Dental Pathology: A Practical Introduction by Pieter Slootweg

By Pieter Slootweg

This new, up-to-date version of Dental Pathology will help in the popularity and prognosis of gross dental abnormalities. subject matters lined contain disturbances in the teeth formation, obtained dental illnesses, together with caries and its sequelae, periodontal affliction, and odontogenic tumours. essentially acceptable wisdom is equipped at the histology and histopathology of the alterations which are visible in illnesses of the dental and periodontal tissues, and a spotlight can also be paid to the histological changes triggered via dental remedy. in comparison with the 1st variation, ca. 50% extra illustrations are integrated and additional information is equipped on diagnostically tough circumstances. This paintings could be a useful significant other for dental practitioners who want to make diagnoses in such circumstances and also will be of price for surgical pathologists, scientific geneticists, and oral and maxillofacial surgeons.

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18) [22–25]. Radiographically detectable abnormalities of the involved teeth include enlarged crowns, roots and pulps of primary molars; irregular resorption of primary molar roots; splayed roots of primary molars; and an abnormal medial position of the teeth [25]. Data on histology of the involved teeth are scarce, only one report mentioning them. These authors report the presence of tubular defects in the coronal dentin extending from the pulp towards the dentino-enamel junction. The circumpulpal dentin from the middle one-third of the root apically had an irregular tubular structure and lack a well-defined odontoblast layer (Fig.

Also tetracycline may give rise to enamel hypoplasia, but as this drug particularly causes tooth pigmentation, this topic will be discussed under that heading. 38 5 Developmental Disturbances in Tissue Structure Enamel Opacities Enamel opacities are white opaque spots in smooth-surfaced enamel. Probably they are due to transient hypomineralisation of the enamel matrix. Most often, they are seen at the incisor teeth (Fig. 4). Incidentally, they may also be brown a b Fig. 2 Amelogenesis imperfecta of the hypomineralised type.

Enamel shows white spots, brown discolorations and surface irregularities indicating both enamel hypocalcification and hypomineralisation 42 5 Developmental Disturbances in Tissue Structure b Fig. 5 (continued) Dentin Structural abnormalities of dentin mostly have a hereditary background with an autosomal dominant way of transmission. In general, there is a failure of normal dentin formation after the initial deposition of a small amount of mantle dentin. As a result of this, involved teeth may show either abnormally short or entirely absent roots, whereas the pulpal chambers may obliterate partly or entirely due to formation of abnormal dentin masses.

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