Restoring function and esthetics in a pair of twins with amelogenesis imperfecta

Abstract

Background: Rehabilitation of complicated cases poses difficulty in clinical practice, both with respect to restoring function as well as esthetics. One such condition where the clinical practitioner has to give importance to proper planning of the treatment and execution of the plan is amelogenesis imperfecta, wherein both esthetics and function are compromised. A review of literature showed that there are no reports of management of amelogenesis imperfecta (AI) in twins. Case Description: This report discusses the esthetic and functional rehabilitation of a pair of fraternal twins with amelogenesis imperfecta. Both patients presented with esthetic disharmonies and sensitivity of teeth. The treatment plan was custom made for both the patients and executed successfully. Clinical Implications: Cosmetic rehabilitation of patients with AI has been open to a variety of treatment options. There is no set rule in planning the treatment for such cases. The aim is to properly diagnose the case and provide durable functional and esthetic management of these patients, where the unaesthetic appearance has a definite negative psychological impact.