Fig. 10.26 (a) Anterior clinical view of a 15-year-old male with a significant skeletal
discrepancy, posterior open bites, and multiple missing teeth. (b) and (c) Radiographs
of the same 15-year-old male.
10.7 SUMMARY
- The management of children with advanced restorative problems should be viewed
as a long-term commitment. - Advanced restorative problems in children should be treated as conservatively as
possible. - Identification of the aetiology of tooth discolouration is essential for selecting the
most appropriate treatment technique. - Microabrasion should be the first treatment option in all cases of enamel surface
discolouration. - Porcelain veneers should be delayed until a mature gingival contour is attained.
- Nearly 30% of all 15 year olds have experience of erosive tooth surface loss.
- The cause of tooth surface loss should be determined and eliminated before active
treatment is started. - Maintenance of occlusal face height is essential in patients with amelogenesis or
dentinogenesis imperfecta.
10.8 FURTHER READING