Rootless teeth: Dentin dysplasia type I
A 14-year-old girl reported with a complaint of mobile and irregularly placed teeth.\nGeneral examination showed convex profile, competent lips, normally developed maxilla but slightly sagitally underdeveloped mandible []. Intraoral examination showed normal appearance of crowns and gingiva with no signs of gingivitis or periodontitis []. Clinical examination showed grade II mobility with maxillary and mandibular incisors and molars and had missing maxillary and mandibular right laterals. She presented with crowding in maxillary and mandibular anterior region [Figures and ].\nPanoramic radiograph showed normal appearance of crown, rudimentary root formation with all teeth except maxillary right canine and mandibular right first premolar. Obliterated pulp chambers were found with most of the teeth [].\nPatient's medical history revealed no disturbance in general health. Clinical and radiograph examination of the patient's parents and siblings revealed no such disorder or any previous familial history of such condition, so she is considered as first generation sufferer of DD.\nHistory, clinical and radiographic findings revealed this case as ‘DD type I’.\nConsidering the age of the patient, treatment was aimed in maintaining the health of existing teeth. Conservative treatment was advised with maintaining excellent oral hygiene and dietary measures with fluoride supplements. A multidisciplinary approach with extraction of the teeth with poor prognosis i.e.; maxillary and mandibular anteriors and replacement with implant supported prosthesis was advised once her growth is complete. To receive implants, bilateral indirect sinus lifting, onlay bone grafting with autogenous grafts in maxillary and mandibular anterior region was advised, if required.