Abstract
Background: Changes in environment during apposition and maturation stage of amelogenesis results in defective formation of enamel. This paper reports a case of extensive hypoplasia of permanent dentition due to childhood illness and antibiotic use. Case description: A 9 year old patient reported with extensive Enamel hypoplasia on all erupted and unerupted permanent teeth the cause of which could only be related to frequent Upper Respiratory Tract Infection (URTI) and Cephalosporins and Paracetamol intake for the same on and off almost for a period of 1 to 4 years. To restore esthetics intermittent treatment consisted of composite build up of anterior teeth with special care on bonding. Clinical implications: Apart from aesthetic and functional problems, the psychological problem of disfigured dentition is considerable in children. Thus risks and benefits should be carefully weighed before indiscriminate prolonged use of any antibiotic in children.
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