Pediatric Dentistry · single question

Regional odontodysplasia (ghost teeth) is BEST treated in a growing child by:

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  1. Immediate implant placement
  2. Fixed bridge restoration
  3. Monitoring without treatment until adulthood
  4. Extraction of severely affected teeth and removable partial denture (RPD) until skeletal growth is complete
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Correct answer: D. Extraction of severely affected teeth and removable partial denture (RPD) until skeletal growth is complete

  • A. Implants cannot be placed during active craniofacial growth (typically before age 18 in females and 20+ in males) — they do not grow with the alveolar bone.
  • B. Fixed bridges are not appropriate in a growing child with regional odontodysplasia — the teeth are too malformed for abutments.
  • C. Leaving symptomatic/infected ghost teeth without treatment causes pain and developmental problems — extraction and prosthetic replacement is required.
  • D. Correct. Regional odontodysplasia (ghost teeth) produces severely malformed, poorly mineralized teeth that cannot be properly restored. Management includes extracting infected/symptomatic teeth and providing a removable partial denture (RPD) to restore function and esthetics during the growth period. Implants are contraindicated until skeletal growth is complete.

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