Full Mouth Rehabilitation of a Patient With Amelogenesis Imperfecta and Dıstal Tubular Acidosis with Monolithic Zirconia Crowns: A Case Report

30th BASS Congress, Thessaloniki, Greece, 7 - 09 May 2026, pp.325, (Summary Text)

FULL MOUTH REHABILITATION OF A PATIENT WITH AMELOGENESIS

IMPERFECTA AND DISTAL TUBULAR ACIDOSIS WITH MONOLITHIC

ZIRCONIA CROWNS: A CASE REPORT

Selin Malkondu1, Metin Ali Tosun1, Gülümser Evlioğlu2

1. PhD student, DDS. Istanbul University, Faculty of Dentistry, Department of Prosthodontics

2. Professor PhD, DDS. Istanbul University, Faculty of Dentistry, Department of Prosthodontics

Introduction: Amelogenesis Imperfecta (AI) is a rare hereditary condition affecting enamel structure, often

resulting in negative effects on dental function and aesthetics. The clinical management of AI becomes

exponentially more complex when it presents as part of a systemic syndrome, such as distal renal tubular

acidosis (dRTA), a condition that impairs the kidney's ability to acidify urine, often linked to

nephrocalcinosis and hearing or visual impairments. This diagnosis necessitates a careful treatment plan.

Case Description: A 21-year-old female patient diagnosed with AI and dRTA presented with severe

plaque accumulation, low vertical dimension of occlusion (VDO), and extensive enamel hypoplasia. Key

clinical challenges included the patient’s significant visual impairment, which heightened their tactile

sensitivity and fear of the unknown, manifesting as dental anxiety. The systemic dRTA required

monitoring of metabolic stability. Intra-oral examination revealed yellowish-brown color, pitted enamel

surfaces, requiring a full-mouth rehabilitation to restore function and aesthetics.

Management: Following medical clearance a full-mouth rehabilitation was planned. To preserve the

maximum amount of fragile tooth structure while providing high fracture resistance, monolithic zirconia

crowns were selected. The VDO was increased using a long-term provisional restorations before the final

cementation of the monolithic zirconia crowns

Conclusions: The use of monolithic zirconia provided a biocompatible, durable, and aesthetically pleasing

result that successfully addressed the functional deficits. Patient exhibited a significant reduction in dental

anxiety.

Key words:amelogenesis imperfecta, monolithic zirconia, distal renal tubular acidosis