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Amelogénese imperfeita: revisão narrativa da literatura
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Abstract(s)
A amelogénese imperfeita é uma anomalia de desenvolvimento dentário que afeta a estrutura e a aparência clínica do esmalte; é uma doença genética hereditária que ocorre durante a odontogénese. A sua prevalência varia entre 1:700 e 1:14 000.
O esmalte pode ser de tipo hipoplásico, hipomineralizado ou hipocalcificado. Esta doença afeta quase todos os dentes temporárias e/ou permanentes.
Um paciente infetado pela amelogénese imperfeita está sujeito a problemas sociais, funcionais e incómodos tais como: sensibilidade dentária, má estética e diminuição da dimensão vertical de oclusão.
O diagnóstico baseia-se na história familiar, num exame clínico e radiográfico meticuloso. O tratamento deve ser iniciado muito precocemente desde a infância e continuado até à idade adulta.
O objetivo deste trabalho é fazer uma revisão narrativa da literatura atual sobre o tema, abordando as características da AI, como diagnosticar e quais as diferentes opções de tratamento.
Para a sua realização, artigos científicos foram pesquisados nos motores de busca: Pubmed, ScienceDirect, Scielo e B-On, utilizando as palavras-chaves: “Amelogenesis imperfecta”; “Characteristics”; “Enamel”; “Diagnostic”; “Treatment”.
Amelogenesis imperfecta is a dental development anomaly that affects the structure and clinical appearance of enamel; It’s an inherited genetic disease that occurs during odontogenesis. Its prevalence ranges from 1: 700 to 1:14 000. Enamel can be hypoplastic, hypomineralized or hypocalcified. This disease affects almost all teeth, temporary and / or permanent. A patient infected with amelogenesis imperfecta is subject to social, functional and discomfort problems such as tooth sensitivity, poor aesthetics and decreased vertical occlusion dimension. The diagnosis is based on family history, meticulous clinical and radiographic examination. Treatment should be started very early from childhood and continued into adulthood. The aim of this paper is to make a narrative review of the current literature on the subject, approaching the characteristics of AI, how to diagnose and what are the different treatment options. For this purpose, scientific articles were searched in the search engines: Pubmed, ScienceDirect, Scielo and B-On, using the keywords: “Amelogenesis imperfecta”; “Characteristics”; “Enamel”; “Diagnostic”; “Treatment”.
Amelogenesis imperfecta is a dental development anomaly that affects the structure and clinical appearance of enamel; It’s an inherited genetic disease that occurs during odontogenesis. Its prevalence ranges from 1: 700 to 1:14 000. Enamel can be hypoplastic, hypomineralized or hypocalcified. This disease affects almost all teeth, temporary and / or permanent. A patient infected with amelogenesis imperfecta is subject to social, functional and discomfort problems such as tooth sensitivity, poor aesthetics and decreased vertical occlusion dimension. The diagnosis is based on family history, meticulous clinical and radiographic examination. Treatment should be started very early from childhood and continued into adulthood. The aim of this paper is to make a narrative review of the current literature on the subject, approaching the characteristics of AI, how to diagnose and what are the different treatment options. For this purpose, scientific articles were searched in the search engines: Pubmed, ScienceDirect, Scielo and B-On, using the keywords: “Amelogenesis imperfecta”; “Characteristics”; “Enamel”; “Diagnostic”; “Treatment”.
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Keywords
Amelogenesis imperfecta Characteristics Enamel Diagnostic Treatment