Dental manifestation of generalized enamel hypoplasia and the calcium role due to environmental vitamin D deficiency in rickets and osteomalacia patients

Abstract EN

Purpose : the aim of this study was detection of the aesthetic and functional defect of the teeth and the role of calcium and environmental vitamin D deficiency in adult male and female patients with generalized enamel hypoplasia.

Materials and Methods : A 25 female and male patients with yellowish discoloration of all their teeth.

They complained of sensitivity to hot and cold and difficulty in masticatory function.

Medical history : they were complaining from rickets, softening and weakening of the bones in childhood as diagnostic.

This can be caused by vitamin D and calcium deficiency as well as variety of metabolic bone disorders and abnormal dental development during infancy and adolescence.

Results : all the patients have low serum calcium even those who took treatment continuously and total calcium 8.33 ± 1.46 mg / d in comparison with normal range in control group in my study 10.79 ± 2.19 mg / dl.

Dental features of rickets include enamel hypoplasia and delayed tooth eruption due to failure of tooth mineralization.

These details from diagnosis allowed logical treatment sequence.

The importance of treating the generalized enamel hypoplasia patient was not only from a functional point, but also from psychological health point.

The complexity of the treatment of these cases required careful and special considerations of patient expectations for a successful outcome of the treatment.

Conclusion : the clinical study concluded that the defect in the teeth will be a big problems for most of patients as esthetic, functional was done and psychological problems, so I did restoration for 5 patients with generalized enamel hypoplasia, this should be oriented and represented a big challenge toward the aesthetic and functional rehabilitation.

A concordant approach of generalized enamel hypoplasia with use of full metal crown, porcelain fused metal fixed (PFM) dental prosthesis to restore the masticatory function to improve the aesthetics.