Complete oral rehabilitation of a young girl suffering with amelogenesis imperfecta in association with analysis of her chromosomal pattern.

To cite: Goswami M, Chattopadhyay S, Arora R, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2012008419 DESCRIPTION Treating the patient with amelogenesis imperfecta is important for functional and psychosocial reasons, especially when the child is suffering with the anomaly in its primary as well as permanent teeth as such conditions cause a deep psychological impact at such a young age (figures 1 and 2). Composite resins are aesthetic and easy to manipulate, but can cause staining, microleakage, low abrasion resistance and plaque accumulation, so they are more appropriate to use for anomalies limited with enamel and as provisional restorations. However, porcelain laminate veneers, metal ceramic crowns and all-ceramic crowns are expensive and need extensive tooth preparation. These kinds of restorations also take a long time and are irreversible. Besides, the indirect composite technique could not form proper proximal contact because of interdental spacing between many primary and permanent teeth. Based on this knowledge, a direct composite laminate technique may be an important choice for treatment (figure 3). The molars were restored with stainless steel crowns (3 M, Unitek US). The crown lengthening was inappropriate at a young age. So it was