Vinesh Bookhan¹*, Ronel Naude² and Zunaid Ismail Vally¹

¹Professor, Department of Odontology, University of Pretoria, South Africa
²Dentist, Department of Odontology, University of Pretoria, South Africa

*Corresponding Author: Vinesh Bookhan, Professor, Department of Odontology, University of Pretoria, South Africa.

Received: December 02, 2022; Published: December 16, 2022

Abstract

Hypoplastic amelogenesis imperfecta (HAI), arises from the defective formation of the enamel matrix during the secretory stage of amelogenesis. It is characterized by a thin, fully mineralised enamel layer that radiographically contrasts with dentine. Restorative treatment in young adolescents with HAI is intended to improve the aesthetic appearance and function of affected teeth while maintaining the maximum amount of tissue structure in preparation for later more advanced treatment. A conservative and cost-effective treatment option for young individuals with teeth affected by HAI are direct nanocomposite veneers. Currently there are no recommended treatment protocols for treating anterior teeth affected by amelogenesis imperfecta. This case report describes the management of the six anterior maxillary teeth affected by HAI using direct bonded nanocomposite veneers with FiltekTM Z350 XT. The initial bonding of direct nanocomposite veneers to six maxillary teeth affected by HAI was successful. The aesthetic appearance of the teeth was improved and the hypersensitivity significantly decreased. The eight-week follow up evaluation of the six nanocomposite veneers revealed no complications. The short-term success of the six direct FiltekTM Z350 XT nanocomposite veneers at the eight-week post-op evaluation suggested that the same treatment protocol could be applied to the four mandibular anterior teeth. Nanocomposite veneers were performed on the four mandibular anterior teeth at the eight-week post-op appointment. The selection of material that is used to veneer teeth affected by HAI should be based on sound scientific evidence of the handling and mechanical properties of the material. This case report concludes that the treatment protocol used was suitable for the placement of direct nanocomposite veneers on anterior maxillary teeth affected by HAI. Additionally, the FiltekTM Z350 XT is a suitable nanocomposite material that showed excellent finishing properties and aesthetics. Furthermore, Scotchbond XT proved to be a suitable adhesive for bonding FiltekTM Z350 XT direct nanocomposite veneers to the teeth affected by HAI. However, the long-term success or failure of the nanocomposite veneers will be reported with longer follow up.

Keywords: Hypoplastic Amelogenesis Imperfecta; Nanocomposite Veneers; FiltekTM 350 XT

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Citation

Citation: Vinesh Bookhan., et al. “Direct Nanocomposite Veneers on Six Anterior Teeth Affected by Hypoplastic Amelogenesis Imperfecta".Acta Scientific Dental Sciences 7.1 (2023): 61-67.

Copyright

Copyright: © 2023 Vinesh Bookhan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.