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Dentistry · Tooth development and dental anatomy: dentine dysplasia type I
Sample itemA child has early loss of teeth that appear normal in colour. Radiographs show very short roots, obliterated pulp chambers and periapical radiolucencies without caries. Which disorder is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Dentine dysplasia type I
In dentine dysplasia type I, crowns look normal but roots are short or absent, pulp chambers are obliterated, and teeth are mobile and lost early. Dentinogenesis imperfecta shows opalescent grey-brown crowns with bulbous shape and constricted cervix. The enamel is normal in dentine disorders.
Option by option
A. Dentinogenesis imperfecta type II
Dentinogenesis imperfecta shows opalescent, discoloured bulbous crowns.
B. Dentine dysplasia type I (correct)
Correct. Normal crowns with rootless teeth and obliterated pulps characterise type I.
C. Amelogenesis imperfecta
Amelogenesis imperfecta mainly affects enamel and the roots are normal.
D. Regional odontodysplasia
Regional odontodysplasia affects a segment of teeth, with a ghost-like appearance.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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