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Diseases of the Teeth and Jaws

Allan G. Farman, BDS, EdS., MBA, PhD; Sandra A. Kolsom, CDA, RDA

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Dentinogenesis Imperfecta is an inherited disorder, usually showing a dominant autosomal pattern. Clinically, the teeth have a peculiar translucent appearance with discoloration ranging from brown to yellow to gray. Such teeth are termed opalescent.

Radiographically, all teeth in the deciduous and permanent dentitions show early and frequently complete obliteration of the pulp chambers and canals with short, blunted roots (Figure 44).

Figure 44.

Dentin dysplasia is another autosomal dominant condition in which there is markedly disturbed dentin formation. This extremely rare condition occurs in two distinct patterns. The first, referred to as radicular dentin dysplasia, is characterized by partial or complete obliteration of the pulp chamber and extremely short, blunted roots (Figure 45). When persistent, the pulp chamber displays a characteristic crescent.

Figure 45.
Figure 46.

The second type is coronal dentin dysplasia and is characterized by the thistle-funnel pulp chamber enlargement in the permanent teeth (Figure 46).

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