Correction of Malocclusion in a Type 3 Amelogenesis Imperfecta Patient with Double Jaw Surgery: A Case Report


ÖZÇİLER M. F., Kuku A. B., ESENLİK E., ŞİBAR S.

Journal of Maxillofacial and Oral Surgery, 2025 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1007/s12663-025-02718-7
  • Dergi Adı: Journal of Maxillofacial and Oral Surgery
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Anahtar Kelimeler: Amelogenesis imperfecta, Anterior open bite, Double jaw surgery, Malocclusion
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Introduction: Amelogenesis imperfecta (AI) is a hereditary disorder that affects the functions of ameloblasts. Through Witkop’s classification, AI is divided into classes such as hypoplastic, hypomaturation, hypocalcified, and hypomaturation/hypoplastic with taurodontism. In individuals with AI; the most common associated condition is anterior open bite (AOB), occurring in 24-60% of cases. Case Presentation: In the presented case, the patient was diagnosed with type 3 amelogenesis imperfecta and the molar relationship was documented as Angle Class 3 on both the right and left sides. The patient underwent Le Fort I osteotomy and bilateral sagittal split osteotomy (double jaw procedure). Restorative and prosthetic treatment was applied following the surgical procedure. Conclusions: There are three main treatment goals in patients with AI: alleviating dental sensitivity, correcting malocclusion and achieving both facial and dental aesthetics. Effective and stable results can often be achieved with orthognathic surgery for the majority of patients in the adult population. In our case, the successful correction of aesthetic appearance/functionality and AOB was achieved through the combined application of orthognathic and reconstructive treatments.