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Enamel hypoplasia has a wide variety of known causes. Some causes are hereditary and others are from environmental exposure. The severity and localization of disease presentation is dependent on the timing and stage of tooth development in which the defective enamel formation occurred. Hereditary causes of enamel hypoplasia include:
] It is the most common type of enamel hypoplasia reported in clinical and archaeological samples, with other types including plane-form enamel hypoplasia and pitting enamel hypoplasia. [12] Linear enamel hypoplasia can be caused by a variety of factors, from genetic conditions to malnutrition and illnesses during childhood.
Typically, all baby teeth will be present by the age of three. As for all adult teeth, they erupt between the ages 6 to 14, with the exception of the third molar, also known as the wisdom teeth which normally erupt between 17 and 25 years of age. If the tooth has yet to erupt by an appropriate age, panoramic x-rays are taken.
Permanent (adult) teeth are not discoloured, or the discolouration is mild (grey colour). Little or no attrition (tooth wear) is evident. The crown of the teeth may be bulbous and markedly constricted at the cemento-enamel junction (CEJ). Radiographically, evidence of partial pulp obliteration with a "thistle-shaped appearance". [3]
Pitting enamel hypoplasia, in an individual with amelogenesis imperfecta. It is not always clear why PEH forms instead of other hypoplasia types, particularly linear enamel hypoplasia. However, the position on the crown, the tooth type and the cause of the disruption are all likely contributing factors.
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Molar incisor hypomineralisation (MIH) is a type of enamel defect affecting, as the name suggests, the first molars and incisors in the permanent dentition. [1] MIH is considered a worldwide problem with a global prevalence of 12.9% and is usually identified in children under 10 years old. [2]
Teeth are prone to staining and rapid wear, exposing dentine. Condition is of autosomal dominant and autosomal recessive pattern. Enamel appears less radioopaque compared to dentine on radiographs. Type 4 - Hypomature hypoplastic enamel with taurodontism Enamel has a variation in appearance, with mixed features from Type 1 and Type 2 AI.