Dental Anomalies in Children

Question 1

What are the 3 stages of amelogenesis?

Answer 1

1. Secretory: ameloblasts secrete the thickness of enamel
2. Transition
3. Maturation: ameloblasts allow inorganic ions to be secreted and exchanged

Question 2

Is hypoplastic, hypomaturation or hypocalcified the most common AI?

Answer 2

Hypoplastic: reduced enamel thickness due to mutation in the formation of the normal matrix

Question 3

What information do we need to diagnose dental anomalies in children?

Answer 3

• Family History
• MH
• Clinical observations
• Radiographs
• Histology

Question 4

What are two other dental features associated with AI?

Answer 4

• AOB
• Taurodontism

Question 5

How is AI managed?

Answer 5

• Reinforce good OH
• Relieve symptoms (sensitivity, rapid wear, poor aesthetics)
• Fluoride mouthwash and toothpaste prescribed
• Direct or Indirect composite veneers to improve aesthetics, reduced sensitivity and incisal wear
• Bleaching indicated if enamel is intact but discoloured