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Regional

Odontodyspl
asia

Also called 'odontogenic dysplasia'


or 'ghost teeth .
It is a localized arrest in tooth
development.

Clinical Features:
- Deciduous and permanent teeth are
involved
- Maxillary involved more than mandibular
- Most frequently affected: Permanent
central incisor, lateral incisor, and canine
- Single tooth or several teeth in one
quadrant are affected.

- Affected teeth are small and


mottled brown
- Shape is irregular with evidence of
defective mineralization
- Affected teeth are susceptible to
caries, local infection, and prone
to fracture
- There is either delay or total failure

Radiographic Features

-Radiographs show marked reduction in radiodensity


- Teeth assume a ghost appearance.
- Both the enamel and dentin appear very thin and the pulp
chamber is exceedingly large

Histopathological
Features:
- Marked reduction
in amount of dentin

with widening of predentin layer.


- Large areas of interglobular dentin and
irregular tubular pattern of dentin is also
evident
- Reduced enamel epithelium of unerupted
teeth shows irregular calcified bodies

Management:
- Extraction of teeth followed by
prosthetic appliances should be
done.

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