Ozer Sezin, Ozden Bora, Otan Ozden Feyza, Gunduz Kaan
Department of Pediatric Dentistry, Faculty of Dentistry, Ondokuz Mayıs University, Atakum, 55139 Samsun, Turkey.
Case Rep Dent. 2013;2013:659084. doi: 10.1155/2013/659084. Epub 2013 May 14.
Introduction. Dentin dysplasia is a rare disturbance of dentin formation characterized by normal enamel but atypical dentin formation with abnormal pulpal morphology that is inherited as an autosomal pulpal morphology. Case Presentation. A 7-year-old female who had problems in chewing function was referred to Oral and Maxillofacial Surgery Department at the Faculty of Dentistry in Ondokuz Mayıs University. In the radiographic examination, it was determined that some of the unerupted permanent teeth of the patient had short, blunted, and malformed roots with obliterated pulp chambers, although the bone below the teeth showed well-defined margins. This unusual case of generalized short roots presents a case demonstrating both classic and atypical features of dentinal dysplasia type I (DDI) in the mixed and permanent dentitions. Conclusion. There are still many issues in the diagnosis and management of patients with dentin dysplasia. Early diagnosis, clinical and radiographic findings, as well as treatment of this condition and the initiation of effective preventive strategies may help prevent or delay loss of dentition.
引言。牙本质发育异常是一种罕见的牙本质形成障碍,其特征为牙釉质正常,但牙本质形成异常且牙髓形态异常,呈常染色体遗传。病例报告。一名7岁女性因咀嚼功能问题被转诊至于多库兹艾于勒大学牙科学院口腔颌面外科。在影像学检查中,发现该患者一些未萌出的恒牙牙根短、钝且形态异常,牙髓腔闭塞,尽管牙齿下方的骨质边缘清晰。这种普遍性短根的罕见病例展示了混合牙列和恒牙列中I型牙本质发育异常(DDI)的经典和非典型特征。结论。牙本质发育异常患者的诊断和管理仍存在许多问题。早期诊断、临床和影像学表现,以及对该病症的治疗和启动有效的预防策略可能有助于预防或延迟牙列缺失。