How does Amelogenesis imperfecta affect dental management?
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How does Amelogenesis imperfecta affect dental management?
Start early: Early diagnosis, prevention, and desensitizing agents (fluoride varnish, sensitivity toothpaste)
Primary teeth: Primary molars with substantial enamel breakdown or sensitivity: stainless steel crowns protect against wear; select anterior composite or crowns according to defect severity and esthetic needs
Permanent teeth: select interim composite or full coverage according to remaining structure, sensitivity, eruption, and cooperation.
Definitive care: Coordinate definitive restorations with gingival maturation, orthodontics, and growth
Bonding may be less reliable on hypocalcified enamel; choose a restorative strategy that can protect the tooth and be maintained as the child grows
Team care: Coordinate with orthodontics and prosthodontics; address psychosocial impact
Renal assessment: If enamel-renal syndrome is suspected, refer for medical/genetic assessment and renal evaluation; an isolated enamel diagnosis does not establish renal disease