Regional Odontodysplasia with Generalised Enamel Defect

Regional odontodysplasia (ROD) is uncommon developmental anomaly, which tends to be localised and involves the ectodermal and mesodermal tooth components. A five-year-old female was referred to Department of Child Dental Health at the Leeds Dental Institute regarding malformed primary teeth. On exam...

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Main Authors: A. M. Al-Mullahi, K. J. Toumba
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/4574673
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author A. M. Al-Mullahi
K. J. Toumba
author_facet A. M. Al-Mullahi
K. J. Toumba
author_sort A. M. Al-Mullahi
collection DOAJ
description Regional odontodysplasia (ROD) is uncommon developmental anomaly, which tends to be localised and involves the ectodermal and mesodermal tooth components. A five-year-old female was referred to Department of Child Dental Health at the Leeds Dental Institute regarding malformed primary teeth. On examination 64, 74, and 72 had localised hypomineralized enamel defect. The crown of 55 was broken down with only the root remaining below the gingival level. 54 has a yellowish brown discolouration with rough irregular surface. The upper anterior teeth show mild enamel opacity. Radiographically, 55 and 54 had thin radioopaque contour, showing poor distinction between the enamel and dentine and the classic feature of a wide pulp chamber. 15, 16, and 17 were developmentally delayed and were displaying the characteristic “ghost appearance.” Comprehensive dental care was done under local anaesthesia and it included extraction of the primary molars affected by ROD, stainless steel crown on 64, and caries prevention program. Fifteen months following the initial assessment the patient’s oral condition remains stable and she is under regular follow-up at the department. Paediatric dentists should be aware of this anomaly as it involves both dentitions and usually requires multidisciplinary care.
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spelling doaj-art-68810bb270f54665b4e7d06f291765f12025-02-03T05:52:46ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/45746734574673Regional Odontodysplasia with Generalised Enamel DefectA. M. Al-Mullahi0K. J. Toumba1Oral Health Department, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, OmanPaediatric Dentistry, Leeds Dental Institute, University of Leeds, Leeds, UKRegional odontodysplasia (ROD) is uncommon developmental anomaly, which tends to be localised and involves the ectodermal and mesodermal tooth components. A five-year-old female was referred to Department of Child Dental Health at the Leeds Dental Institute regarding malformed primary teeth. On examination 64, 74, and 72 had localised hypomineralized enamel defect. The crown of 55 was broken down with only the root remaining below the gingival level. 54 has a yellowish brown discolouration with rough irregular surface. The upper anterior teeth show mild enamel opacity. Radiographically, 55 and 54 had thin radioopaque contour, showing poor distinction between the enamel and dentine and the classic feature of a wide pulp chamber. 15, 16, and 17 were developmentally delayed and were displaying the characteristic “ghost appearance.” Comprehensive dental care was done under local anaesthesia and it included extraction of the primary molars affected by ROD, stainless steel crown on 64, and caries prevention program. Fifteen months following the initial assessment the patient’s oral condition remains stable and she is under regular follow-up at the department. Paediatric dentists should be aware of this anomaly as it involves both dentitions and usually requires multidisciplinary care.http://dx.doi.org/10.1155/2016/4574673
spellingShingle A. M. Al-Mullahi
K. J. Toumba
Regional Odontodysplasia with Generalised Enamel Defect
Case Reports in Dentistry
title Regional Odontodysplasia with Generalised Enamel Defect
title_full Regional Odontodysplasia with Generalised Enamel Defect
title_fullStr Regional Odontodysplasia with Generalised Enamel Defect
title_full_unstemmed Regional Odontodysplasia with Generalised Enamel Defect
title_short Regional Odontodysplasia with Generalised Enamel Defect
title_sort regional odontodysplasia with generalised enamel defect
url http://dx.doi.org/10.1155/2016/4574673
work_keys_str_mv AT amalmullahi regionalodontodysplasiawithgeneralisedenameldefect
AT kjtoumba regionalodontodysplasiawithgeneralisedenameldefect