ENAMEL HYPOPLASIA IN PATIENTS WITH RENAL TRANSPLANT: REPORT OF AN ORAL REHABILITATION

Enamel hypoplasia is a developmental defect of enamel often found in people with renal disease, probably due to hypocalcemia and elevated levels of serum phosphate and fluoride during amelogenesis. A 14-year-old boy, white, with diagnosis of nephropathic cystinosis since 3 years of age and undergoing renal transplant at 11 years of age, with a chief complaint of "severe aesthetic issues" of the teeth. We observed generalized enamel hypoplasia and grade 1 gingival hyperplasia. We performed gingivoplasty using high-power diode laser and made direct resin facets from the right to the left premolars, upper and lower. Direct restorations with composite resin restored the harmony, function, and aesthetics, besides being low cost and fast to perform. The negative impact of generalized enamel hypoplasia on patients' self-esteem underscores the importance of dental rehabilitation treatment.