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Case Report
DOI:
10.4103/JISPPD.JISPPD_1127_17
Introduction PMID:
******
Dentin dysplasia is a rare developmental disorder
affecting the dentin formation. Due to the rare Case 2 ‑ sibling (16 years/female)
occurrence with the prevalence rate of 1:100,000[1,2] and The case presented with similar features as proband.
lack of literature, the dilemmas to treat such cases Hypodontia (16, 21, 26, 31, 32, 36, 37, 41, 42, 45, 46, 47,
are still unfolded which makes this condition a real 53, 54), attrition (16, 53, 54, 63, 65, 26, 31, 32, 36, 41,
challenge for dentist to treat.[3‑7] The undermentioned 42, 46), and an intraoral sinus with respect to 21 were
cases highlight the variations in clinical and present intraorally. OPG [Figure 2] revealed tooth buds
radiographic features and management dilemmas without root formation with respect to all unerupted
faced in treating such patients. teeth and periapical radiolucencies with respect to 21,
31, 32, 41 and 42.
Case Reports
Case 3 ‑ sibling (14 years/male)
Case 1 (proband) This case presented with wider variations.
A patient aged 17 years/male reported to the Hypodontia (16, 11, 26, 36, 32, 32, 41, 42, 46, 53, 55,
Department of Pedodontics and Preventive Dentistry, and 63), attrited (55, 53, 63, 31, 32, 41, and 42), Angle’s
GDC, Amritsar, with the chief complaint of unesthetic This is an open access journal, and articles are distributed under the terms
appearance and history of early loss of primary of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0
teeth and rapid attrition of permanent teeth. Family License, which allows others to remix, tweak, and build upon the work
history revealed that three more children in the family non‑commercially, as long as appropriate credit is given and the new
were affected with the similar condition. Intraoral creations are licensed under the identical terms.
examination of proband revealed oligodontia, attrition
of 13, 12, 11, 21, 22, 23, 33, 32, 31, 41, 42, and 43, and For reprints contact: reprints@medknow.com
mobility of 12.41 (Miller’s Grade 1). Radiographic
examination (orthopantomogram [OPG]) [Figure 1] How to cite this article: Grewal N, Gumber S, Kaur A, Kaur N.
revealed multiple unerupted teeth and wide variations Dentin dysplasia type 1 - clinical management dilemmas: A case
in root morphology. Multiple periapical radiolucencies report of first-generation sufferers. J Indian Soc Pedod Prev Dent
were present with respect to 12, 21, 23, 31, 32, and 41.
2018;36:213-5.
No extra oral abnormality was detected.
© 2018 Journal of Indian Society of Pedodontics and Preventive Dentistry | Published by Wolters Kluwer - Medknow 213
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Figure 3: Orthopantomogram showing the radiographic findings of Figure 4: Orthopantomogram showing the radiographic findings of
Case 3 Case 4
214 Journal of Indian Society of Pedodontics and Preventive Dentistry | Volume 36 | Issue 2 | April-June 2018
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Journal of Indian Society of Pedodontics and Preventive Dentistry | Volume 36 | Issue 2 | April-June 2018 215