Adult Teeth Coming in Without Tooth Enamel.

To confirm a diagnosis of Amelogenesis Imperfecta (AI), usually a genetics test is necessary.  However, AI can also be diagnosed based on other signs that may be present, such as:


Dry or "kinky" brittle hair

Dry skin and/or eczema or psoriasis

Dry eyes

Brittle fingernails

Tooth structure that literally flakes off upon instrument contact


There are several types of AI, and if enamel is present, then your son would benefit from amorphous calcium phosphate (ACP).  ACP is a milk-based dentifrice that will help improve the structure of any remaining enamel.  It is important to implement ACP as soon as possible so that the enamel that your son may have can be strengthened so that it doesn't flake away.  Speak with your dentist about ACP and whether your son would benefit from it. There are products available that contain both ACP and Fluoride.  Also, consider reading more information about AI online so that you are fully prepared for the extent of dental treatment your son may need in the future.

Hello,
There is not much to do in this case BUT fluoride treatment.
If the teeth are really sensitive you might want to try PREVIDENT.
Thank you,
Dr. Barba

Hi,

Most probably your son has a condition called Amelogenesis Imperfecta which results in improper formation of enamel which is the protective layer of the tooth. The teeth are usually soft, brittle, more prone to fracture and decay. Treatment most of the time is to leave the teeth as they are in childhood and crown them during adulthood. If the teeth are too sensitive, your dentist can apply some fluoride varnish or desensitizer. At home care sholud include proper brushing, rinsing and flossing. Also avoid extreme temperature changes in food ie niether too hot nor too cold. Visit your dentist every 3 months for regular checkup.

If the condition is amelogenesis imperfecta (no or little enamel) then there is really nothing to do.  The teeth may be more brittle and prone to fracture or not very resistant to decay, but there isn't much to do other than fluoride treatment...