Restorative Treatment of Amelogenesis Imperfecta Associated with Asthma: Case Report

Main Article Content

Salim A. Algarni
Sulaiman S. Alqahtani


Associated, Treatment, Case, Report


Background: Amelogenesis imperfecta (AI) comprises a group of hereditary disorders affecting the structure of enamel. Although many etiological factors have been implicated for the cause of these disorders, some of the systemic conditions such as asthma and dietary factors like intake of soft drinks have been correlated with AI.
Case presentation: This work is a clinical report of a 14-year-old girl who was diagnosed with hypoplastic type of AI. The patient had a history of asthma and she complained of dry mouth. She required replacement of her stainless steel crowns and wanted esthetic smile. In addition, she was advised composite restorations and fabrication of removable overlay upper and lower dentures.
Conclusion: The current case report implicated that AI could be associated with conditions such as asthma; However, future research on molecular, functional, and genetic aspects of AI integrating the inflammatory response of Asthma may help in preventing the enamel defects. Implementation of dental care for this structured population may help in preventing dental complication due to increased risk.

Abstract 404 | pdf Downloads 170


1. Simmer JP, Fincham AG. Molecular mechanisms of dental enamel formation. Crit Rev Oral Biol Med. 1995;6:84–108.
2. Roma M, Hegde P, Durga Nandhini M, Hegde S.Management guidelines for amelogenesis imperfecta: A case report and review of the
literature. J Med Case Rep. 2021;15:67–4.
3. Mauprivez C, Nguyen JF, de la Dure-Molla M, Naveau A. Prosthetic rehabilitation of a patient with rare and severe enamel renal syndrome. Int J Prosthodont. 2017;31:31–4.
4. Neville BW, Douglass DD, Allen CM, Bouquot JE. Abnormalities of teeth. In: Oral and maxillofacial pathology. Philadelphia, PA: Elsevier; 2004. p. 89–94.
5. Moreira RF, Figueiredo RG, Oliveira HE, da Fonseca ACL, de Miranda MS. Immediate desensitization in teeth affected by amelogenesis
imperfecta. Braz Dent J. 2016;27:359–62.
6. Rodrigues VC, Sommer AA, Pereira RMA, Santana ACS, Andrade RSD. Amelogenesis imperfecta from diagnosis to rehabilitation – A
case report. Int J Case Rep Rev. 2021;7(3):127.
7. Wogelius P, Viuff JH, Haubek D. Use of asthma drugs and prevalence of molar incisor hypomineralization. Int J Paediatr Dent.
8. Khodaeian N, Sabouhi M, Ataei E An Interdisciplinary approach for rehabilitating a patient with amelogenesis imperfecta: A case
report. Case Rep Dent. 2012;2012:432108.
9. Seymen F, Lee KE, Koruyucu M, Gencay K, Bayram M, Tuna EB, et al. Novel ITGB6 mutation in autosomal recessive amelogenesis
imperfecta. Oral Dis. 2015;21:456–61.
10. Poulsen S, Gjorup H, Haubek D, Haukali G, Hintze H, Løvschall H, et al Amelogenesis imperfecta – A systematic literature review of
associated dental and oro-facial abnormalities and their impact on patients. Acta Odontol Scand.2008;66(4):193–9.
11. Gadhia K, McDonald S, Arkutu N, Malik K. Amelogenesis imperfecta: An introduction. Br Dent J. 2012;212:377–9.
12. Aldred MJ, Savarirayan R, Crawford PJM. Amelogenesis imperfecta: A classification and catalogue for the 21st century. Oral Dis. 2003;9:19–23.
13. Smith CE, Poulter JA, Antanaviciute A, Kirkham J, Brookes SJ, Inglehearn CF, et al. Amelogenesis imperfecta; genes, proteins, and pathways. Front Physiol. 2017;8:435.
14. Shivhare P, Shankarnarayan L, Gupta A, Sushma P. Amelogenesis imperfecta: A review. J Adv Oral Res. 2016;7(1):1–3.
15. Chanmougananda SC, Ashokan KA, Ashokan SC, Bojan AB, Ganesh RM. Literature review of amelogenesis imperfecta with case report. J
Indian Acad Oral Med Radiol. 2012;24:83–7.
16. Guergolette RP, Cilene Dezan C, Garbelini Frossard WT, de Andrade Ferreira FB, Cerci Neto A, Fernandes KBP. Prevalence of developmental
defects of enamel in children and adolescents with asthma. J Bras Pneumol. 2009;35(4):295–300.
17. Wogelius P, Haubek D, Nechifor A, Nørgaard M, Tvedebrink T, Poulsen S. Association between use of asthma drugs and prevalence of demarcated opacities in permanent first molars in 6-to-8-yearold Danish children. Community Dent Oral Epidemiol. 2010;38(2):145–51.
18. Van Amerogen W, Kreulen C. Chesse molars: A pilot study of the etiology of hypocalcifications in first permanente molars. J Dent Child.
19. Tung K, Fujita H, Yamashita Y, Takagi Y. Effect of turpentine-induced fever during the enamel formation of rat incisor. Arch Oral Biol.
20. Tourino LFPG, Corrêa-Faria P, Ferreira RC, Bendo CB, Zarzar PM, Vale MP. Association between molar incisor hypomineralization in
schoolchildren and both prenatal and postnatal factors: A population-based study. PLoS One.2016;11(6):e0156332.
21. Mastora A, Vadiakas G, Agouropoulos A, Gartagani-Panagiotopoulou P, Gemou Engesaeth V. Developmental defects of enamel in first
permanent molars associated with use of asthma drugs in preschool aged children: A retrospective case-control study. Eur Arch Paediatr Dent.2017;18:105–11.
22. Van Eygen I, Vannet BV, Wehrbein H. Influence of a soft drink with low pH on enamel surfaces: an in vitro study. Am J Orthod Dentofacial
Orthop. 2005;128(3):372–7.
23. Wang YL, Chang CC, Chi CW, Chang HH, Chiang YC, Chuang YC, et al. Erosive potential of soft drinks on human enamel: An in vitro study.
J Formos Med Assoc. 2014;113(11):850–6.
24. Walsh LJ. Dry mouth: A clinical problem for children and young adults. Minim Interv Dent. 2009;2(1):55.
25. Temmel AF, Quint C, Schickinger-Fischer B, Hummel T. Taste function inxerostomia before and aftertreatment with a salivasubstitute
containing carboxy-methylcellulose. J Otolaryngol. 2005;34:116–20.
26. Young W, Khan F, Brandt R, Savage N, Razek AA, Huang Q. Syndromes with salivary dysfunction predispose to tooth wear: Case reports
of congenital dysfunction of major salivary glands, Prader- Willi, congenital rubella, and Sjogren’s syndromes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(1):38–4.
27. Longman LP, McCracken CF, Higham SM, Field EA. The clinical assessment of oral dryness is a significant predictor of salivary gland
hypofunction. Oral Dis. 2000;6(6):366–70.
28. Koruyucu M, Kuvvetli SS, Tuna EB, Ozdas DO.Editorial: Amelogenesis imperfecta. Front Dent Med. 2022;3:888122.