RESUMO
PURPOSE: Regional odontodysplasia (RO) is a rare condition characterized by distinctive clinical, radiographic and microscopic findings. It is presumed to be the result of a developmental disturbance that locally affects the odontogenic ectodermal and mesodermal tissues. This report describes the clinical and radiographic findings of RO and its treatment. CASE DESCRIPTION: A 15-year-old boy presented with an uncommon case of RO involving two quadrants of the jaws on the right side of his face. CONCLUSION: A complex multidisciplinary team is required to fully rehabilitate a patient affected by RO. The treatment of RO is controversial and varies according to the individual patient.
OBJETIVO: Odontodisplasia regional (OR) é uma condição rara caracterizada por achados clínicos, radiográficos e microscópicos bem distintos. É o resultado de um distúrbio de desenvolvimento bem localizado afetando tanto o ectoderma quanto o mesoderma odontogênico. Este trabalho descreveu os achados clínicos e radiográficos de um caso de OR e os tratamentos. DESCRIÇÃO DO CASO: Um menino de 15 anos de idade apresentou um caso incomum de OR envolvendo dois quadrantes dos maxilares no lado direito da face. CONCLUSÃO: Há necessidade de uma equipe multidisciplinar complexa para reabilitar inteiramente um paciente com OR. O tratamento de OR é controverso e varia de acordo com as características e resposta do paciente.
Assuntos
Humanos , Masculino , Adolescente , Cirurgia Geral/métodos , Displasia da Dentina/diagnóstico , OdontodisplasiaRESUMO
Regional odontodysplasia (RO) is a rare developmental anomaly involving both mesodermal and ectodermal dental components in a group of contiguous teeth. It affects the primary and permanent dentitions in the maxilla and mandible or both jaws. Generally it is localized in only one arch. Clinically, affected teeth have an abnormal morphology, are soft on probing and typically discolored, yellow or yellowish-brown. Radiographically, the affected teeth show a “ghostlike” appearance. This paper reports the case of an 11-year-old girl presenting this rare anomaly on the right side of the maxillary arch. The primary maxillary right central, the lateral and the canine were found missing. The permanent teeth had a “ghostlike” appearance radio graphically. The treatment performed was rehabilitation with temporary partial acrylic denture and periodic controls. The presentation of this case adds valuable information to dentists to review special clinical and radiographic features of RO, which will facilitate the diagnosis and treatment of patients with this condition. Since the etiology of this dental anomaly is uncertain, a review of its probable etiologic factors is summarized to get a better understanding of its cause of occurrence.
RESUMO
La odontodisplasia Regional es una anomalía del desarrollo poco frecuente de los tejidos dentarios duros, que involucra ambos tipos de denticiones y generalmente en un solo cuadrante. Lascaracterísticas clínicas son variables e incluyen decoloración dental amarilla o amarilla café, esmalte y dentina hipomineralizados, acompañadas de gingivitis, inflamación o abscesos; radiográficamente presentan cámaras pulpares amplias, y radiodensidad disminuida de esmalte y dentina dando la apariencia de dientes fantasma.
The Regional odontodysplasia is a rare developmental anomaly of dental hard tissues, involving both types of dentition and usually in one quadrant. Clinical features are variable and include dentaldecoloration yellow or yellowish-brown, enamel and dentin hypomineralised, accompanied by gingivitis, swelling or abscesses. Radiographically large pulp chambers are present and decreasedradiodensity of enamel and dentin giving the appearance of "ghost teeth".
Assuntos
Humanos , Displasia da Dentina , Estética Dentária , OdontodisplasiaRESUMO
Regional odontodysplasia (RO) is a rare developmental anomaly involving both mesodermal and ectodermal dental components in a group of contiguous teeth. It affects the primary and permanent dentitions in the maxilla and mandible or both jaws. Generally it is localized in only one arch. The etiology of this dental anomaly is uncertain. Clinically, affected teeth have an abnormal morphology, are soft on probing and typically discolored, yellow or yellowish-brown. Radiographically, the affected teeth show a "ghostlike" appearance. This paper reports the case of a 5-year-old girl presenting this rare anomaly on the left side of the maxillary arch, which crossed the midline. The primary maxillary left teeth (except for the canine) and the primary maxillary right central incisor were missing due to previous extractions. The permanent teeth had a "ghostlike" appearance radiographically. The treatment performed was rehabilitation with temporary partial acrylic denture and periodic controls. In the future, the extraction of affected permanent teeth and rehabilitation with dental implants will be evaluated. The presentation of this case adds valuable information to pediatric dentists to review special clinical and radiographic features of RO, which will facilitate the diagnosis and treatment of patients with this condition.