Case 2
A 13-year-old boy attended Pediatric Dentistry
Clinic showing total disharmony of occlusion,
aesthetics, and morphology in teeth #12, #11
and #22 (figure 2 A-D). He also showed gingivitis
at upper and lower incisors’ region and midline
deviation. Lateral incisors were partially erupted
and showed whitish and yellowish enamel defects.
Right upper central incisor showed, together with
the already cited alterations, brownish enamel
marks. At the gingival area corresponding to the
apical region of the left lateral upper incisor, there
was a protuberance which made this local whitish
and hard at touch corresponding to a “tattoo” in
outstanding feature of the root apex of tooth #22.
Radiographically, the crowns presented radiolucent
areas clinically corresponding to the enamel defects
(dips) (figure 2E). Root aspect was considered
normal for teeth #12 and #11, questionable for
tooth #22 and total arrest of root development to
tooth #21. Anamnesis revealed that the patient
suffered a backward kick from a horse when he
was almost 3 years old. Patient attended only to 3
appointments, when it was performed therapeutic
measures related to oral hygiene education, in order
to reduce local inflammation, and then he did not
show up anymore.