TREATMENT OF SHELL TEETH IN CHILD : A CASE REPORT

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Journal of the Korean Academy of Pediatric Dentistry 2005;32(1):49-54.
Published online February 28, 2005.

TREATMENT OF SHELL TEETH IN CHILD : A CASE REPORT

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소아에서의 shell teeth의 치험례

박인호¹, 윤정훈², 이창섭¹, 이상호¹, 이난영¹

¹조선대학교 치과대학 소아치과학교실
²조선대학교 치과대학 구강병리학교실

Correspondence: ,

Abstract

Shell teeth, a rare dysplastic condition of dentin, was first described by Rushton in 1954. It is characterized by normal enamel, extremely thin dentin, correspondingly large pulp chambers, and shortened roots. This case report is of a male 3 years old. He is refered to the Chosun University dental hospital Pediatric Dentistry because of dental caries and dentin hypoplasia. Intra-oral examination showed attrition of all primary teeth. Radiographic examination showed that the pulps were extremely large with only a shell of surrounding hard tissue. The permanent premolars were missed congenitally. The diagnosis was shell teeth. Because of behavior problem, all dental treatment was undertaken with general anaesthesia. Extration, endodontic treatment and SS crown were performed. The patient has now been wearing the space maintainer and manages it well. The patient is seen intervals for supervision and follow-up care.

Key Words: Dentinal dysplasia, Shell teeth