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KMID : 0360120070290010091
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
2007 Volume.29 No. 1 p.91 ~ p.96
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Case Reports : Multidisciplinary Management for Amelogenesis Imperfecta Patient With Skeletal C 3 Malocclusion
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Oh Jung-Hwan
Kim Hak-Ryeol
Hwang Yoon-Tae
Kim Yeo-Gap
Ryu Dong-Mok
Lee Baek-Soo
Yoon Byung-Wook
Jeon Joon-Hyeok
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Abstract
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Amelogenesis imperfecta (AI) is a hereditary disease that affects enamel formation. The patients with AI have esthetic and functional problems due to damage of multiple teeth. So most AI patients resolve these problem through the conservative and prosthodontic treatments. In our case, It was difficult to obtain good results in means of conservative and prosthodontic treatments, because the AI patient had skeletal Class III malocclusion. Moreover, because of vertical dimension loss due to severe dental caries and maxillofacial skeletal disharmony, the ordinary prosthodontic treatment was troublesome. So we planned orthognathic surgery to resolve these problems. After the endodontic treatment, temporary restoration was delivered for stable post-operative occlusion. Then orthognathic surgery was done, and final restoration was delivered in stable period. We obtained satisfactory results in esthetic and functional aspects through multidisciplinary management(conservative treatment, prosthodontics and orthognathic surgery).
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KEYWORD
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Amelogenesis imperfecta, Orthognathic surgery, Skeletal Class 3
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