International Journal of Research and Reports in Dentistry

Amelogenesis Imperfecta (AI) is a hereditary disorder of enamel formation characterized by defective mineralization, altered tooth morphology, discoloration, and an increased risk of caries. Managing AI in pediatric patients is challenging due to short clinical crowns, weakened enamel, and high aesthetic demands. This case report describes the comprehensive management of a 13-year-old female patient with Amelogenesis Imperfecta, presenting with generalized yellow discoloration, molar hypomineralization, short anatomic crowns, and deep carious lesions involving multiple permanent molars. The mandibular right first permanent molar, which had carious pulp exposure, was treated endodontically. To enhance clinical crown height and facilitate definitive restorations, diode laser–assisted crown lengthening was performed on all permanent molars. Stainless steel crowns were subsequently placed on all eight permanent molars to restore function and protect the compromised tooth structure. For aesthetic rehabilitation, conventional surgical gingivectomy was carried out in the maxillary anterior region, extending from the right premolar to the left premolar, followed by direct composite veneering. This multidisciplinary approach resulted in satisfactory functional rehabilitation and improved aesthetics. Early diagnosis and individualized, minimally invasive treatment planning are essential for improving oral health outcomes and quality of life in children with Amelogenesis Imperfecta.