害を主訴としたエナメル質形成不全症例

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Patient: A case report of a 14-year-old girl complaining of an esthetic problem due to enamel hypoplasia is presented. Her father and grandmother showed the same problem in their teeth.Although none of the primary teeth had showed enamel hypoplastic status, all of her permanent teethhad a dark brown rough surface. The patient was referred to our clinic in January 1999 at thecompletion of permanent teeth eruption. Laminate veneers were set for the upper incisal and canineteeth to improve the esthetic problem, while composite resin fillings were appliedto the lower teeth forfinancial reasons. Seventeen months later, laminate veneers were set for the lowerincisal and canineteeth at the request of the patient. It has been 3 years since the laminate veneers were set, and noproblem has been found so far.<BR>Discussion: Although gum recession is to be expected in a person of her age, her concern wasimprovement of the color and shape of the teeth. She understood the necessity of future treatmentagainst possible recession. For these reasons, our strategy gave priority to improving the estheticproblem over future gum recession.<BR>Conclusions: The treatment with laminate veneers improved not only the esthetic problem but alsoquality of life associated with an inferiority complex due to unusual tooth color.Since few cases havebeen reported in terms of laminate veneers for enamel hypoplasia, long-term follow-up will be neededfor this patient.

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