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.
Bilirubin green pigmentation
of primary teeth follows a chronological pattern and its intensity fades with time. Overlying enamel in affected areas may appear
Vol.18 – n.2/2017
Harvard: K. Seremidi, K. Kavvadia, K. Tosios, A. Pandi-Tsami (2017) "Dental intrinsic green pigmentation from primary to mixed dentition: clinical and histological findings", European Journal of Paediatric Dentistry, 18(2), pp149-152. doi: 10.23804/ejpd.2017.18.02.11
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