Regional odontodysplasia and its treatment maneuver

Murthy, Prashanth Sadashiva; Deshmukh, Seema

doi:10.4103/2278-344x.120583

Cited by 5 publications

(9 citation statements)

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“…We could not rule out the occurrence of somatic mutation in genes of tooth development, once it was not investigated. Failure in the embryogenesis during the migration of neural crest cells which contribute to pulp and dentin formation are also factors involved in the RO development [9], and could only speculate that it may have contributed to RO in our case.…”

Section: Discussionmentioning

confidence: 71%

Regional Odontodysplasia Affecting the Maxilla

Cunha¹,

Santana

et al. 2019

Head and Neck Pathol

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Regional odontodysplasia (RO) is a rare dental anomaly of unknown etiology that can affect both deciduous and permanent dentition. RO is characterized by severe hypoplasia of enamel and dentin, and teeth affected are friable and more susceptible to caries and fractures. Most of the lesions occur in the anterior maxilla and correlation with clinical and radiographic features is essential to provide a correct diagnosis. The major criteria for diagnosis are predominantly based on radiography, which shows presence of large pulp chambers and a marked reduction in the radiopacity of enamel and dentin, making the distinction between these mineralized structures difficult. Early diagnosis is important to minimize future sequels and allow preventive or conservative treatment. The therapeutic approach of the RO should be based on the degree of severity of the anomaly and in the individual functional and aesthetic needs of each case. A classic case of RO affecting the maxilla is exemplified in this Sine Qua Non Radiology-Pathology article.

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Section: Discussionmentioning

confidence: 71%

Regional Odontodysplasia Affecting the Maxilla

Cunha¹,

Santana

et al. 2019

Head and Neck Pathol

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show abstract

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis of regional odontodysplasia should include other developmental dental disorders, such as dentin dysplasia, dentinogenesis imperfecta, amelogenesis imperfecta, or hypophosphatasia [4]. Patients with regional odontodysplasia need a longterm multidisciplinary specialist approach [2,4,5]. The role of paediatricians is to refer them to the dental office as soon as possible to increase the chance of keeping teeth for a longer time in the oral cavity.…”

Section: Discussionmentioning

confidence: 99%

“…It is suggested that affected teeth without periapical inflammation should be retained to allow the development of surrounding bone. However, in case of the development of acute and exacerbated abscesses, immediate tooth extraction is recommended [2,4]. Then, edentulous areas should be restored with removable acrylic appliances to maintain aesthetic and masticatory functions.…”

Section: Discussionmentioning

confidence: 99%

“…The potentially harmful local factor in the perinatal period is considered. In the literature, the possible causal fac-tors such as disorders of neural crest cell mi gration, local trauma or ischaemia, vascular defects, tera togenic medications, radiation, hyperpyrexia, activation of latent viruses, Rh incompatibility, and nutritional or metabolic deficiencies are mentioned [1,2,4].…”

Section: Introductionmentioning

confidence: 99%

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Regional odontodysplasia – a rare developmental dental anomaly

Nijakowski¹,

Surdacka²

2021

polp

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Regional odontodysplasia is a rare developmental dental anomaly affecting ectodermal and mesodermal tissues. Hypocalcification and hypoplasia are most often observed in one quadrant. The aetiology remains uncertain -the harmful local factor in the perinatal period is considered. It occurs more often in the maxilla, with a predisposition to females. The report presents a clinical case of a 5-year-old boy with regional odontodysplasia affecting deciduous and permanent dentition in the left quadrant of the mandible. The radiological image revealed characteristic "ghost teeth" in primary dentition and poorly developed buds of secondary teeth. Because of recurrent purulent inflammations, his milk teeth were surgically removed. In the literature, there is no consensus on the treatment of choice. However, it is suggested that affected teeth should not be extracted until inflammation occurs to allow the development of surrounding bone. Due to the age-related functional and aesthetic needs, the patients require long-term specialist care.

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Regional odontodysplasia involving maxillary right quadrant treated by dental implant prosthetic rehabilitation: A review and case report

Elmezwghi¹,

Alarabi²,

Elsagali³

et al. 2023

Int. J. Appl. Dent. Sci.

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Regional odontodysplasia (ROD) is a rare dental anomaly that can affect deciduous and permanent dentition. This unique dental abnormality involves enamel, dentin, pulp, and dental follicle. ROD has a prevalence of less than 1:1.000.000 and the age at the time of diagnosis ranges from 1 to 23 years. Females are slightly more affected than males at a ratio of 1.4:1. The maxilla is affected twice as often as the mandible. The aetiology of ROD is still unknown and conditions such as viral infections, local trauma, vascular defects, irradiation, metabolic disturbance, rhesus incompatibility and medications during pregnancy have been suggested as possible causes. The diagnosis is usually made by clinical and radiographic findings. Generally, the affected teeth fail to erupt, but when erupted, they are small, hypoplastic, or hypocalcified with deep pits and clefts which could be connecting the pulp. Radiographically, the affected teeth show a typical "ghost-like" appearance. The affected teeth have large pulp chambers and short roots with open apices. The treatment of ROD is controversial. It is widely accepted that implant-supported single-unit crowns represent a reliable treatment option for the replacement of missing teeth with favourable outcomes. The objective of this review and reported case highlights epidemiology, etiopathogenesis, diagnosis, and implant treatment modality.

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Regional odontodysplasia and its treatment maneuver

Cited by 5 publications

References 0 publications

Regional Odontodysplasia Affecting the Maxilla

Regional Odontodysplasia Affecting the Maxilla

Regional odontodysplasia – a rare developmental dental anomaly

Regional odontodysplasia involving maxillary right quadrant treated by dental implant prosthetic rehabilitation: A review and case report

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