Dentin dysplasia

[2] Clinically the teeth look normal in colour and morphologic appearance; however, they are commonly very mobile and exfoliated prematurely.

However, deciduous teeth affected by type II dentin dysplasia have a characteristic blue-amber discolouration, whilst the other dentition appears normal.

[11] There are a few studies and proposals that were designed to explain the pathogenesis of DD but the main reason of the cause still remains unclear in the dental literature.

They also proposed that the calcification of multiple degenerative foci within the papillae reduces the growth and eventually leads to pulpal obliteration.

Histopathologically, the deeper layer of the teeth shows abnormal dentine tubular pattern with unstructured, unorganised, atubular areas with a normal enamel appearance.

Endodontic treatment is not advised for teeth with complete obliteration of root canals and pulp chambers.

[3] Another proposed treatment, for successful oral rehabilitation, is to extract all teeth, curette any cysts and provide the patient with a complete denture.

A combination of bone grafting and a sinus lift technique can also be successful to accomplish implant placement.

However, factors such as present complaint, patient age, severity of the problem, can affect the treatment plan or options.

It is difficult to perform endodontic therapy on teeth that develop abscesses as a result of obliteration of the pulp chambers and root canals.

[14] Teeth with short, thin roots and marked cervical constrictions are less favourable for indirect restorations such as crown placements.

Cast partial dentures could also be an alternative treatment option and it only works if there are a few teeth that have enough root length to serve a retentive purpose.

Both onlay bone grafting and sinus lift techniques can be carried out together to accomplish implant placement.