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1.8.3 Clinical Considerations

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The etiology of this disease is still unclear. Wesley et al. previously proposed that it could be due to a problem with ameloblasts which leads to an abnormal differentiation of odontoblasts, leading to DD [17]. It was also proposed earlier that due to a problem with dental papilla (foci within it becoming calcified), DD develops as a result of less growth and/or obliteration of pulp chambers [18]. The diagnosis is based on clinical examination and radiographs. The teeth affected by DD have esthetic and functional abnormalities [19]. In addition, they are more prone to be mobile and are exfoliated prematurely [19]. The treatment options include stainless‐steel crowns, endodontic therapy (although difficult due to obliteration of pulp chambers), removable dentures, and dental implants [20–22].

An Illustrated Guide to Oral Histology

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