Dense-in-Dente
Response 1: Dental Anomaly
The post on dense-in-dente is accurate and explains the definition and cause of the tooth anomaly. Indeed, dense-in-dente describes a tooth within a tooth, and the disease is rare among infants. The dental anomaly is caused by the tooth’s outer layer’s folding, the enamel, into the inner tissue just below the outer shell. The resultant development gives the condition its name. While the prevalence is very low, more often, the maxillary lateral incisors are the most affected teeth (Hegde et al., 2016). The exact cause of the anomaly is yet to be determined despite several theories explaining its origin.
An interesting fact from the post is the theory of trauma during tooth development. Arguably, dental trauma is still an unknown subject to many health professionals unaware of the degree of severity of dental trauma on tooth development. Regardless, the above information is critical to understanding dental complications among infants. While the anomaly is rare, the information provides a pathway to further research on dental health professionals’ disease. When faced with such a patient, the information will provide a basis for reference. Moreover, the post is a gateway to providing patients with the required diagnosis and treatment options for the anomaly.
Response 2: Treacher Collins Syndrome
I agree with the post that the Treacher Collins Syndrome has a mild to severe impact on the facial deformity of a patient. With the disease being genetic, a patient can experience difficulty breathing, eyesight, and hearing problems. The syndrome further causes dental development disturbances, leading to the absence of teeth, abnormal enamel levels, and a lower jaw (Katsanis & Jabs, 2018). The complication develops during the embryonic period, with the post citing migration of the Neural Crest Cells as the disorder’s primary cause. With such movements of the cells, patients can experience respiratory and crowding of the teeth due to deformities.
An interesting fact is that the facial deformities also impact the respiratory system. As noted from the post, oropharyngeal underdevelopment due to the migration of the NCCs can result in respiratory issues. The information will prove useful in diagnosing patients with the condition. With clinical findings and evidence-based practices, prenatal diagnosis of the disorder is possible, with the information proving vital in explaining to the parents about the disorder and implication. Whereas the disease shares similar characteristics with other disorders, diagnosis may prove difficult without prior knowledge of the Treacher Collins Syndrome.
References
Hegde, V., Morawala, A., Gupta, A., & Khandwawala, N. (2016). Dens in dente: A minimally invasive nonsurgical approach!. Journal of conservative dentistry: JCD, 19(5), 487. doi: 10.4103/0972-0707.190014
Katsanis, S. H., & Jabs, E. W. (2018). Treacher collins syndrome. https://europepmc.org/article/nbk/nbk1532#impact