Amelogenesis imperfecta - a systematic literature review of associated dental and oro-facial abnormalities and their impact on patients

Acta Odontol Scand. 2008 Aug;66(4):193-9. doi: 10.1080/00016350802192071.

Abstract

Objective: Amelogenesis imperfecta (AI) is a disease primarily affecting amelogenesis, but other aberrations have been reported. The purposes of this review were: (1) to identify other anomalies associated with AI, and (2) to describe the impact of the disease and its associated conditions on the oral health-related quality of life of patients, and the economic consequences.

Material and methods: A literature search was conducted in the following databases: PubMed, EMBASE, Bibliotek.dk, The Cochrane Library, Web of Science, and OMIM, supplemented by a search for selected authors. Based on titles and abstracts, 137 papers were identified.

Results: Most articles were case reports or case series with few cases. Aberrations were reported in the eruption process, in the morphology of the crown, in the pulp-dentine organ, and in the number of teeth. Gingival conditions and oral hygiene were usually reported to be poor, and calculus was a common finding. Open bite was the most commonly reported malocclusion. A negative impact on patients' oral health-related quality of life was described, but information was scarce. No information was found on the economic impact.

Conclusions: A number of aberrations associated with AI have been reported, but not sufficiently systematic to allow for a secondary analysis and synthesis of the findings. The impact on patients in terms of reduced quality of life and economic burden needs to be studied.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Amelogenesis Imperfecta / complications*
  • Amelogenesis Imperfecta / economics
  • Amelogenesis Imperfecta / psychology
  • Cost of Illness*
  • Humans
  • Malocclusion / complications
  • Periodontal Diseases / complications
  • Quality of Life*
  • Tooth Abnormalities / complications