Dentin Dysplasia — Types Treatments and Prevention

PROFESSIONAL HIGHLIGHTS. She has been trained in Internal Medicine, Pulmonary Disease, Critical Care Medicine, and Anxiety Medicine. In addition, she was also trained in Thoracic Transplantation Medicine and Pulmonary Arterial Hypertension. CERTIFICATIONS Dr. Sarah Edwards is Board Certified in the following: • Internal Medicine • Child Diseases • Critical Medicine • She is also a Diplomate of The American Board of Anxiety Medicine. EDUCATION Postgraduate: • University of Nevada School of Medicine • Residency: Internal Medicine

Dentin dysplasia is a rare genetic disorder, and it can be unpleasant. But is there a way to prevent it? And if not, what is the best treatment? 

Have you heard of dentin dysplasia? Is there a way to prevent this condition or to avoid it completely? Let’s talk about dental disorders and what you can expect from something like dentin dysplasia. 

The first thing we should mention is that preventive dental care in Griffith is always one click away, and it can help you avoid numerous health problems and significantly improve your oral health. 

What Is Dentin Dysplasia

Dentin Dysplasia or DD is a rather rare developmental disorder. It affects the production of dentin and often leads to malformation of the root of the teeth. In general, one in a hundred thousand patients will show signs of DD.

The reason why this is so important for teeth is that it affects dentin, the bone-like material located under the enamel which covers most of the tooth. 

Since DD doesn’t affect enamel but dentin, the color of the tooth will remain normal. However, the root will be severely affected.

The lack of root development will likely result in teeth loss, and the disorder can appear on both baby teeth and permanent ones. 

How to Spot Signs of Dentin Dysplasia?

As we mentioned earlier, it is possible that teeth affected by dentin dysplasia will look perfectly normal. In some cases, they will have brownish blue shine, but this isn’t guaranteed.

So, how do you spot signs of DD? Whether we are talking about permanent teeth or deciduous ones, you can easily spot the lack of dentin formation using an X-ray. 

If one was to check the X-ray photos, it would be quite apparent that the pulp chamber in the root is rather small. It can be moon-shaped, too, or even completely missing from the tooth.

As for the roots, they are unusually small and appear to be radiolucent on the photos. And that is something that can affect both permanent and deciduous teeth.

A person with dentin dysplasia will often have teeth that are poorly aligned, and they tend to be damaged often.

Since there is no dentin in the tooth, normal pressure from eating can chip or destroy the tooth. 

What Causes the Disorder?

Dentin Dysplasia is a genetic disorder, and it is inherited. Some scientists suggest that the mutation appears on chromosome 4, but there is still so much to discover about the disorder. It is worth mentioning that there are several types of dental dysplasia. 

The first one is dentin dysplasia type 1, or shortly DD-1, and it is a radicular type. In this case, the patient will have an undeveloped root of their teeth, and the pulp tissue will be abnormal.

As we mentioned, it is possible that there are no visual signs of radicular dentin dysplasia, but in some cases, the teeth will appear to be discolored. They are either with brownish-blue or amber shine to them, and they tend to be fragile. 

DD-1 is classified into four different categories, and they are DD-1a, DD-1b, DD-1c, and DD-1d. The classification is based on the radiographic features. 

The second type is dentin dysplasia type 2. It is a coronal type, and it mostly affects primary teeth. In this scenario, it is more likely that teeth will be discolored (brownish-blue, yellow, or brown).

However, in the majority of cases, there will be no visual signs of DD-2, and the only way to spot signs and symptoms is via X-ray. The dentist will be able to spot significant abnormalities of the pulp chamber, which is also the primary characteristic of DD-2. 

Is There a Treatment?

As you can see, dental dysplasia can be quite complex and affect a lot of teeth. Treating is not easy, and the process will mostly depend on the type of DD and the condition of the teeth. In some cases, an endodontist will be able to treat the condition and help the patient. 

If treatment is possible, it can include using a filling to close the holes in the root canal. This can help the patient keep their teeth for a certain period of time, and help them remain attached to the jaw. 

However, if the tooth is obliterated, there is little a dentist can do to save it. There is a high chance that they would recommend extraction and replacing natural teeth with dentures.

Again, it mostly depends on the severity of the problem. Dentists will always try to save teeth if it is possible and delay the extraction as much as they can. 

But in cases of severe damage caused by DD, it might be a better solution to extract all teeth and replace them with dentures.

There are numerous different methods that can help when it comes to dentures and implants, and the dentist will suggest the best one. 

What Can You Do?

While all of this might seem scary, there are a couple of things you can do to improve the condition. The first thing is working on oral health.

Naturally, your dental health care won’t be able to solve the problem completely, but it can make your teeth last longer. 

There are other interventions that can improve the condition. These include stainless steel crowns that can protect the tooth from further damage, endodontics treatments, dentures, dental implants, etc. 

The dentist will be able to determine which of these treatments are possible for the specific situation, and they will recommend steps the patient needs to take.

Oral hygiene is still the number one priority for all patients, including those that wear dentures. It is the simplest way to reduce the chances of further damage, and improving hygiene is the best form of dental prevention. 

Unfortunately, preventive dentistry can only get someone to a certain point, and with a genetic disorder like DD, it is often not enough.

This is why it’s crucial to have regular visits to the dentist. They will be able to spot early signs of DD and other conditions. 

 

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