Synchronizing a multi-disciplinary team to rehabilitate an aesthetically handicapped patient suffering from developmental abnormality of amelogenesis imperfecta

Purpose: Reported literature has focused largely on the early management of children and young adolescents. This article describes systematic, sequential and synchronized, psychological and restorative management of an adult patient suffering from amelogenesis imperfecta with a fairly good prognosis. The focus of this report is to attribute the specific roles of various medical and dental specialties’. Materials and Methods: Extensive treatment in four basic phases has been outlined which in turn help suffering patient to understand the extent of treatment in advance. The treatment ranges from patient education and motivation to full mouth rehabilitation. Various methods that educate the patient in advance, about his role towards achieving a successful outcome have not been followed. Results: patients suffering from amelogenesis imperfecta should never be treated casually. A serious preventive and basic psychological therapy followed by extensive restorative treatment over a period of time is advised. Correct sequence of treatment phases is essential to not only eliminate patient’s fear and apprehension but also install confidence in his judgment during the entire course of rehabilitation. Conclusion: Extensive treatment such as full mouth rehabilitation should be approached with caution and planned in phases without compromising need of a multidisciplinary approach.