Medical Science
Volume 25, Issue 109, March, 2021
Enamel & dentin abnormalities in primary & permanent dentitions and multiple impacted permanent teeth associated with vitamin D deficiency: Report of two rare cases
Ramhari S Sathawane1, Vidyarjan A Sukhadeve2♦, Rakhi M Chandak3, Ashish B Lanjekar4, Dhiran Talatule5, Kshitija Bhakte6
1Professor & Head and PhD Guide, Dept. of Oral Medicine &
Radiology, Swargiya Dadasaheb Kalmegh Smruti Dental
College & Hospital, Nagpur- 441110, Maharashtra, India;
Email: ramhari.sathwane@sdk-dentalcollege.edu.in
2Post Graduate Student, Dept. of Oral Medicine & Radiology,
Swargiya Dadasaheb Kalmegh Smruti Dental College &
Hospital, Nagpur- 441110, Maharashtra, India; Email:
vidyarjan99@gmail.com
3Reader, Dept. of Oral Medicine & Radiology, Swargiya
Dadasaheb Kalmegh Smruti Dental College & Hospital,
Nagpur- 441110, Maharashtra, India; Email:
rakhirakhi76@gmail.com
4Reader, Dept. of Oral Medicine & Radiology, Swargiya
Dadasaheb Kalmegh Smruti Dental College & Hospital,
Nagpur- 441110, Maharashtra, India; Email:
ashish.lanjekar@sdk-dentalcollege.edu.in
5Sr. lecturer, Dept. of Oral Medicine & Radiology, Swargiya
Dadasaheb Kalmegh Smruti Dental College & Hospital,
Nagpur – 441110, Maharashtra, India; Email:
dhiran.talatule@gmail.com
6Post Graduate Student, Dept. of Oral Medicine & Radiology,
Swargiya Dadasaheb Kalmegh Smruti Dental College &
Hospital, Nagpur- 441110, Maharashtra, India; Email:
kshitijabhakte1316@gmail.com
♦Corresponding author
Dept. of Oral Medicine & Radiology, Swargiya Dadasaheb
Kalmegh Smruti Dental College & Hospital, Nagpur- 441110,
Maharashtra, India; Email: vidyarjan99@gmail.com
ABSTRACT
Tooth eruption and shedding is a continuous process, which replaces the exfoliated primary teeth with permanent teeth. The tooth eruption is defined as the occlusal or axial movement of the tooth from its developmental position within the jaw to its functional position in the occlusal plane, whereas the impacted tooth is known as the tooth which ceases to erupt in the oral cavity. Sometimes
impaired tooth eruption takes place in the form of delayed or complete absence of eruption, giving rise to impacted/embedded permanent teeth and over-retained deciduous teeth. Systemic causes such as syndromes, nutritional deficiencies of Vit D & Vit B12, metabolic and hormonal disorders can also contribute to multiple impacted permanent teeth. Vit D deficiency affects enamel & dentin formation and considered as an etiological factor for delayed eruption & multiple impactions of permanent teeth and over-retained deciduous teeth. Vit D deficiencies at very young age have several consequences on the normal growth and development of oral structures. Appropriate interdisciplinary care is needed to successfully address dental abnormalities in primary and permanent dentitions. The attention of dental surgeons is drawn to consider Vit D deficiency as one of the foremost nutritional deficiency responsible for abnormality of enamel & dentin as well as multiple unerupted/ impacted teeth and over retained primary dentition.
Keywords: Vit. D deficiency, enamel and dentin abnormalities, primary and
permanent dentitions, multiple impacted permanent teeth, over retained
deciduous teeth
Medical Science, 2021, 25(109), 671-682
