Regional odontodysplasia (known as ghost teeth)

 Is an unusual developmental anomaly in which one or several teeth in the same quadrant are
malformed, usually unerupted
 A characteristic ghost like appearance on the radiographs
 very thin enamel and dentin are present with enlarged pulp, occasionally the enamel is not
visible on radiograph
 Extremely large pulp chambers if the teeth erupt, they’re typically nonfunctional.
 can affect deciduous or permanent.

Dentin dysplasia

 genetically inherited characterize this condition

 have teeth with normal crowns and abnormal roots
 coronal dentin dysplasia translucent teeth with an amber color with primary dentition
 Radiographs show a total or partial lack of champers and root canals
 The pulp champers of the permanent teeth are not obliterated fully and have a half moon
appearance
 Radiographs show lack of pulp chambers and small roots
 Permanent teeth present normal crowns with normal color
 Radiographs show thistle- shaped pulp champers in a single rooted tooth and a bowtie
appearance in the permanent molars.

Amelogenesis imperfecta

 A group of inherited conditions affecting the enamel of the teeth and having no associated
systemic defects.
 tooth enamel does not develop a normal thickness.
 Clinical appearance is pitted, local, smooth, rough, and enamel agenesis.
 hypocalcified, enamel poorly calcified at eruption the teeth appear yellow to orange to brown
 Enamel that is very soft and rapidly lost, leaving exposed dentin.
 Frequently associated with an anterior open bite.
 Enamel chips off easily from the crown
 The maxillary teeth are more severely affected
 Radiographically enamel has a mouth eaten appearance is less radiopaque than dentin,
primarily seen interproximally because the hypocalcified enamel of the occlusal surface has
worn away

Dentinogenesis imperfecta

 genetically inherited with only 30% of patients have a family history of this condition the
remaining 70% represent sporadic cases suggesting recessive genetic traits. Resulting in
abnormally formed bones that facture easily
 Multiple spontaneous bone fractures are the main clinical complication of this syndrome.
 opalescent dentin the teeth have bulbous crown with color that varies from opalescent brown
to brownish blue.
 The primary teeth are affected more seriously than the permanent teeth
  dentin is very soft, which produces in chipping of the teeth, which results in tooth attrition
 Occasionally this attrition can cause the teeth to be worn down to the alveolar process
 Radiographically, no pulp chambers of root canals are seen
 Roots are short and thin with periapical radiolucency’s.

Internal resorption

 Can occur on any tooth and usually only a single tooth is involved usually associated with
inflammatory response of the pulp
 Clinically seen as a pinkish area of the crown
 The dentin hard tissue has resorbed in the hard tissue and is thinner than normal and the pink
color is from the vascular, inflamed connective tissue that can be seen through the remaining
enamel and dentin, referred to as pink tooth of mummery
 Radiographically round to oval radiolucent area.
A sixteen-year-old patient presents in clinic with overall good health at the time of visit. Upon reviewing
the medical and dental history, the patient is not taking any medications, or have any significant medical
conditions of note at this time but stated his teeth have had a brown color for as long as he could
remember, and his father had the same condition.

During the extraoral examination there were no significant findings. During the intraoral examination
revealed a generalized, brown-colored dentition. During the soft tissue examination revealed no unusual
findings and no bony abnormalities. Radiographic examination revealed teeth with thin amounts of
enamel and areas where the enamel had fractured away.

Based on the information the patient does not have internal resorption because it usually occurs on a
single tooth and not the entire dentition, the color is usually pink, and our patient does not show a
round or oval radiolucent area on the roots of his teeth. The patient does not have dentinogenesis
imperfecta because the patient has no history of multiple bone fractures, and his radiographs do not
show short or thin periapical roots or a lack of pulp chambers. The patient does not have dentin
dysplasia because the patient does not have radiographs indicating bowtie or half-moon shaped pulp
chambers or the lack of pulp chambers. The patient does not have regional ondontodysplasia because
the patients teeth do not have a ghost like appearance on his radiographs.

The patient does have amelogenesis imperfecta because his condition is likely inherited by his father, his
maxillary teeth are affected, his teeth have a brown color, his enamel is chipping off, and his radiographs
show a moth eaten appearance of his enamel, and his pulp chambers appear normal.