By J Timothy Wright
This e-book offers the practitioner with a framework for constructing a analysis and constructing an appropriate remedy plan in sufferers offering with various developmental defects of enamel. The stipulations lined contain failure of enamel eruption, hypodontia, untimely the teeth exfoliation, defects of the teeth improvement, and defects of dentin improvement, with complete attention of either syndromic and non-syndromic defects. In each one case the phenotype and genotype are first defined, by way of diagnostic info, together with the supply of genetic trying out, and healing procedures. Summarizing tables are used to spotlight the major diagnostic positive factors, and useful illustrated case shows are integrated. Cleft palate is usually addressed, with info on etiology, phenotypes, remedy timing and ways, and dental administration. The last bankruptcy presents stimulating reflections on strength destiny instructions within the analysis and remedy of those disorders.
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Extra info for Craniofacial and Dental Developmental Defects: Diagnosis and Management
The reported dental changes are also related to the abnormal collagen metabolism and vary between the different subtypes. This disordered metabolism is thought to result in enhanced resorption of the crest of the alveolar bone and apices of the roots . In addition, fragility of the oral mucosa and blood vessels, along with the concomitant aggressive periodontitis, results in severe alveolar bone loss with related tooth loss. Inflamed gingiva is also readily seen . The primary goal of the indicated dental treatment is to control the disease and subsequent tooth loss.
Dentally these children have thin hypomineralized enamel along with large pulp chambers and high pulp horns which can result in pulp exposures even in the absence of dental caries. These pulp exposures can lead to spontaneous dental abscesses that result in bone loss and the early loss of primary teeth [3, 21]. Diagnosis will often be made by a physician prior to any dental examination. However, dental radiographs will indicate the enamel and pulp chamber changes already mentioned. In addition, changes in the trabeculation of the alveolar bone along with abnormal or absent lamina dura can be observed radiographically .
A hallmark of PFE is the response of affected teeth to orthodontic force; orthodontic force will not result in eruption of the affected tooth but will in fact lead to ankylosis of the affected teeth or intrusion of the adjacent teeth. Finally, another critical clue to diagnosing and managing cases of eruption failure is that the genetic association with PTH1R confirms the importance of determining a good family history. The American Society of Human Genetics suggested that taking a family history represents the gold standard in the diagnosis of and management of medical (and by extension, dental) disorders .