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Enamel hypocalcification is a defect of tooth enamel in which normal amounts of enamel are produced but are hypomineralized. [ 1 ] [ 2 ] In this defect the enamel is softer than normal. Some areas in enamel are hypocalcified: enamel spindles, enamel tufts, and enamel lamellae.
Lamellae are linear enamel defects that extend from the surface of the enamel towards the DEJ, or vice versa. Enamel tufts are "small, branching defects that are found only at the DEJ, protruding into the enamel towards the enamel surface. Enamel spindles however, are in fact odontoblast processes that extend into the enamel. [1] [2]
Dental fluorosis is a common [2] disorder, characterized by hypomineralization of tooth enamel caused by ingestion of excessive fluoride during enamel formation. [ 3 ] [ needs update ] It appears as a range of visual changes in enamel [ 4 ] causing degrees of intrinsic tooth discoloration , and, in some cases, physical damage to the teeth.
Enamel tufts should also not be confused with the similar enamel spindles. Enamel spindles are also linear defects, similar to lamellae, but they too can be found only at the dentinoenamel junction, similar to enamel tufts. This is because they are formed by entrapment of odontoblast processes between ameloblasts prior to and during amelogenesis.
] It is the most common type of enamel hypoplasia reported in clinical and archaeological samples, with other types including plane-form enamel hypoplasia and pitting enamel hypoplasia. [12] Linear enamel hypoplasia can be caused by a variety of factors, from genetic conditions to malnutrition and illnesses during childhood.
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Hypomineralization or hypocalcification, as opposed to hypoplasia, refers to a decrease in the mineral content of the enamel, not the total amount present. It can vary in its presentation, and teeth may appear visually normal or highly translucent. Affected enamel is softer and more susceptible to acid, wear and decay.
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