Histopathological Features of Shell Teeth: A Case Report

Shell Teeth are a type of radiographic appearance of teeth seen in Dentinogenesis Imperfecta type II (DGI II). Radiographically, they are characterised by an enlarged pulp chamber enclosed by a thin layer of dentin. The clinical appearance of these teeth ranges from yellow to bluish-grey in colour....

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Main Authors: Shrijha Ganesan, Surabhi Srivastava, Tabita Joy Chettiankandy, Manisha Ahire Sardar, Nivedhitha Maraimalai
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2024-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/19151/69690_CE[Ra1]_F(SHU)_QC(PS_RDW_IS)_PF1(RI_DK)_PFA(RI_KM)_PN(KM).pdf
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author Shrijha Ganesan
Surabhi Srivastava
Tabita Joy Chettiankandy
Manisha Ahire Sardar
Nivedhitha Maraimalai
author_facet Shrijha Ganesan
Surabhi Srivastava
Tabita Joy Chettiankandy
Manisha Ahire Sardar
Nivedhitha Maraimalai
author_sort Shrijha Ganesan
collection DOAJ
description Shell Teeth are a type of radiographic appearance of teeth seen in Dentinogenesis Imperfecta type II (DGI II). Radiographically, they are characterised by an enlarged pulp chamber enclosed by a thin layer of dentin. The clinical appearance of these teeth ranges from yellow to bluish-grey in colour. The histological features of shell teeth have not been updated in the literature, unlike clinical and radiographic appearance. These features are not available in the literature compared to other dental anomalies. Here, the authors present a case of an 18-year-old female who came with the complaint of poor aesthetic dentition. The dentition aligned with the clinical and radiographic features of shell teeth. Histopathological features of the present case included an irregular arrangement of the dentinal matrix and a few cellular inclusions. The final diagnosis was given as DGI type II. This developmental disorder requires prevention and early intervention of its dental implications, such as dental caries and attrition. The treatment usually requires a well-planned multidisciplinary protocol involving endodontic and prosthodontic approaches. Histopathological features of shell teeth are required to aid in the identification of the precise pathogenesis and genetic mechanism behind this structural disorder of dentin. It also helps in the modification of certain treatment procedures to accommodate the structural abnormality. The case report aimed to bridge the literature gap on the histopathological features of shell teeth.
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spelling doaj.art-c360da3184074bde90311997144c217e2024-03-05T11:56:04ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-03-011803182010.7860/JCDR/2024/69690.19151Histopathological Features of Shell Teeth: A Case ReportShrijha Ganesan0Surabhi Srivastava1Tabita Joy Chettiankandy2Manisha Ahire Sardar3Nivedhitha Maraimalai4Postgraduate Student, Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, Maharashtra, India.Postgraduate Student, Department of Oral Medicine and Radiology, Government Dental College and Hospital, Mumbai, Maharashtra, India.Professor and Head, Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, Maharashtra, India.Associate Professor, Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, Maharashtra, India.Assistant Professor, Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, Maharashtra, India.Shell Teeth are a type of radiographic appearance of teeth seen in Dentinogenesis Imperfecta type II (DGI II). Radiographically, they are characterised by an enlarged pulp chamber enclosed by a thin layer of dentin. The clinical appearance of these teeth ranges from yellow to bluish-grey in colour. The histological features of shell teeth have not been updated in the literature, unlike clinical and radiographic appearance. These features are not available in the literature compared to other dental anomalies. Here, the authors present a case of an 18-year-old female who came with the complaint of poor aesthetic dentition. The dentition aligned with the clinical and radiographic features of shell teeth. Histopathological features of the present case included an irregular arrangement of the dentinal matrix and a few cellular inclusions. The final diagnosis was given as DGI type II. This developmental disorder requires prevention and early intervention of its dental implications, such as dental caries and attrition. The treatment usually requires a well-planned multidisciplinary protocol involving endodontic and prosthodontic approaches. Histopathological features of shell teeth are required to aid in the identification of the precise pathogenesis and genetic mechanism behind this structural disorder of dentin. It also helps in the modification of certain treatment procedures to accommodate the structural abnormality. The case report aimed to bridge the literature gap on the histopathological features of shell teeth.https://www.jcdr.net/articles/PDF/19151/69690_CE[Ra1]_F(SHU)_QC(PS_RDW_IS)_PF1(RI_DK)_PFA(RI_KM)_PN(KM).pdfdentin defectdentinogenesis imperfectadevelopmental anomaly
spellingShingle Shrijha Ganesan
Surabhi Srivastava
Tabita Joy Chettiankandy
Manisha Ahire Sardar
Nivedhitha Maraimalai
Histopathological Features of Shell Teeth: A Case Report
Journal of Clinical and Diagnostic Research
dentin defect
dentinogenesis imperfecta
developmental anomaly
title Histopathological Features of Shell Teeth: A Case Report
title_full Histopathological Features of Shell Teeth: A Case Report
title_fullStr Histopathological Features of Shell Teeth: A Case Report
title_full_unstemmed Histopathological Features of Shell Teeth: A Case Report
title_short Histopathological Features of Shell Teeth: A Case Report
title_sort histopathological features of shell teeth a case report
topic dentin defect
dentinogenesis imperfecta
developmental anomaly
url https://www.jcdr.net/articles/PDF/19151/69690_CE[Ra1]_F(SHU)_QC(PS_RDW_IS)_PF1(RI_DK)_PFA(RI_KM)_PN(KM).pdf
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AT nivedhithamaraimalai histopathologicalfeaturesofshellteethacasereport