Management of regional odontodysplasia: a 10-year-follow-up case report and literature review

Abstract

DOI: 10.26650/eor.2018.495

The aim of this article was to review the literature and present a case of regional odontodysplasia (ROD) with special emphasis on clinical and radiographic features. A 6-year-old girl was referred to our department with the chief complaint of missing her permanent maxillary left central incisor, lateral incisor, and both of her canines. The gingiva of the involved region was enlarged, fibrous, and tense. Radiographic examination showed abnormal tooth formation and shortened roots. After 3 years of follow up with temporary prosthetic rehabilitation, periodontal surgery was performed. Following forced eruption and levelling, abnormal tooth eruption and root development were observed. ProRoot MTA (Dentsply-Maillefer, Ballaigues, Switzerland) was used for root canal treatment. Intracanal fiber posts selected and access cavities were restored with composite resin. Prosthetic rehabilitation was completed with zirconia ceramic crowns. The time of diagnosis, characteristics of the present/existing symptoms, and functional and esthetic needs of the patient should be considered to determine the optimal treatment modality for ROD. 

Keywords

• Odontodysplasia; ghost teeth; tooth eruption; shell teeth; developmental anomaly

References

1. 1. Babu NS, Smriti RJ, Pratima DB. Regional odontodysplasia: Report of an unusual case involving mandibular arch. Contemp Clin Dent 2015; 6: 237-9. 2. Mukhopadhyay S, Roy P, Halder M. Regional odontodysplasia in the primary dentition associated with eruption failure. Int J Health Allied Sci 2016; 5: 195-7. 3. Gondim JO, Pretel H, Ramalho LT, Santos-Pinto LA, Giro EM. Regional odontodysplasia in early childhood: A clinical and histological study. J Indian Soc Pedod Prev Dent 2009; 27: 175-8. 4. Alotaibi ON. Regional odontodysplasia: An overeview. Pakistan Oral & Dental Journal 2015; 35: 175-8. 5. von Arx T. Autotransplantation for treatment of regional odontodysplasia. Case report with 6-year follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 304-7. 6. Ziegler S, Neukam FW. Regional odontodysplasia: Orthodontic treatment and transplantation of premolars. Am J Orthod Dentofacial Orthop 2012; 142: 710-9. 7. Ibrahim Mostafa M, Samir Taha N, Ismail Mehrez MA. Generalised versus regional odontodysplasia: Diagnosis, transitional management and long term follow-up: A report of 2 cases. Case Rep Dent 2013; 1-5. 8. Al-Tuwirqi A, Lambie D, Seow WK. Regional odontodysplasia: Literature review and report of an unusual case located in the mandible. Pediatr Dent 2014; 36: 62-7. 9. Cho SY. Conservative management of regional odontodysplasia: Case report. J Can Dent Assoc 2006; 72: 735-8. 10. Gurunathan D, Tandon S, Krishnan RR, Kalra M. Solitary odontodysplasia: A rare entity. J Indian Soc Pedod Prev Dent 2011; 29: S56-60. 11. Canela AH, Rezende KM, Benitez M, Bonecker M. Early diagnosis of regional odontodysplasia in an infant. J Craniofac Surg 2012; 23: e134-6. 12. Gunduz K, Zengin Z, Celenk P, Ozden B, Kurt M, Gunhan O. Regional odontodysplasia of the deciduous and permanent teeth associated with eruption disorders: A case report. Med Oral Patol Oral Cir Bucal 2008; 13: E563-6. 13. Courson F, Bdeoui F, Danan M, Degrange M, Gogly B. Regional odontodysplasia: Expression of matrix metalloproteinases and their natural inhibitors. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95: 60-6. 14. Ramakrishnan M, Menon P. Odontodysplasia involving single tooth: A rare entity. SRM Journal of Research in Dental Sciences 2014; 5: 140-2. 15. Thimma Reddy BV, Vinay Reddy KK, Sunil B, Pujita R, Kiran K, Kranthi KR. Regional odontodysplasia. J Indian Soc Pedod Prev Dent 2010; 28: 315-8. 16. Mehta DN, Bailoor D, Patel B. Regional odontodysplasia. J Indian Soc Pedod Prev Dent 2011; 29: 323-6. 17. Upadhyay V, Chaturvedi TP, Pandey RK, Chaurasia A, Singh P. Regional odontodysplasia crossing midline: A rare case report. Int J Clin Pediatr Dent 2011; 4: 159-61. 18. Quindere LB, Cavalcante RB, Nonaka CF, Miguel MC, de Souza LB. Regional odontodysplasia involving three quadrants of the jaws: A case report. Quintessence Int 2010; 41: 13-6. 19. Badger GR. Regional odontodysplasia-an unusual development. J Dent Health Cosmesis 2016; 1: 1-4.