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Dentistry · Tooth development and dental anatomy: dentine dysplasia type II
Sample itemA child has amber-coloured, opalescent primary teeth. The permanent teeth are normal in colour, but radiographs show thistle-tube shaped pulp chambers containing pulp stones, with roots of normal length. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Dentine dysplasia type II
Coronal dentine dysplasia (type II) shows opalescent primary teeth resembling dentinogenesis imperfecta, while the permanent teeth look clinically normal and show a thistle-tube pulp with stones. It is linked to DSPP. Type I has short roots and obliterated pulps.
Option by option
A. Dentine dysplasia type II (correct)
Correct. Opalescent primary teeth with normal-looking permanent teeth and a thistle-tube pulp fit type II.
B. Dentinogenesis imperfecta type II
Here the permanent teeth are also opalescent and bulbous, with obliterated pulp chambers.
C. Regional odontodysplasia
This affects localised teeth in one quadrant that look thin and ghost-like, not a generalised dentine pattern.
D. Dentine dysplasia type I
Type I has rootless-appearing teeth with very short roots and obliterated chambers in both dentitions.
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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