Pathology · single question
DAY 2 — CASE 2: For a patient with dentinogenesis imperfecta, which treatment is NOT appropriate?
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Correct answer: D. Systemic fluoride
- A. Microabrasion is used for enamel surface defects — while DI primarily affects dentin, this may be used for superficial enamel staining but is not contraindicated.
- B. Full-coverage crowns (SSC in children, ceramic crowns in adults) ARE the primary treatment for DI — they protect the fragile dentin from attrition and enamel fracture.
- C. Overdentures (using retained roots as support) are a valid long-term option in DI patients.
- D. SYSTEMIC FLUORIDE supplementation is NOT appropriate/beneficial for dentinogenesis imperfecta. DI is a DENTIN DEFECT — the enamel is structurally normal. Systemic fluoride affects ENAMEL mineralization during development. Since DI is not an enamel problem, systemic fluoride will not improve the underlying condition.