ISSN (Online): 2035-648X
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Dental intrinsic green pigmentation from primary to mixed dentition: clinical and histological findings
 

Type:  Articles

Pubblication date:  06/2017

Authors:  K. Seremidi*, K. Kavvadia**, K. Tosios***, A. Pandi-Tsami****

Language:  English

Institution:  Dental School, University of Athens *MSc Paeditric Dentistry, Department of Paediatric Dentistry **Associate Professor, Department of Paediatric Dentistry ***Assistant Professor, Department of Oral Pathology ****Associate Professor, Department of Periodontology

Publication:  European Journal of Paediatic Dentistry

Publisher:  Ariesdue Srl

Keywords:  Choleostasis; Green pigmentation; Hyperbilirubinaemia; Primary dentition.

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Title:  Dental intrinsic green pigmentation from primary to mixed dentition: clinical and histological findings

Abstract:  Aim The aim of this report is to present a case of a child with green pigmentation of the primary dentition caused by bilirubin elevation due to choleostasis during neonatal life, and the 5-year follow-up. Case report The case presented initially with bands of green pigmentation of all primary teeth in a pattern that followed the time of their calcification, with those formed earlier being more severely affected. Fading of the green pigmentation was detected during the follow-up, while erupted lower permanent incisors were normal. Histological findings of an exfoliated primary incisor showed a green line at the enamel-dentine junction with the external surface of the dentine showing a band of variable width and irregularly arranged tubules. Conclusion Bilirubin green pigmentation of primary teeth follows a chronological pattern and its intensity fades with time. Overlying enamel in affected areas may appear thinner.

 
 
 
 
 
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