Linear enamel hypoplasia

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Enamel hypoplasia example Teeth displaying Enamel hypoplasia lines.jpg
Enamel hypoplasia example

Linear enamel hypoplasia (LEH) is a failure of the tooth enamel to develop correctly during growth, leaving bands of reduced enamel on a tooth surface. [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [ unreliable source? ] 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]

Contents

Linear enamel hypoplasia can be caused by a variety of factors, from genetic conditions to malnutrition and illnesses during childhood.

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<span class="mw-page-title-main">Enamel hypoplasia</span> Medical condition

Enamel hypoplasia is a defect of the teeth in which the enamel is deficient in quantity, caused by defective enamel matrix formation during enamel development, as a result of inherited and acquired systemic condition(s). It can be identified as missing tooth structure and may manifest as pits or grooves in the crown of the affected teeth, and in extreme cases, some portions of the crown of the tooth may have no enamel, exposing the dentin. It may be generalized across the dentition or localized to a few teeth. Defects are categorized by shape or location. Common categories are pit-form, plane-form, linear-form, and localised enamel hypoplasia. Hypoplastic lesions are found in areas of the teeth where the enamel was being actively formed during a systemic or local disturbance. Since the formation of enamel extends over a long period of time, defects may be confined to one well-defined area of the affected teeth. Knowledge of chronological development of deciduous and permanent teeth makes it possible to determine the approximate time at which the developmental disturbance occurred. Enamel hypoplasia varies substantially among populations and can be used to infer health and behavioural impacts from the past. Defects have also been found in a variety of non-human animals.

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<span class="mw-page-title-main">Pitting enamel hypoplasia</span>

Enamel hypoplasia can take a variety of forms, but all types are associated with a reduction of enamel formation due to disruption in ameloblast production. One of the most common types, Pitting Enamel Hypoplasia (PEH), ranges from small circular pinpricks to larger irregular depressions. Pits also vary in how they occur on a tooth surface, some forming rows and others more randomly scattered. PEH can be associated with other types of hypoplasia, but it is often the only defect observed. Causes of PEH can range from genetic conditions to environmental factors, and the frequency of occurrence varies substantially between populations and species, likely due to environmental, genetic and health differences. The most striking example of this is in Paranthropus robustus, with half of all primary molars, and a quarter of permanent molars, displaying PEH defects, thought to be caused by a specific genetic condition, amelogenesis imperfecta.

<span class="mw-page-title-main">Plane-form enamel hypoplasia</span>

Plane-form enamel hypoplasia is often seen as the most severe type of enamel hypoplasia, and results from enamel matrix formation stopping, resulting in areas of crown with little or no dental enamel deposition. A relatively short period of severe stress can potentially lead to a very large defect. Plane-form enamel hypoplasia can be caused by a variety of factors, including severe illness/malnutrition, as well as specific conditions such as amelogenesis imperfecta and congenital syphilis. In severe cases enamel can be completely missing from areas of the crown, exposing the underlying dentine.

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Anterior teeth are one of the most scrutinized teeth, the size and shape and color of the anterior upper teeth plays an important role in dental aesthetics and smile aesthetics. A few aesthetic anterior problems could be solved with composite restorations. For example, dental caries, tooth fracture, enamel defects and diastemas. Composite restoration can also improve aesthetic by changing shape, color, length and alignment of teeth.

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References

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  2. Miszkiewicz JJ (January 2015). "Linear Enamel Hypoplasia and Age‐at‐Death at Medieval (11th–16th Centuries) St. Gregory's Priory and Cemetery, Canterbury, UK". International Journal of Osteoarchaeology. 25 (1): 79–87. doi:10.1002/oa.2265.
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  11. "What is Enamel Hypoplasia?".
  12. "A probable genetic origin for pitting enamel hypoplasia on the molars of Paranthropus robustus | Request PDF". ResearchGate. Retrieved 2019-03-28.

Further reading