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1.7.3 Clinical Considerations

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DI affects both dentitions and has an incidence of 1 in 6000 people [12]. The teeth have an amber color that ranges from yellow to brown or from blue to gray [13]. The normal scalloped interdigitation of dentin with enamel does not exist, and the flat enamel dentin junction leads to cracking of enamel followed by attrition of dentin [14]. The diagnosis is usually based on family history and the radiographical and clinical appearance of the teeth. Radiographically, the teeth usually have bulbous crowns with obliterated pulp chambers [12]. Clinically, the teeth are discolored with visible clinical defects and fractured enamel [5]. Treatment modalities include prosthetic crowns, over‐dentures, orthodontic treatment (depending upon the severity), and dental implants (when all other conservative approaches have failed [12, 15]).

An Illustrated Guide to Oral Histology

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