IJSRP, Volume 4, Issue 1, January 2014 Edition [ISSN 2250-3153]
B.Vardhana, Babu GKL, Vijetha KR
A melogenesis Imperfecta is a developmental disturbance that interferes with normal enamel formation in the absence of a systemic disorder. In general, it affects all or nearly all of the teeth in both the primary and permanent dentitions1.
A 16-year old patient with a history of brown-stained teeth reported to the Dental office. She complained of stained teeth ever since it erupted and parents noticed similarly stained teeth with her deciduous teeth as well. On clinical examination the teeth were found to have yellowish to brown stains (internal) that did not remove with gentle probing. She was found to have Amelogenesis Imperfecta Hypoplastic Type (Witkop’s classification)2 with pitting and flakes of enamel chipping off on probing. The enamel exposed the underlying whitish dentine in some areas and made it sensitive to the patient. In terms of investigation, there was no DNA analysis done to isolate the defective gene, due to non-feasibility and non-compliance of the patient with regards to drawing blood. The condition was analyzed purely of the basis of clinical analysis. Since she had no other systemic abnormality, any syndrome(s) was ruled out. Her dental age was corroborated to her chronological age and she had complete set of 28 permanent teeth erupted with a Class I occlusion and no orthodontic anomaly recorded.