centered image

centered image

Case

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Aug 14, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Joined:
    Mar 21, 2011
    Messages:
    9,751
    Likes Received:
    3,327
    Trophy Points:
    16,075
    Gender:
    Male
    Practicing medicine in:
    Egypt

    dent.jpg
     

    Add Reply

  2. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands
    This discoloration could be due to congenital hypothyroidism. Neonatal hyperbilirubinemia (in biliary atresia) is also possible. Other causes include hemolytic disease and cholestasis caused by severe neonatal sepsis.

    Tetracycline use is a less likely cause (usually affects all teeth equally).
     

  3. lakmalDJ

    lakmalDJ Famous Member

    Joined:
    Jun 21, 2012
    Messages:
    223
    Likes Received:
    17
    Trophy Points:
    445
    Gender:
    Male
    Occupation:
    doctor
    Practicing medicine in:
    Sri Lanka
    a kind of congenital abnormality
     

  4. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,545
    Practicing medicine in:
    India
    I think the teeth are decalcified and the discoloration could be secondary to decay.

    Since the front teeth are predominantly involved, i have a strong suspicion of 'sweetened pacifiers' in the etiology. Even sodas ( and i think the child is old enough..since the primary dentition seems to be complete ) can do the same, in fact worse...becos all the acid from the sodas can cause the deminerelisation and then the sugars ( from the soda ), will run the show. Sodas won't have a predisposition for the front teeth.

    Also if the child has frequent vomiting ( for whatever reason ), then we can have this picture.

    Another differential would be - Dentogenesis Imperfecta ( seen in patients with Osteogenesis Imperfecta )

    I gave tetracycline a thought as well, although this doesn't seem to be a textbook picture of the same.

    I second the 2 strong possibilities raised by Dr. J.P.C Peper as well.
     

    Last edited: Jan 14, 2013
  5. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Joined:
    Mar 21, 2011
    Messages:
    9,751
    Likes Received:
    3,327
    Trophy Points:
    16,075
    Gender:
    Male
    Practicing medicine in:
    Egypt
    Answer : Congenital teeth discoloration for DD , Mostly Neonatal Hypothyroidism
     

    neo_star likes this.

Share This Page

<