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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.
Enamel spindles are often confused with two other entities: enamel lamellae and enamel tufts. 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.
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.
Enamel tufts are small branching defects that are found only at the DEJ, and so differ from lamellae which can be facing either direction and are strictly linear. Enamel spindles are also linear defects, but they too can be found only at the DEJ, because they are formed by entrapment of odontoblast processes between ameloblasts prior to and ...
Enamel hypoplasia and enamel hypocalcification are examples of defective enamel that potentially gives a discolored appearance to the tooth. Teeth affected in this way are also usually more susceptible to further staining acquired throughout life. Amelogenesis imperfecta is a rare condition that affects the formation of enamel (amelogenesis ...
Dental fluorosis is a common [2] disorder, characterized by hypocalcification 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.
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Amelogenesis is the process of forming tooth enamel, the hard, protective outer layer of teeth. [1] This process begins during tooth development after the initial formation of dentin (dentinogenesis), the layer beneath the enamel. [2]
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