Amelogenesis imperfecta and localised aggressive periodontitis: A rare clinical entity
A 19-year-old female patient presented with discoloration and sensitivity of teeth. The teeth were discolored since eruption, and the deciduous teeth presented the same problem before they were exfoliated. The patient was apparently systemically healthy except for slight growth retardation.\nHard tissue examination showed all teeth except the 3rd molars to be present. The teeth were brown and pitted, with the enamel presenting a cheesy consistency in the cervical areas of many teeth. Most teeth in the mouth were carious and the oral hygiene was generally poor. The gingiva was erythematous in all marginal and papillary areas with a soft and edematous consistency, with bleeding on probing in all areas. Exudation was positive in the anterior and bicuspid areas of the maxillary and mandibular arches. Deep pockets >10 mm were present in the upper central incisor region. The upper right first molar exhibited severe mobility with grade 3 furcation involvement. The mandibular teeth did not show any significant probing depths [Figure –].\nOn radiographic examination the teeth generally had a thin layer of enamel, in relation to the upper and lower molars the enamel was absent due to severe attrition. The lower left first molar presented with horizontal bone loss and the upper incisors and right first molar presented with vertical bone loss [].\nBased upon these clinical findings a diagnosis of localized aggressive periodontitis associated with amelogenesis imperfecta was given. For unknown reasons the patient, however, did not return for the treatment.