A preschooler loses primary teeth with largely intact roots. What guides your differential?
Consider hypophosphatasia and coordinate medical evaluation of mineralization.
- Early exfoliation with little/no resorption and relatively mild inflammation is a key clue.
- Assess alkaline phosphatase and ALPL testing with the medical team.
- Impaired cementum/attachment warrants orthodontic caution; possible implants require skeletal maturity.