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DOI: 10.48087/BJMS.2026.130108
Authors: Fouzia kawter BAROUDI, Naouel ALLAL, Amina KEDDAR, Djazia EL YEBDRI, Fouad OUDGHIRI.
Keywords: Amelogenesis imperfecta, Calcium hydroxide, Composite restoration, Endodontics, Warm vertical obturation.
Abstract
Introduction: Amelogenesis imperfecta (AI) is a rare genetic disorder affecting enamel development, resulting in fragile, worn, and sensitive teeth. Its diagnosis relies on clinical examination, radiographic analysis, and family history. Case Presentation: A 15-year-old girl in good general health presented with pain and aesthetic concerns. She reported having had fragile teeth since primary dentition, with progressive wear and spontaneous dental pain. Family history revealed similar dental involvement in several members, suggesting hereditary transmission. Clinically, the teeth showed generalized wear, significant enamel loss, and dentin exposure. Panoramic radiography revealed enlarged pulp chambers, roots of normal morphology, eruption anomalies, and absence of certain permanent teeth. These findings were consistent with type I AI and helped exclude severe fluorosis, molar-incisor hypomineralization (MIH), syndromic AI, and dentinogenesis imperfecta. Complete endodontic treatment was performed, including the use of calcium hydroxide, warm vertical obturation, and direct composite restorations. A 6-month follow-up showed absence of pain, functional teeth, and no radiographic complications, confirming treatment success. Conclusion: This case highlights the importance of an appropriate multidisciplinary approach, combining endodontic therapy and restorative treatment to preserve masticatory function and aesthetics in patients with AI.