Dental treatment approaches of amelogenesis imperfecta in children and young adults: A systematic review of the literature

Miniar Rhaiem; Manel Chalbi; Soumaya Bousaid; Wiem Zouaoui; Mohamed Ali Chemli

doi:10.1111/jerd.13191

Dental treatment approaches of amelogenesis imperfecta in children and young adults: A systematic review of the literature

J Esthet Restor Dent. 2024 Jun;36(6):881-891. doi: 10.1111/jerd.13191. Epub 2024 Jan 23.

Authors

Miniar Rhaiem^{1

2

3}, Manel Chalbi^{1

2

3}, Soumaya Bousaid^{4

5

6}, Wiem Zouaoui^{1

2

3}, Mohamed Ali Chemli^{1

2

3}

Affiliations

¹ Pediatric Dentistry Department, La Rabta Hospital, Tunis, Tunisia.
² Laboratory of Research ABCDF, University of Monastir, Monastir, Tunisia.
³ Pediatric Dentistry Department, Faculty of Dental Medicine of Monastir, Monastir, Tunisia.
⁴ Rheumatology Department, La Rabta Hospital, Tunis, Tunisia.
⁵ Rheuamatology Department, Faculty of Medicine of Tunis, Tunis, Tunisia.
⁶ Rheumatology Department, Tunis El Manar University, Tunis, Tunisia.

PMID: 38258433
DOI: 10.1111/jerd.13191

Abstract

Objective: The aim of this review was to compare various types of restorations used in children and young adults affected with amelogenesis imperfecta (AI) to determine the most effective restorative treatment.

Methods: This systematic review included randomized controlled trials, retrospective and prospective cohorts conducted on children and young adults diagnosed with amelogenesis imperfecta and written in French or English. A systematic search was conducted using four databases, namely Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE via PubMed, Science Direct and Scopus, using a selection of MeSH terms: "Amelogenesis Imperfecta," "Therapeutics," "Treatment Outcome," "Adult, young," "Child," "Dental Restoration, Permanent," "Dental Restoration, Temporary," and "Esthetics, Dental."

Results: Out of 138 articles identified in the initial search, four articles met all the inclusion criteria. The results showed that ceramic restorations had better quality scores and longevity compared to other restorations.

Conclusion: Ceramic restorations could be considered the restorative treatment modality of choice for AI-affected children and young adults. However, more high-quality clinical trials involving young patients affected with AI are required to evaluate and compare the outcomes of different restorative approaches.

Clinical significance: Young patients affected with amelogenesis imperfecta usually suffer from low self-esteem, psychological problems and social avoidance, caused by the alteration of teeth such as discoloration, sensitivity, fractures and reduced size. For the dentist, selecting the appropriate restorative treatment for AI in young patients could be a veritable challenge. Therefore, it is important to have an evidence-based modality. For this reason, in this review, the different restorative approaches used in AI-affected young patients were compared to recommend the most effective treatment.

Keywords: child; dental disorder; dental management; enamel anomalies; pediatric dentistry; restoration; therapeutics.

Publication types

Systematic Review
Review

MeSH terms

Adolescent
Amelogenesis Imperfecta* / therapy
Child
Dental Restoration, Permanent / methods
Humans
Young Adult