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Tooth development anomalies can happen at many stages of cell development and are relatively common. These anomalies can be isolated findings however, they may also indicate minor or major associated syndromes and identification of these findings are essential to providing comprehensive care for patients. Dentin Dysplasia Type II is a rare autosomal dominant disease resulting from a disruption in the apposition stage of cell development. This disease affects the primary teeth and clinical manifestations can include bulbous crowns, cervical constriction, mild discoloration (amber color) and pulp obliteration. Permanent teeth tend to look typical but can demonstrate thistle-tube shaped pulps and/or multiple pulp stones. This case presentation discusses an 8-year-old male patient who presented with chronic decay and enlarged pulps noted at first clinical exam and radiographic interpretation. Following restorative treatment, the patient experienced loss of Stainless-Steel Crown (SSC) with remaining coronal tooth structure due to pulpal obliteration. A differential diagnosis of Dentin Dysplasia Type II was determined with the aid of a local oral pathologist. Patient was advised to seek genetic testing to improve treatment planning capabilities and further recommendations.
Dentistry | Pediatric Dentistry and Pedodontics | Pediatrics
Craven, Tara; Burleson, Amy; Bohaty, Brenda S.; Sparks, Jenna; Patel, Neena; and Naidu, Aparna, "Case presentation: Pulpal Obliteration in Primary Dentition of an 8-year-old, Differential Diagnosis Dental Dysplasia Type II." (2022). Posters. 280.