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Treatment with other topical agents, such as calcium phosphate , may also be effective in the remineralization of areas with congenital or carious enamel defects. [19] In decayed teeth with enamel defects, only bonded restorations (e.g. glass ionomer, polyacid-modified composite resin and not amalgam) should be placed and cavity margins should ...
Enamel appears to be comparable to dentine in its radiodensity on radiographs. Type 3 - Hypocalcified Enamel defect due to malfunction of enamel calcification, therefore enamel is of normal thickness but is extremely brittle, with an opaque/chalky presentation. Teeth are prone to staining and rapid wear, exposing dentine.
] 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.
Pitting enamel hypoplasia, in an individual with amelogenesis imperfecta. It is not always clear why PEH forms instead of other hypoplasia types, particularly linear enamel hypoplasia . However, the position on the crown, the tooth type and the cause of the disruption are all likely contributing factors.
Permanent (adult) teeth are not discoloured, or the discolouration is mild (grey colour). Little or no attrition (tooth wear) is evident. The crown of the teeth may be bulbous and markedly constricted at the cemento-enamel junction (CEJ). Radiographically, evidence of partial pulp obliteration with a "thistle-shaped appearance". [3]
Molar incisor hypomineralisation (MIH) is a type of enamel defect affecting, as the name suggests, the first molars and incisors in the permanent dentition. [1] MIH is considered a worldwide problem with a global prevalence of 12.9% and is usually identified in children under 10 years old. [2]
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