1/7. Regional odontodysplasia (Ghost teeth). A case report.Regional odontodysplasia is a rare development anomaly affecting the teeth with an unknown etiology. This dental abnormality involves the hard tissues of the teeth that are derived from both epithelial (enamel) and mesenchymal (dentine & cementum) components of the tooth forming apparatus. Teeth in a region or quadrant of maxilla or mandible are affected to the extent that they exhibit short roots, wide open apical foramen and large pulp chamber, the thinness and poor mineralisation qualities of th enamel and dentine layers have given rise to a faint radiolucent image, hence the term "Ghost teeth". Both the permanent teeth and the deciduous teeth are affected. Females are more commonly affected than males. There is a maxillary predominance (2.5:1) with a predilection for the anterior teeth. Eruption of the affected teeth is delayed or does not occur. Because of the poor quality of the affected teeth, they cannot be rehabilitated for functional use therefore the treatment of choice is extraction with prosthetic replacement. However, necrosis and facial cellulitis appear to be a complication if these teeth are retained. A unique case of regional odontodysplasia affecting the entire right quadrant of mandible is reported here.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
2/7. Regional odontodysplasia: a review of the literature and report of four cases.Regional odontodysplasia (RO) is a rare dental anomaly involving both dentitions, mostly teeth of one quadrant. The characteristic findings are discolored soft teeth accompanied by gingivitis, swelling or abscess. Enamel and dentin are hypomineralised and hypoplastic, so that the 'ghost teeth' appear shadowy in radiographs with wide pulp chambers. The etiology is unknown. Epidemiological data is rare; 138 cases of RO have been published to date and reports on ultrastructure are few. An analysis of published cases of RO in the international literature is presented. The sex ratio of females to males was 1.7:1. The age at the time of diagnosis ranged between 4 and 23 years. The maxilla was more often affected (maxilla to mandible ratio 1.6:1). In 67 patients the deciduous and permanent dentitions were affected (47.1%). In 129 cases, affected teeth lay side by side. Missing tooth development was observed in 10.7%. Failure of tooth eruption of RO teeth occurred in 39.7%. In addition, four cases with RO which were collected over a period of more than 25 years are presented. Ultrastructural findings of one specimen are demonstrated.- - - - - - - - - - ranking = 0.5keywords = mandible (Clic here for more details about this article) |
3/7. Regional odontodysplasia: report of a case.Regional odontodysplasia is a rare developmental anomaly involving both mesodermal and ectodermal dental components in groups of contigous teeth. RO affects the primary and permanent dentition in the maxilla and mandible or both jaws. Generally, it is localized in only one arch. The maxillary arch is affected more often than the mandibular arch. The affected teeth tend to be in a consecutive series that does not cross the midline, although some cases do not follow this pattern, as in the present case, have been documented. Radiogaphically wide pulp chambers and thin poorly defined hard tissue outlines described as a "ghost teeth" appearance, are typical features. A case of regional odontodysplasia in a 5 year old male patient is presented. The clinical and radiogaphical findings of this developmental anomaly and treatment are described.- - - - - - - - - - ranking = 0.57600597711527keywords = mandible, jaw (Clic here for more details about this article) |
4/7. Regional odontodysplasia.Regional odontodysplasia was diagnosed in a girl aged 6 with lesions of a number of deciduous and permanent teeth in the right lower and upper quadrants. The literature comprises reports on some 50 cases of regional odontodysplasia, including only one patient who also showed involvement of both the maxilla and the mandible.- - - - - - - - - - ranking = 0.5keywords = mandible (Clic here for more details about this article) |
5/7. Unilateral odontodysplasia.A case of malformation of five permanent teeth in the right maxilla is described. The asymmetrical malformations were probably caused by an early local trauma of the right maxilla. This trauma led to defective mineralization of the deciduous tooth germs, which was verified roentgenologically. The resulting early osteitic process caused injury to the permanent germs at a sensitive mineralization period. Mineralization disturbances of 13, 14, 15, 16 and 17 were established roentgenologically. In the other halves of the jaws the development was entirely normal. Endocrinological examination showed normal values and there were no signs of hypothyreosis or Turner's syndrome. Acute symptoms in the right maxilla at the age of 9 necessitated extraction of germs 14 and 16. As subsequent roentgenograms showed that 13 and 15 were not developing normally in respect of mineralization, these were extracted at, respectively, 12 and 13 years of age. For the same reason 17 was extracted two years later. The histopathological examination showed in all involved teeth a pronounced malformation with disturbances both of the morpho- and histodifferentiation of the various dental tissues.- - - - - - - - - - ranking = 0.076005977115267keywords = jaw (Clic here for more details about this article) |
6/7. Regional odontodysplasia: review of the literature and report of a case.Regional odontodysplasia is a rare and unique dental developmental anomaly that affects tooth morphogenesis. This case is unusual in that it involved the mandibular dentition. However, in this case the mandible was unilaterally involved. The presence of an abscess in relation to the lower right first permanent molar, in the absence of deep caries or periodontal pathology was an interesting finding. The radiographic appearance of bizarre pulpal morphology with high pulp horns extending to the occlusal surface would provide an open communication between the pulpal tissue and oral cavity. The importance of the first permanent molar as a strategic tooth was recognized and an apexification procedure was performed. The care and treatment of a child with odontodysplasia requires a multidisciplinary approach. In this case the right lower primary cuspid and first primary molar had been extracted previously. The early extraction of these teeth and the subsequent delay in hard tissue formation and eruption of the permanent successors could have resulted in altered growth of the alveolus in this region.- - - - - - - - - - ranking = 0.5keywords = mandible (Clic here for more details about this article) |
7/7. Regional odontodysplasia: report of four cases.Four cases of regional odontodysplasia are described. Clinically erupted teeth appear hypoplastic and are often mobile. The radiographic appearance has given rise to the term 'ghost teeth' and the cases presented demonstrate this with short roots which are less well calcified than normal teeth. Clinical and radiographic findings showed that this condition affects only one side of the jaw, but can be seen in any part of the upper or lower jaws. This article represents cases in different parts of the mouth with varying degrees of involvement.- - - - - - - - - - ranking = 0.15201195423053keywords = jaw (Clic here for more details about this article) |