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Tara Thompson

Maegan Edgerly
Brittni Grusecki
Case Study 6

Our patient stated that his teeth appeared brown for as long as he could remember, has

a family history of similar stained teeth, and is in an overall good state of health taking no

medications. The intra oral examination showed a brown- colored dentition. The oral soft

tissues showed no bony abnormalities, and the radiographic examination showed thin amounts

of enamel and fractured enamel.

We believe based on our patient’s case study, and medical/dental history that our

patient has amelogenesis imperfecta. This is a genetic condition characterized by brown or

white chalky discoloration of the teeth and resulting from either severe enamel

hypocalcification, or enamel hypoplasia. This causes enamel to fracture away and appear thin

radiographically.

Our patient does not have regional odontodysplasia because it is an unusual

developmental anomaly in which one or several teeth in the same quadrant are malformed.

They are usually unerrupted and exhibit a marked reduction in radiodensity and have a ghost

like appearance radiographically. Very thin enamel and dentin are present with an enlarged

pulp.

We found that our patient does not have Dentin Dysplasia. Dentin Dysplasia is a genetic

disorder of teeth, commonly exhibiting an autosomal dominant inheritance. It is characterized

by presence of normal enamel but atypical dentin with abnormal pulpal morphology.
Our patient does not have dentinogenesis impercta because it is a hereditary disorder of

teeth. It is characterized by translucent grey to yellow-brown teeth, involving both primary and

permanent dentition. The enamel fractures easily, leaving exposed dentin that undergoes rapid

attrition. Radiographically the pulp chambers and canals are not visible and the roots are short

and blunted.

Our patient does not have internal resorption because it is an unusual condition where

the dentin and pulpal walls begin to resorb centrally within the root canal. The first evidence of

the lesion may be the appearance of a pink hued area on the crown of the tooth. This is also

known as mummified teeth.


Reference Page
“Dentinogenesis Imperfecta and Dentin Dysplasia” Genosmile.eu 18 May 2009. Web.
http://www.genosmile.eu/wp-content/uploads/2013/12/GB-ODRD_2_dentinogenesis.pdf
“Dentinogenesis imperfecta” Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing,
and Allied Health, Seventh Edition. 2003. Saunders, an Imprint of Elsevier, inc 23 Oct.
2017
Olga A. C. Ibsen, Joan Andersen, Phelan. Oral Pathology for the Dental Hygienist with General
Pathology Introductions. Seventh edition. Elsevier, inc. 2018.

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