Page 63 - DP Vol 19 No 6 pw_Neat

adhesives are advantageous due to the lower mineral content in dentin. In contrary, total ABOUT THE AUTHORS
etching time of the tooth before composite resin application, with a shorter etching time
(10–15 second) is advised. [11] Dr. Gaurav Gupta
The approach for managing the DI depends upon the severity of clinical expression. completed his
Chief treatment goals include protection of dentin with restoration of lost vertical graduation from
Government Dental
dimension, tooth structure, function, aesthetics, and phonetics. Treatment focuses on the College, SMS,
prevention of any further additional tissue loss and thereby protecting the dentin from Jaipur in 2007 and
caries, attrition, abrasion and erosion. Routine treatment might be used in patients who do masters in Pediatric
not exhibit enamel fracturing or rapid crown wear; among these individuals, composites and Preventive
could be used. In severe cases where rapid dental wear and significant attrition can occur, Dentistry thereafter.
full coverage crowns are the treatment of choice. [13] In this present case, veneers could not Attained fellowship in
be successful, so full coverage crowns were given. Implantology of both ISOI and AOI. He is a
This case report demonstrates that extensively bonded restorations, including POS (Progressive Orthodontic seminar, USA)
CAD/CAM-manufactured lithium disilicate ceramic veneers and crowns, can be used graduate and a university gold medalist
with over 30 scientific presentations in
successfully in teeth affected by Dentinogenesis imperfecta. One of the authors reported national and international conferences and
reasonable success with bonded restorations in 3 patients with DI over a 10-year period. more than 75 publications in national and
Within the limitations of this report, it seems that bonding was not compromised from international journals to his credit. He can
the dentin defect resulting from Dentinogenesis imperfecta. Similar case reports have be reached at: dr.gauravgupta99@gmail.
suggested that bonded all-ceramic restorations, especially CAD/CAM-manufactured all- com
ceramic restorations, can be used successfully in patients with DI. [14-16] In the present
case too CAD/CAM manufactured crowns were given which gave satisfactory outcome Dr. D. K. Gupta is a
thereby maintaining function and esthetics and also saved time due to chair side treatment. Senior Consultant
Similar case reports have suggested that bonded all-ceramic restorations, especially at Wisdom Dental
CAD/CAM-manufactured all-ceramic restorations, can be used successfully in patients Clinics, Jaipur. With
more than 38 years of
with DI. [17-19] clinical and academic
experience, he has
CONCLUSION been Ex Principal of
This clinical report demonstrates the successful rehabilitation of a patient with Government Dental
Dentinogenesis imperfecta using a series of digital techniques. An in-office computer- College, SMS, Jaipur.
aided design and computer-aided manufacturing (CAD-CAM) system and polymer- He was also Pro-VC of Rajasthan University
infiltrated ceramic blocks were used in a non-invasive procedure. Compared to traditional of Health Sciences. He was an HOD in
analogue methods, digital technology could reduce the constant confirmation of occlusion, the Department of Oral and Maxillofacial
surgery at the Government Dental College
promote communication between the clinician and the laboratory, and achieve results for more than 15 years.
with relatively high efficiency in aesthetic rehabilitation for this patient with DI. n
Dr. Neelja Gupta is
References dentinogenesisimperfecta: a case report. J a BDS (COSMETIC
1. Marx RE and Stern D. Oral and Dent (Tehran). 2016;13(2):133-8. DENTIST) and a
Maxillofacial Pathology. A Rationale for 7. Mayordomo FG, Estrela F, De Aldecoa E. consultant at Wisdom
Diagnosis and Treatment.Quintessence Dentinogenesis imperfecta: a case report. Dental Clinics,
Publishing; 2003. Quintessence Int. 1992;23(12):795–802. Jaipur. Gold medalist
2. Sapp JP, Everson LR. Contemporary Oral 8. Henke DA, Fridrich TA, Aquilino SA. scholar, trained and
and maxillofacial pathology. 2nd ed. Occlusal rehabilitation of a patient with skilled cosmetic
Mosby; 2004 dentinogenesisimperfecta: a clinical dentist with special
3. American Academy of Pediatric report. J Prosthet Dent. 1999;81(5):503– interest in Smile
Dentistry.Guideline on dental 6. doi:10.1016/s0022-3913(99)70201-5. designing and Digital Dentistry. A certified
management of heritable dental 9. Rivers JA, Staffanou RS. Restorative dentist for Nitrous Oxide Conscious
developmental anomalies.Pediatr Dent. treatment of dentinogenesisimperfecta Sedation chairside in her practice.
2013;35(5):E179-84. in a young adult.CompendContinEduc
4. Seow WK. Developmental defects of Dent (Lawrenceville). 1985;6(8):548–52. Dr. Richa Gupta
enamel and dentine: challenges for 10. Levin LS, Leaf SH, Jelmini completed BDS
basic science research and clinical RJ, Rose JJ, Rosenbaum KN. (Gold Medalist) in the
management. Aust Dent J. 2014;59Suppl Dentinogenesisimperfecta in the year 2011 from MJP
1:143-54. doi: https://doi.org/10.1111/ Brandywine isolate (DI type III): Rohilkhand University,
adj.12104. clinical, radiologic, and scanning Bareilly and Hospital
5. Beltrame APC, Rosa MM, Noschang electron microscopic studies of management from
RA, Almeida IC.Early rehabilitation of the dentition. Oral Surg Oral Med National Institute of
incisors with dentinogenesis imperfect Oral Pathol. 1983;56(3):267–74. Health and Family
type II – Case Report.J ClinPediatr doi:10.1016/0030-4220(83)90008-7. Welfare, New Delhi.
Dent. 2017;41(2):112-5. doi: https://doi. She is a consultant dentist at Tooth Clinic,
org/10.17796/1053-4628-41.2.112. For a complete list of References, email: Bareilly.
6. Akhlaghi N, Eshghi AR, Mohamadpour info@dental-practice.biz
M. Dental management of a child with

Dental Practice I November-December 2023 I Vol 19 No 6 63