Generalized Aggressive Periodontitis Associated with Amelogenesis imperfecta and its Multidisciplinary Managements Options: Case Report and Review of the Literature

摘要

Generalized aggressive periodontitis (GAgP) is characterized by “generalized rapid destruction of periodontal ligament and alveolar bone which occurs in otherwise systemically healthy individuals generally of a younger age group but patients may be older. AmelogenesisImperfecta (AI) is a diverse collection of inherited diseases that exhibit quantitative or qualitative tooth enamel defects in the absence of systemic manifestations. Few case reports documented the association of aggressive periodontitis with Amelogenesis Imperfecta. This clinical case report describes multidisciplinary management for oral rehabilitation of a young female patient diagnosed as generalized aggressive periodontitis associated with Amelogenesis Imperfecta. Non-surgical and surgical periodontal therapy accompanying systemic antibiotics administration, GAgP patients showed decreased probing pocket depth, absence of bleeding on probing. In the six years follow-up radiographic examination after periodontal therapy, resolutions of the bony defects were observed. Full mouth rehabilitation were provided for this patient included constructions of crowns and bridge to preserve as much tooth tissue as possible while preventing further tooth loss, and to enhance esthetics and masticatory function. Recall examination revealed patient’s esthetic and functional expectations were satisfied and no pathology was associated with the rehabilitation.