Acute side effects of prosthetic therapy in permanent teeth in children and adolescents with amelogenesis imperfecta



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Abstract EAPD 2010

Acute side effects of prosthetic therapy in permanent teeth in children and adolescents with amelogenesis imperfecta

Pousette Lundgren G, Trulsson M, Dahllöf G. Dept Paediatric Dentistry and Orthodontics, Karolinska Institutet, Stockholm, Sweden.


Longevity of restorations in children with Amelogenesis imperfecta (AI) is limited. Pulpal complications is considered as a risk factor for early prosthetic therapy. AIM. To identify acute side effects in adolescents and young adults with AI after treatment with ceramic crown restorations. METHODS. Prosthetic crown therapy was performed in 15 patients with AI aged 13-22 years. AI type was recorded as either hypoplastic type (10) or hypomineralized or hypomaturated type (5). Dental caries, previous therapy, sensitivity, trauma, endodontic and aesthetic status were recorded. After random selection 79 porcelain crowns with either Procera (27) or IPS e-max (52), both with Zirconia inner copings were cemented with RelyX ARC cement. Follow up examination was made one month after cementation. RESULTS. The dental history showed that 77% of teeth examined had increased sensibility before treatment and 87% of the teeth showed fractures or sharp edges. All 77 teeth had aesthetical defects. In the examination one month after prosthetic therapy X% of the teeth showed sensitivity, X% hade decreased sensitivity compared with before therapy and no problem with sensitivity was recorded in X% of teeth examined. Gingivitis was diagnosed around 15% of the crowns. No case of pulpitis or increased sensitivity to percussion was found. All crowns were aesthetically satisfactory and no porcelain fractures or loss of crowns were recorded.

CONCLUSION. This study showed few acute side effects after cementation of prosthetic ceramic crowns in adolescents and young adults with AI.
Abstract riksstämman 2010

Acute side effects of prosthetic therapy in permanent teeth in children and adolescents with amelogenesis imperfecta

Pousette Lundgren G, Trulsson M, Dahllöf G. Dept Paediatric Dentistry and Orthodontics, Karolinska Institutet, Stockholm, Sweden.


Longevity of restorations in children with Amelogenesis imperfecta (AI) is limited. Pulpal complications is considered as a risk factor for early prosthetic therapy. AIM. To identify acute side effects in adolescents and young adults with AI after treatment with ceramic crown restorations. METHODS. Prosthetic crown therapy was performed in 15 patients with AI aged 13-22 years. AI type was recorded as either hypoplastic type (10) or hypomineralized or hypomaturated type (5). Dental caries, previous therapy, sensitivity, trauma, endodontic and aesthetic status were recorded. After random selection 79 porcelain crowns with either Procera (27) or IPS e-max (52), both with Zirconia inner copings were cemented with RelyX ARC cement. Follow up examination was made one month after cementation. RESULTS. The dental history showed that 77% of teeth examined had increased sensibility before treatment and 87% of the teeth showed fractures or sharp edges. All 77 teeth had aesthetical defects. In the examination one month after prosthetic therapy X% of the teeth showed sensitivity, X% hade decreased sensitivity compared with before therapy and no problem with sensitivity was recorded in X% of teeth examined. Gingivitis was diagnosed around 15% of the crowns. No case of pulpitis or increased sensitivity to percussion was found. All crowns were aesthetically satisfactory and no porcelain fractures or loss of crowns were recorded.

CONCLUSION. This study showed few acute side effects after cementation of prosthetic ceramic crowns in adolescents and young adults with AI.
Abstract IADR 2011-06-13 Early complications after ceramic crown therapy in adolescents with Amelogenesis imperfecta

Pousette Lundgren G, Trulsson M, Dahllöf G. Dept Paediatric Dentistry and Orthodontics and Prosthetic Dentistry, Karolinska Institutet, Stockholm, Sweden.


Longevity of restorations in children with Amelogenesis imperfecta (AI) is limited. Pulpal complications are considered as a risk factor for early prosthetic therapy. AIM. Is to identify early complications in adolescents and young adults with AI after treatment with ceramic crown restorations. METHODS. Prosthetic crown therapy was performed in 20 patients, 8 boys and 12 girls, with AI aged 12-22 years (mean age 17 years). AI type was recorded as either hypoplastic type (10) or hypomineralized or hypomaturated type (10). Dental caries, previous therapy, sensitivity, trauma, endodontic and esthetic status were recorded. After random selection, 129 porcelain crowns with either Procera (62) or IPS E-max (67), both with Zirconia inner copings were cemented with RelyX ARC cement. Sensitivity and pain vas recorded by VAS scale prior to the therapy and one month after therapy. Follow up examination was made one month after cementation. RESULTS. One month after prosthetic therapy no case of pulp involement or increased sensitivity to percussion was found. No loss of crowns was recorded. None of the 129 crowns had esthetical defects. The sensitivity and pain VAS score decreased from 3.6±3.2 before to 1.4±1.8 one month after crown therapy (p=0.0214). Postoperative sensitivity was significantly correlated to the number of ceramic crowns cemented (p=0.0307).

CONCLUSION. This study showed few early complications after early ceramic crowns therapy in adolescents and young adults with AI and reduced sensitivity to pain.
The dental history showed that ()% of teeth examined had increased sensibility before treatment and ()% of the teeth showed fractures or sharp edges. 8% of the teeth showed increased sensitivity, 24% hade decreased sensitivity compared with before therapy and no problem with sensitivity was recorded in 67% of teeth examined.
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