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http://dx.doi.org/10.12655/KADH.2018.14.1.31

DENTAL TREATMENT OF SHELL TEETH UNDER GENERAL ANESTHESIA: A CASE REPORT  

Jang, Eunjeong (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
Lee, Hyeongjik (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
Kim, Jiyeon (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
Jeong, Taesung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
Publication Information
The Journal of Korea Assosiation for Disability and Oral Health / v.14, no.1, 2018 , pp. 31-35 More about this Journal
Abstract
Dentinogenesis imperfecta is a hereditary disorder that causes abnormal dentin formation and tooth morphology. Affected teeth show very thin dentin and large pulp chamber. Immediately after their eruption, the teeth tend to be destroyed rapidly. Early dental intervention is recommended to improve the feeding capacity and quality of life for the child, to maintain vertical dimension, and to promote healthy and functional dentition. This case report describes a treatment for a 4-year-2-month-old girl whose primary and permanent dentition were affected by Dentinogenesis Imperfecta. Shell teeth were observed in the entire primary dentition. The pulp of most teeth was exposed and the patient complained of pain. Most paternal family members were transferred to the Dentinogenesis Imperfecta. She needed an extensive dental treatment, but her compliance could not be expected because she was very young and anxious. So we decided to treat her under general anesthesia. All molar teeth are restored with Stainless Steel crown. Maxillary anterior teeth were extracted and mandibular anterior teeth are restored with composite resin. The patient's pain disappeared and masticatory function was restored.
Keywords
Dentinogenesis Imperfecta; Shell teeth; General Anesthesia;
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