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Regional Odontodysplasia

It is also called as 'odontogenic dysplasia' or 'ghost teeth'. It is a


localized arrest in tooth development.

Clinical Features:

- Deciduous and permenant teeth are involved


- Maxillary involved more than mandibular
- Most frequently affected: Permenant 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 failiure of eruption.
All the elements of tooth are hypocalcified and hypoplastic

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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