Reabilitação oral utilizando coroas impressas em 3D para amelogênese imperfeita: relato de caso

Bruna Cordeiro Amarante; Camila Gallo Cabral; Catielma Nascimento Santos; Emerson Junio de  Moraes; Ana Carolina Cheron Gentile; Marcelo Bönecker; Marcelo Munhóes Romano

doi:10.47990/j6r6df02

Authors

Bruna Cordeiro Amarante PhD student, Department of Pediatric Dentistry at the Faculty of Dentistry at the University of São Paulo https://orcid.org/0000-0001-9153-8129
Camila Gallo Cabral Post-graduate student, Discipline of Integrated Clinic, Department of Stomatology, Dental School, University of São Paulo (FO-USP), Brazil https://orcid.org/0000-0003-2532-299X
Catielma Nascimento Santos Professor at Department of Dentistry, University Federal of Sergipe, Lagarto, Brazil https://orcid.org/0000-0003-3932-5550
Emerson Junio de Moraes Post-graduate student, Discipline of Integrated Clinic, Department of Stomatology, Dental School, University of São Paulo (FO-USP), Brazil https://orcid.org/0009-0001-8472-5345
Ana Carolina Cheron Gentile Post-graduate student, Department of Pediatric Dentistry at the Faculty of Dentistry at the University of São Paulo https://orcid.org/0000-0001-7296-7905
Marcelo Bönecker Full Professor, Department of Pediatric Dentistry, Faculty of Dentistry, University of São Paulo (FO-USP), Brazil https://orcid.org/0000-0001-9786-6473
Marcelo Munhóes Romano Professor, Integrated Clinical Discipline, Department of Stomatology, Faculty of Dentistry, University of São Paulo (FO-USP), Brazil https://orcid.org/0000-0002-2672-2066

DOI:

https://doi.org/10.47990/j6r6df02

Keywords:

Mouth Rehabilitation, Digital Technology, Amelogenesis Imperfecta, 3D Printing, S-PRG Fillers

Abstract

Amelogenesis imperfecta (AI) is a condition that severely affects tooth enamel. In most cases aesthetics and function are compromised while solutions are scarce and have high cost. The purpose of this case report is to describe a rehabilitation case of a 13-year-old male patient diagnosed with amelogenesis imperfecta. A minimally invasive oral rehabilitation was planned using digital workflow for planning, 3D printing of crowns and S-PRG fillers as an aesthetic and functional solution, with lower cost, in the face of the AI case presented. Case report: 13-year-old male with pain, sensitivity, and aesthetics complaints, the patient has been diagnosed with Amelogenesis Imperfecta Hypomaturation-Hypoplastic, Type IV (AIHHT – OMIM: 104510). Treatment was divided into three phases, preventive and sensitivity management, minimally invasive oral rehabilitation – CAD-CAM and orthodontic treatment. It is possible to conclude that digital flow and 3D printing have many benefits for dentistry such as treatment predictability, chairside and lower material waste, cost and working time. It can also be concluded that digital dentistry allows oral rehabilitation following minimal intervention principles and that it was a successful treatment with aesthetic, function and quality of life improvements.

References

Aldred MJ, Savarirayan R, Crawford PJ. Amelogenesis imperfecta: a classification and catalogue for the 21st century. Oral Dis. 2003 Jan;9(1):19-23. doi: 10.1034/j.1601-0825.2003.00843.x. PMID: 12617253.

Amarante, BC; Cabral, CG; Santos, CN; Moraes, EJ; Gentile, ACC; Bönecker, M; Romano, MM.

Smith CEL, Poulter JA, Antanaviciute A, Kirkham J, Brookes SJ, Inglehearn CF, Mighell AJ. Amelogenesis Imperfecta; Genes, Proteins, and Pathways. Front Physiol. 2017 Jun 26;8:435. doi: 10.3389/ fphys.2017.00435. PMID: 28694781; PMCID: PMC5483479.

Klink A, Groten M, Huettig F. Complete rehabilitation of compromised full dentitions with adhesively bonded all-ceramic single-tooth restorations: Long-term outcome in patients with and without amelogenesis imperfecta. J Dent. 2018 Mar;70:51-58. doi: 10.1016/j.jdent.2017.12.011. Epub 2017 Dec 21. PMID: 29275170.

Toupenay S, Fournier BP, Manière MC, Ifi-Naulin C, Berdal A, de La Dure-Molla M. Amelogenesis imperfecta: therapeutic strategy from primary to permanent dentition across case reports. BMC Oral Health. 2018 Jun 15;18(1):108. doi: 10.1186/s12903-018-0554-y. PMID: 29907114; PMCID: PMC6003150.

Roma M, Hegde P, Durga Nandhini M, Hegde S. Management guidelines for amelogenesis imperfecta: a case report and review of the literature. J Med Case Rep. 2021 Feb 9;15(1):67. doi: 10.1186/s13256-020- 02586-4. PMID: 33557885; PMCID: PMC7871387.

P.H. Corazza, H.L. de Castro, S.A. Feitosa, E.T. Kimpara, A. Della Bona. Influence of CAD-CAM diamond bur deterioration on surface roughness and maximum failure load of Y-TZP-based restorations. Am J Dent, 28 (2015), pp. 95-99

Della Bona A, Cantelli V, Britto VT, Collares KF, Stansbury JW. 3D printing restorative materials using a stereolithographic technique: a systematic review. Dent Mater. 2021 Feb;37(2):336-350. doi: 10.1016/j. dental.2020.11.030. Epub 2021 Jan 19. PMID: 33353734; PMCID: PMC7855936.

van Noort R. The future of dental devices is digital. Dent Mater. 2012 Jan;28(1):3-12. doi: 10.1016/j. dental.2011.10.014. Epub 2011 Nov 26. PMID: 22119539.

Stansbury JW, Idacavage MJ. 3D printing with polymers: Challenges among expanding options and opportunities. Dent Mater. 2016 Jan;32(1):54-64. doi: 10.1016/j.dental.2015.09.018. Epub 2015 Oct 20. PMID: 26494268.

Melchels FP, Feijen J, Grijpma DW. A review on stereolithography and its applications in biomedical engineering. Biomaterials. 2010 Aug;31(24):6121-30. doi: 10.1016/j.biomaterials.2010.04.050. Epub 2010 May 15. PMID: 20478613.

Corbani K, Hardan L, Skienhe H, Özcan M, Alharbi N, Salameh Z. Effect of material thickness on the fracture resistance and failure pattern of 3D-printed composite crowns. Int J Comput Dent. 2020;23(3):225-233. PMID: 32789310.

Francois P, Fouquet V, Attal JP, Dursun E. Commercially Available Fluoride-Releasing Restorative Materials: A Review and a Proposal for Classification. Materials (Basel). 2020 May 18;13(10):2313. doi: 10.3390/ ma13102313. PMID: 32443424; PMCID: PMC7287768.

Joo HS, Park SW, Yun KD, Lim HP. Complete-mouth rehabilitation using a 3D printing technique and the CAD/CAM double scanning method: A clinical report. J Prosthet Dent. 2016 Jul;116(1):3-7. doi: 10.1016/j. prosdent.2016.01.007. Epub 2016 Mar 2. PMID: 26946918.

Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D, et al. The CARE guidelines: consensus-based clinical case report guideline development. J Clin Epidemiol. 2014;67(1):46-51.

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