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Dentistry · Tooth development and dental anatomy: hypoparathyroidism and teeth
Sample itemA child with carpopedal spasm and low serum calcium is found to have hypoplastic enamel and delayed eruption. Which endocrine disorder is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Hypoparathyroidism
Hypoparathyroidism during tooth formation causes enamel hypoplasia, delayed eruption and short roots, along with hypocalcaemic tetany. Hyperthyroidism causes early eruption. Acromegaly causes jaw overgrowth and spacing.
Option by option
A. Hyperparathyroidism
Hyperparathyroidism causes hypercalcaemia and bone resorption, with loss of lamina dura.
B. Hyperthyroidism
Hyperthyroidism accelerates eruption and bone loss.
C. Acromegaly
Acromegaly enlarges the mandible and widens the tooth spacing.
D. Hypoparathyroidism (correct)
Correct. Low calcium from deficient parathyroid hormone explains tetany and defective enamel.
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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