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Regional odontodysplasia: a case report
Scariot, Rafaela;Morosini, Imara;Pereira, Cassius Torres;Amenabar, José Miguel;Rebellato, Nelson;Gugisch, Renato;
Revista Odonto Ciência , 2012, DOI: 10.1590/S1980-65232012000300014
Abstract: purpose: regional odontodysplasia (ro) is a rare condition characterized by distinctive clinical, radiographic and microscopic findings. it is presumed to be the result of a developmental disturbance that locally affects the odontogenic ectodermal and mesodermal tissues. this report describes the clinical and radiographic findings of ro and its treatment. case description: a 15-year-old boy presented with an uncommon case of ro involving two quadrants of the jaws on the right side of his face. conclusion: a complex multidisciplinary team is required to fully rehabilitate a patient affected by ro. the treatment of ro is controversial and varies according to the individual patient.
Regional odontodysplasia: An unusual case report  [cached]
Kappadi Damodhar,Ramasetty Prabhakar,Rai Kirthi,Rahim Ahmed Mujib
Journal of Oral and Maxillofacial Pathology , 2009,
Abstract: Regional odontodysplasia is an uncommon developmental anomaly affecting a localized area of dentition, with distinctive clinical, radiographic, and histological findings. This article reviews a case of a 14-year-old female who reported with unerupted maxillary anterior teeth. This case was rare in that it involved maxillary dentition with unerupted maxillary anterior teeth on the right side, but the left central incisor was missing. The molars on the right side were showing some amount of abnormality. Radiographically, the affected teeth had a ′ghostly′ appearance, showing a marked reduction in radiodensity. Both enamel and dentin appeared to be very thin, the pulp chamber was exceedingly large, and the roots were short with wide open apices. All the characteristics were consistent with the diagnosis of regional odontodysplasia. The care and treatment of this patient required a multidisciplinary approach. The unerupted maxillary anterior teeth were surgically removed, following which temporary prosthetic restoration was provided to improve esthetics and to restore the function.
Gauri Srindhi,Srinidhi Surya Raghavendra
Journal of International Dental and Medical Research , 2011,
Abstract: Regional odontodysplasia is a rare developmental anomaly involving both mesodermal and ectodermal components in a group of teeth normally in the same area of jaw. It affects the primary and permanent dentition in maxilla or mandible. The affected teeth are often grossly malformed showing deficient and abnormal formation of dentine and enamel and develop abscesses soon after eruption. Radio graphically the appearance of the teeth is very characteristic and is called as “ghost teeth” due to the thin shell of enamel and dentine enclosing a large pulp chamber. The etiology is uncertain but it is suggested that multiple factors play a role. The condition is not inherited nor related to genetics though many patients of regional odontodysplasia are seen to suffer from vascular nevi. The treatment plan in each case should be based on degree of involvement as well as functional and aesthetic needs in each case. Treatment modalities vary from conservative procedures that will help retain teeth for longer periods of time to auto transplantation or extraction and implants in hopeless cases. This is a case of a fourteen year old girl with the rare anomaly on the right side of the mandibular arch involving only the first and second permanent molars. The clinical and radiographic features and treatment is discussed. The literature is reviewed in detail.
Characteristics of regional odontodysplasia: A case report = Características da odontodisplasia regional: relato de um caso clínico  [cached]
Saulo André de Andrade Lima,Amilcar Viana de Oliveira,Luciana Silveira Gon?alves Lima,Luiz Renato Paranhos
Acta Scientiarum : Health Sciences , 2012,
Abstract: Regional odontodysplasia is an uncommon, nonhereditary developmental dental disorder of unknown etiology, which should be early detected. This paper compares a regional odontodysplasia case with the clinical and radiographic characteristics reported in the literature, showing a 1y6m follow up and the limitations of performing a multidisciplinary esthetic and functional treatment. A odontodisplasia regional é uma anomalia de desenvolvimento dental de etiologia desconhecida, que apesar de pouco frequente na popula o, deve ser detectada o quanto antes. Assim, o presente estudo teve por objetivo comparar um caso clínico de odontodisplasia regional com as características clínicas e radiográficas relatadas na literatura, mostrando o acompanhamento de um caso por 1a6m e as limita es da realiza o de um tratamento multidisciplinar visando estética e fun o.
Regional odontodysplasia: Account of clinical case in permanent teeth  [PDF]
Antonio Carrilho Neto, Fábio Eduardo de Siqueira, Fernanda Michelli Martins, Thaisa Bueno Godoy Parreira, Paula Mayumi Siqueira
Open Journal of Stomatology (OJST) , 2013, DOI: 10.4236/ojst.2013.34045

The regional odontodysplasia, also referred as odontogenic dysplasia, is a rare condition which has been described as an alteration of the dental development affecting the mineralized structures of both the permanent and deciduous teeth, and it has been associated with retardation in the eruption of the affected teeth, gum edema, hydrocephalus and Epidermal Nevus Syndrome. The etiology is still unknown, however, some hypotheses have been suggested about their origin. About its incidence, this disease is more frequent in the anterior segment of the maxilla and usually unilateral. Epidemiologically this disease shows no predilection for any racial group, being more frequent in the first and second decade of life and predominantly in females. Clinically the Odontodysplasia Regional is characterized as an hypoplasia of enamel and dentin in teeth badly formed with size alteration and form coloration varying of the yellow to chestnut; the presence of smooth and extremely friable dentine, tooth mobility and defective mineralization increases the possibilities of the pulp exposure and a tendency to develop abscesses. Radio-graphically has the appearance of ghosts tooth with a bizarre morphology; reduction of the normal radiopacity decrease of the thickness of the dentine and enamel structures. They generally present with open apexes; shortened or absent roots; diffuse calcification in the inside of the pulp. Histopathologically it presents with accented reduction of the amount of dentin, presence of great interglobular dentine areas and irregular standard of the dentine canals. Enamel is usually thin, hypoplasic and hypocalcified. The pulp presents atrophic areas, fibrose and hyalinization and the cement does not have marked structural alterations. The treatment of the Regional odontodysplasia has been the reason of many quarrels. This present essay aims to review the literature and report a clinical case.

Regional odontodysplasia  [cached]
Thimma Reddy B,Vinay Reddy K,Sunil B,Pujita R
Journal of the Indian Society of Pedodontics and Preventive Dentistry , 2010,
Abstract: Regional odontodysplasia (ROD) is a rare developmental anomaly involving both mesodermal and ectodermal components in a group of contiguous teeth. It affects the primary and permanent dentitions in the maxilla and the mandible or both, however, the maxilla is frequently involved. Although the etiology of the ROD is uncertain, it has been suggested that numerous other factors play a role. The treatment plan should be based on the degree of involvement as well as the functional and esthetic needs in each case. This article reports the case of a 5-year-old boy presenting a rare anomaly on the right side of the maxillary arch. The treatment performed was rehabilitation with temporary partial acrylic denture and periodic checkups. The extraction was followed by rehabilitation with dental implants. The main aim of this article is to provide valuable information to pediatric dentists about the review and treatment alternatives for ROD.
Regional odontodysplasia in early childhood: A clinical and histological study  [cached]
Juliana O,Hermes Pretel,Ramalho Lizeti T,Santos-Pinto Lourdes
Journal of the Indian Society of Pedodontics and Preventive Dentistry , 2009,
Abstract: Regional odontodysplasia (RO) is a rare disorder of dental development. The affected teeth are clinically hypoplastic and hypocalcified, presenting a ghost-like appearance radiographically. The aim of this work was to report a clinical case of a child with both primary and permanent dentition affected by RO. The conducted therapy was based on a conservative approach, which consisted of follow-up clinical evaluations of the anomalous teeth. However, the endodontic treatment of the primary incisors failed. Then, the chosen option for patient rehabilitation became extraction followed by removable of prosthesis confection. The extracted teeth were processed for histological analysis. In spite of the uncertain prognosis, but taking into account the psychological aspects of the patient, a conservative approach in an attempt to maintain those viable teeth in the oral cavity should be established.
Complex regional pain syndrome and gestation: case report
Zakka, Telma R Mariotto;Rocha, Roberto de Oliveira;Yeng, Lin Tchia;Teixeira, Manoel Jacobsen;
Revista Dor , 2011, DOI: 10.1590/S1806-00132011000100016
Abstract: background and objectives: complex regional pain syndrome i (crpsi) is characterized by pain, neurovegetative disorders, sub-motor and vascular function abnormalities in the absence of nervous injury. in this case, drug limitations due to gestation and lactation have made even more difficult the therapeutic management. case report: female patient, 26 years old with crps for 5 years. she presented twinge pain and shock on left fingers and forearm, followed by weakness, edema, hair loss, cyanosis and temperature decrease. pain intensity was from 9 to 10 by the verbal analog scale. worsening factors were: cold, movements, touch and night period. additional tests included normal cervical mri and electroneuromyography. the treatment was multidisciplinary with unsatisfactory results. she was followed during gestation and lactation, with adaptation of drugs, physical therapy, psychotherapy and anesthetic blocks. currently, pain is controlled. conclusion: complex regional pain syndrome i treatment, which is very complicated, becomes even more difficult during gestation and lactation to offer analgesia with less risk for mother and fetus.
Painless Complex Regional Pain Syndrome: A Case Report  [cached]
Banu D?LEK,?zlem EL,Ebru ?AH?N,Selmin GüLBAHAR
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2008,
Abstract: A 57-years old female patient who had been treated by immobilization in a cast for six weeks after a distal radius fracture was evaluated for physical therapy and rehabilitation at the end of the immobilization period. She had complaints such as swelling, hyperhidrosis, and tremor in her affected hand and wrist, and restriction of finger and wrist movements. She had no pain. On examination, the hand and wrist were swollen and hot; range of motion was restricted at the wrist and fingers. Hyperhidrosis and tremor were also determined. There was no allodynia and hyperalgesia. The patient was diagnosed as complex regional pain syndrome Type I according to Zyluk scoring system. The patient’s signs and symptoms markedly improved after the physical therapy program and she did not report any pain at the control visits. This case is presented since she had no pain although she had marked vasomotor, sudomotor, and motor signs and sypmtoms which are typical for complex regional pain syndrome and few cases like this have been reported in the literature.Turk J Phys Med Rehab 2008;54:125-7.
Complex Regional Pain Syndrome Caused By Snake Bite: A Case Report  [cached]
Semra Aktu? Ergan,?zlem Yoleri,Se?il Yava?i,Ne?e ?lmez
Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi , 2012,
Abstract: Complex regional pain syndrome (CRPS) is a painful and disabling disorder that can affect one or more extremities. The pathophysiology of CRPS is not clear but peripheral and central sensitization resulting in neurogenic inflammation has been held responsible. A 66- year-old male patient was admitted to our outpatient clinic with complaints of swelling, pain, warmth, and restriction in movements of the left upper extremity after a snake bite. Electromyographic evaluation was compatible with toxic neuropathy. A hand X-ray showed demineralization of the carpal bones. CRPS was diagnosed based on clinical and radiological findings. Medical and physical therapy were performed and symptomatic relief was obtained. This case is presented to emphasize snake bite as a rare cause of toxic neuropathy and CRPS. Turk J Phys Med Re-hab 2012;58:69-71.
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