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Parental Perception of Children Affected by Amelogenesis Imperfecta (AI) and Dentinogenesis Imperfecta (DI): A Qualitative Study
Open AccessFeature PaperArticle

Experiences of Being a Parent to a Child with Amelogenesis Imperfecta

Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet POB 4064, SE-141 04 Huddinge, Sweden
Center for Pediatric Oral Health Research, SE-171 77 Stockholm, Sweden
Author to whom correspondence should be addressed.
Dent. J. 2019, 7(1), 17;
Received: 29 November 2018 / Revised: 28 January 2019 / Accepted: 1 February 2019 / Published: 9 February 2019
(This article belongs to the Special Issue Psychosocial Impacts of Dental Conditions in Childhood)
PDF [583 KB, uploaded 9 February 2019]


Amelogenesis imperfecta (AI) is a hereditary developmental disorder affecting the enamel of teeth. Affected patients present with tooth hypersensitivity, rapid tooth wear, or fractures of enamel as well as alterations in color and shape, all of which compromise esthetic appearance and masticatory function. Chronic conditions in childhood severely impact the whole family, affecting normal family routines and/or increasing the family’s financial burden. The aim of this study was to explore experiences and the impact on daily life of being a parent to a child with severe forms of amelogenesis imperfecta. Parents of children and adolescents with AI participated in an interview with a psychologist. The transcribed interviews were analyzed using thematic analysis. The parents talked about several concerns about having a child with AI. Four main themes emerged from the interviews: Feelings associated with passing on a hereditary disorder, knowledge decreases stress, unfamiliarity with the diagnosis, and psychosocial stress. In these main categories we identified several subthemes. Feelings associated with passing on a hereditary disorder included the subtheme of guilt/shame; knowledge decreases stress included knowledge about diagnosis in the family and support from dental health care professionals; Unfamiliarity with diagnosis included missed diagnosis, fear of not getting correct treatment, and insufficient pain control; finally, the subtheme Psychosocial stress included fear of child being bullied and emergency dental visits. The findings show that parents of children with severe amelogenesis imperfecta report similar experiences as do parents of children with other chronic and rare diseases. View Full-Text
Keywords: congenital disorder; dental enamel; psychosocial stress; thematic analysis; qualitative study congenital disorder; dental enamel; psychosocial stress; thematic analysis; qualitative study

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Pousette Lundgren, G.; Hasselblad, T.; Johansson, A.S.; Johansson, A.; Dahllöf, G. Experiences of Being a Parent to a Child with Amelogenesis Imperfecta. Dent. J. 2019, 7, 17.

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