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Clinically, both the baby (primary) and adult (permanent) teeth often appear amber coloured and translucent, and show signs of severe attrition. Primary teeth have a more obvious appearance as they have a thinner layer of enamel overlying dentine, hence the abnormal color of dentine is more noticeable. [2]
Dentin dysplasia (DD) is a rare genetic developmental disorder affecting dentine production of the teeth, commonly exhibiting an autosomal dominant inheritance that causes malformation of the root. It affects both primary and permanent dentitions in approximately 1 in every 100,000 patients. [ 1 ]
Internal resorption is defined by the loss of intraradicular dentin and tubular dentin from within the middle and apical thirds of the root canal(s). It may also present as an incidental, radiographic finding. Radiographically, a radiolucent area of uniform density within the root canal may be visible with well-defined borders.
Secondary dentin is darker and more opaque than primary dentin. This gives the dentin an overall darker appearance. [ 11 ] At the same time, the enamel layer is gradually thinned by tooth wear processes such as attrition and acid erosion, a degree of which is considered normal. [ 11 ]
Dentin formation, known as dentinogenesis, is the first identifiable feature in the crown stage of tooth development. The formation of dentin must always occur before the formation of enamel. The different stages of dentin formation result in different types of dentin: mantle dentin, primary dentin, secondary dentin, and tertiary dentin. [31]
Cross-section of a tooth. B is dentin. Dentin (/ ˈ d ɛ n t ɪ n / DEN-tin) (American English) or dentine (/ ˈ d ɛ n ˌ t iː n / DEN-teen or / ˌ d ɛ n ˈ t iː n / DEN-TEEN) (British English) (Latin: substantia eburnea) is a calcified tissue of the body and, along with enamel, cementum, and pulp, is one of the four major components of teeth.
The disease is most common in Latin American countries, countries in the Middle East, and South Asia, and least prevalent in China. [149] In the United States, dental caries is the most common chronic childhood disease, being at least five times more common than asthma. [150] It is the primary pathological cause of tooth loss in children. [151]
Teeth that are affected are primary mandibular molars followed by secondary premolars in the mandible and maxilla, however any teeth may be affected. [6] While no one race is primarily affected, those with conditions that affect bone hormone levels such as Paget's disease and acromegaly are more likely to develop hypercementosis.
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