Intracanal pain remission in child with amelogenesis imperfecta. Case report

• Main Authors: Armiliana Soares Nascimento, Criseuda Maria Benício Barros, Renata de Souza Coelho Soares, Luciana de Barros Correia Fontes, Rodivan Braz
• Format: Article
• Language: English
• Published: Sociedade Brasileira para o Estudo da Dor
• Series: Revista Dor
• Subjects: amelogenesis imperfecta; endodontic treatment; incomplete root formation; mineral trioxide aggregate; pain
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132015000300227&lng=en&tlng=en
• ISSN: 1806-0013; 2317-6393

ABSTRACTBACKGROUND AND OBJECTIVES:Amelogenesis imperfecta is characterized by enamel structural defects, which may severely affect dental structure in both dentitions. When accompanied by severe decay, it may impair the pulp complex requiring endodontic treatment and in case of incomplete root formation treatment becomes more complex due to pulp volume and anatomic conditions. This study aimed at reporting a clinical case of patient with amelogenesis imperfecta and with multiple incomplete root formation as a consequence.CASE REPORT:Female patient, 12 years old, leucodermic, with painful symptoms, who has looked for dental assistance. At intraoral clinical evaluation teeth presented with shape and size changes, yellowish color, covered by a thin enamel layer with roughened surface and absent in some areas, with anterior vestibular sulcus fistula and without edema. At radiographic evaluation, both dentitions were affected by the abnormality with delayed chronology of permanent teeth eruption. At the end of all evaluations, patient was diagnosed with amelogenesis imperfecta, and periodontal treatment was started, followed by endodontic treatment.CONCLUSION:Amelogenesis treatment is complex, especially when in more advanced stages of dental structure destruction. However, it is possible to reestablish patient’s functionality and esthetics with good planning and multidisciplinary approach.