Pathology · single question

Examine the radiographs. The crowns show generalized thin/poorly mineralized enamel with normal-appearing dentin and pulp chambers. Despite apices that look open, the best diagnosis is:

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  1. Dentin dysplasia type II
  2. Dentinogenesis imperfecta
  3. Amelogenesis imperfecta
  4. Regional odontodysplasia
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Correct answer: C. Amelogenesis imperfecta

  • A. Dentin dysplasia shows pulpal/root abnormalities, not primarily enamel.
  • B. Dentinogenesis imperfecta shows opalescent dentin and obliterated pulps.
  • C. Correct. Generalized enamel defect with otherwise normal dentin/pulp = amelogenesis imperfecta. Do not be misled by apices that appear open.
  • D. Regional odontodysplasia is localized ('ghost teeth'), not generalized.

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