Dental Anomalies and Conditions Quiz
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Questions and Answers

What term is used to describe the condition of having too many teeth?

  • Hyperdontia (correct)
  • Oligodontia
  • Anodontia
  • Hypodontia
  • Which condition involves the presence of supernumerary teeth most commonly found between central incisors?

  • Dens evagination
  • Mesiodens (correct)
  • Macrodontia
  • Concrescence
  • Which condition is characterized by the complete absence of teeth?

  • Hyperdontia
  • Hypodontia
  • Oligodontia
  • Anodontia (correct)
  • What is the most common disease associated with supernumerary teeth that involves a significant risk of malignancy?

    <p>Gardner’s syndrome (B)</p> Signup and view all the answers

    What condition describes teeth that are larger than normal?

    <p>Macrodontia (C)</p> Signup and view all the answers

    Which term describes the positional anomaly where a tooth is embedded in the jaw and fails to erupt?

    <p>Impaction (A)</p> Signup and view all the answers

    Gemination is a dental anomaly that primarily affects which aspect of teeth?

    <p>Morphology (D)</p> Signup and view all the answers

    Which term is used for the condition of missing one or several teeth?

    <p>Oligodontia (A)</p> Signup and view all the answers

    What is a potential consequence of prolonged infection in dental structures?

    <p>Sclerotic bone formation (B)</p> Signup and view all the answers

    Which condition is characterized by the widening of the periapical space due to trauma or caries?

    <p>Apical periodontitis (C)</p> Signup and view all the answers

    What does inflammatory periosteal bone reaction typically indicate?

    <p>Infection has reached the periosteum (D)</p> Signup and view all the answers

    Which type of osteitis is characterized by surrounding bone that is more radiopaque?

    <p>Sclerosing osteitis (A)</p> Signup and view all the answers

    What is likely to occur if an infection spreads from the marrow bone to the cortical bone?

    <p>Development of osteomyelitis (C)</p> Signup and view all the answers

    What role do pluripotent cells in the periosteum have during an infection?

    <p>They form new layers of bone. (B)</p> Signup and view all the answers

    What is the term for the inflammatory condition affecting bone, often due to infection?

    <p>Osteitis (D)</p> Signup and view all the answers

    What is the expected radiographic finding in rarefying osteitis?

    <p>Radiolucency around the periapical region (D)</p> Signup and view all the answers

    What is a characteristic of gemination?

    <p>Normal number of teeth when counted (D)</p> Signup and view all the answers

    What dental anomaly is associated with Down syndrome?

    <p>Taurodontism (A)</p> Signup and view all the answers

    What defines ankylosis in dental terms?

    <p>Fusion of a tooth to bone (C)</p> Signup and view all the answers

    What feature distinguishes dens invaginatus?

    <p>Folding inward of the enamel organ (C)</p> Signup and view all the answers

    Which type of teeth is most commonly affected by impaction?

    <p>Canines and molars (D)</p> Signup and view all the answers

    What alteration is seen with Turner’s hypoplasia?

    <p>Localized enamel defects in a few teeth (A)</p> Signup and view all the answers

    What is characteristic of dentinogenesis imperfecta?

    <p>Smooth DEJ and bulbous crowns (B)</p> Signup and view all the answers

    What condition is characterized by a tooth that appears submerged?

    <p>Ankylosis (A)</p> Signup and view all the answers

    What condition features small globules of enamel usually on molar roots?

    <p>Enamel pearl (C)</p> Signup and view all the answers

    Which dental anomaly involves two teeth that are fused at the roots?

    <p>Concrescence (A)</p> Signup and view all the answers

    What is the genetic trait associated with dentin dysplasia type I?

    <p>Short, conical roots (D)</p> Signup and view all the answers

    What is true regarding ectopia in dental contexts?

    <p>Involves abnormal positioning of a tooth (D)</p> Signup and view all the answers

    What dental condition is characterized by the folding outward of the enamel organ?

    <p>Den evaginatus (D)</p> Signup and view all the answers

    What findings indicate regional odontodysplasia?

    <p>Very large pulp chambers and thin enamel (B)</p> Signup and view all the answers

    What is the primary function of the periosteum?

    <p>To line air cavities (D)</p> Signup and view all the answers

    What happens when the tooth responds within a certain threshold value?

    <p>It is vital (D)</p> Signup and view all the answers

    What characterizes the inflammatory periosteal bone reaction known as periostitis?

    <p>It involves new layers of bone formation (A)</p> Signup and view all the answers

    What is the consequence of infection spreading to the maxillary sinus?

    <p>It causes odontogenic sinusitis (D)</p> Signup and view all the answers

    What type of cells can the inner osteogenic layer of the periosteum produce under the right conditions?

    <p>Osteoblasts (B)</p> Signup and view all the answers

    What is a parulis?

    <p>An abscess associated with the periosteum (D)</p> Signup and view all the answers

    What is the role of Sharpey’s fibers in the periosteum?

    <p>To anchor the periosteum to bone (A)</p> Signup and view all the answers

    What does the presence of onion ring-like formations indicate?

    <p>New layers of cortical bone are forming (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the outer fibrous layer of the periosteum?

    <p>Is osteogenic (D)</p> Signup and view all the answers

    What happens to the gap between layers of bone in periostitis if the infection continues?

    <p>It is filled by more bone (D)</p> Signup and view all the answers

    What begins as a triangle with its broad base at the tooth surface in proximal caries?

    <p>Initial enamel demineralization (C)</p> Signup and view all the answers

    What is a common clinical feature of occlusal caries?

    <p>Demineralization in pits and fissures (B), Bowl-shaped morphology without change (D)</p> Signup and view all the answers

    Which type of caries is characterized by rapidly progressing destruction of teeth, especially in certain populations?

    <p>Rampant caries (B)</p> Signup and view all the answers

    How can caries associated with restorations be typically differentiated?

    <p>By identifying residual caries near the pulp (B)</p> Signup and view all the answers

    What condition involves both cementum and dentin and is commonly associated with gingival recession?

    <p>Root caries (C)</p> Signup and view all the answers

    Which phenomenon can mimic proximal caries in radiographic images?

    <p>Cervical burnout (C)</p> Signup and view all the answers

    What effect, seen in radiographs, exaggerates the contrast in shades of gray and can be confused with actual caries?

    <p>Mach band effect (A)</p> Signup and view all the answers

    What is one of the key distinctions of proximal caries in relation to the gingival margin?

    <p>Begins above the free gingival margin (D)</p> Signup and view all the answers

    Which of these is a major risk factor for developing rampant caries in adults?

    <p>Xerostomia due to systemic disease (B)</p> Signup and view all the answers

    What does the presence of a radiolucent area beneath a fissure most likely indicate?

    <p>Occlusal caries development (A)</p> Signup and view all the answers

    What leads to the stimulation of the periosteum layer at the floor of the sinus?

    <p>Periostitis (C)</p> Signup and view all the answers

    How can a dentist differentiate between a mental foramen and rarefying osteitis?

    <p>Presence of intact lamina dura (B)</p> Signup and view all the answers

    What is the size threshold for a cyst when comparing it to an enlarged nasopalatine foramen?

    <p>More than 10 mm (D)</p> Signup and view all the answers

    What characterizes a dense bone island on a radiograph?

    <p>Well-defined and uniformly radiopaque (B)</p> Signup and view all the answers

    What clinical feature is associated with periapical cemento-osseous dysplasia?

    <p>Localized metabolization changes (D)</p> Signup and view all the answers

    In a case of odontogenic sinusitis, what is the primary underlying cause?

    <p>Infected dental pulp (D)</p> Signup and view all the answers

    What happens to the floor of the maxillary sinus as it continues to pneumatize?

    <p>It dips and expands (B)</p> Signup and view all the answers

    What does a vitality test help determine when assessing periapical lesions?

    <p>Dental pulp vitality (C)</p> Signup and view all the answers

    What describes the clinical pattern of a healing periapical scar tissue after endodontic treatment?

    <p>Radiolucent with a spoke-like pattern (B)</p> Signup and view all the answers

    What is a common feature of condensing osteitis compared to dense bone islands?

    <p>Ill-defined outline and root resorption (B)</p> Signup and view all the answers

    What is the significance of the SLOB technique when assessing periapical lesions?

    <p>Assists in locating the mental foramen (C)</p> Signup and view all the answers

    What role does the lamina dura play in differentiating between lesions?

    <p>Shows integrity of periodontal structures (A)</p> Signup and view all the answers

    Which factor is NOT a characteristic of a dense bone island?

    <p>Presence of a radiolucent rim (C)</p> Signup and view all the answers

    What is a primary indication of an enlarged nasopalatine foramen versus a cyst?

    <p>Size consistency over the years (D)</p> Signup and view all the answers

    What is the term for a condition characterized by the absence of six teeth in one arch?

    <p>Anodontia (A), Oligodontia (C)</p> Signup and view all the answers

    Which dental anomaly is characterized by the presence of two teeth that are fused together?

    <p>Fusion (C)</p> Signup and view all the answers

    What condition is most commonly associated with the growth of supernumerary teeth?

    <p>Cleidocranial dysplasia (D)</p> Signup and view all the answers

    What is taurodontism?

    <p>Condition where the pulp chamber is elongated (D)</p> Signup and view all the answers

    Which dental condition specifically indicates a tooth's position being incorrect?

    <p>Ectopia (A)</p> Signup and view all the answers

    What characterizes the early stage of periapical cemento-osseous dysplasia?

    <p>Fibrous tissue replacing normal bone, appearing radiolucent (B)</p> Signup and view all the answers

    Which stage of periapical cemento-osseous dysplasia features a radiopaque center within a radiolucent area?

    <p>Mixed stage (D)</p> Signup and view all the answers

    In the mature stage of periapical cemento-osseous dysplasia, what is the radiographic appearance?

    <p>Completely radiopaque with a thin radiolucent rim (C)</p> Signup and view all the answers

    What is the recommended action if the vitality test indicates a vital tooth in periapical cemento-osseous dysplasia during the mixed stage?

    <p>Wait a few months to monitor for progression (A)</p> Signup and view all the answers

    Which characteristic distinguishes a mature cemento-osseous dysplasia lesion from a cementoblastoma?

    <p>Total radiopacity with a thin radiolucent ring (D)</p> Signup and view all the answers

    What defines attrition in dental terms?

    <p>Physiological wearing of teeth from occlusal contact (D)</p> Signup and view all the answers

    What characteristic is often observed in tooth abrasion from toothbrush injury?

    <p>Well-defined semicircular radiolucencies (C)</p> Signup and view all the answers

    Which is a primary cause of dental erosion?

    <p>Contact with acidic substances (D)</p> Signup and view all the answers

    What distinguishes external resorption from internal resorption in dental terms?

    <p>Internal resorption is caused by localized inflammatory lesions (D)</p> Signup and view all the answers

    What is hypercementosis characterized by?

    <p>Deposition of cementum on tooth root surfaces (A)</p> Signup and view all the answers

    Which feature is most commonly associated with internal tooth resorption?

    <p>Enlarged root canal system (D)</p> Signup and view all the answers

    What is an effect of attrition on tooth structure?

    <p>Widening of the periodontal ligament space (A)</p> Signup and view all the answers

    What does hypoplasia refer to?

    <p>Underdevelopment of an organ or tissue (C)</p> Signup and view all the answers

    What radiographic feature is indicative of dental floss injury?

    <p>Narrow semilunar radiolucency in interproximal area (A)</p> Signup and view all the answers

    Which condition leads to the development of pulp stones?

    <p>Localized calcification in the pulp (A)</p> Signup and view all the answers

    What is a common consequence of excessive wear from attrition?

    <p>Reduction of pulp chamber size (A)</p> Signup and view all the answers

    What defines hypertrophy in dental terms?

    <p>Enlargement due to increased cell size (B)</p> Signup and view all the answers

    What is the most characteristic feature of external cervical resorption?

    <p>Short, blunted root (C)</p> Signup and view all the answers

    Which is an example of nonodontogenic anomalies?

    <p>Cleft palate (A)</p> Signup and view all the answers

    What indicates that a tooth's vitality is retained based on the response of the tooth?

    <p>The tooth responds within a specific value (B)</p> Signup and view all the answers

    What role does the osteogenic layer of the periosteum play under favorable conditions?

    <p>It produces osteoblasts leading to new bone formation (B)</p> Signup and view all the answers

    What is the characteristic feature of parulis in relation to infection?

    <p>It represents an extension of periosteal infection to the gingiva (D)</p> Signup and view all the answers

    What happens to the layers of bone in periostitis as the infection progresses?

    <p>More bone fills the gap between layers (B)</p> Signup and view all the answers

    What condition occurs when infection spreads into the maxillary sinus?

    <p>Odontogenic sinusitis (A)</p> Signup and view all the answers

    What is the likely radiographic finding associated with periostitis?

    <p>Onion ring-like formations of new bone (C)</p> Signup and view all the answers

    What condition is characterized by the fusion of teeth by cementum?

    <p>Concrescence (B)</p> Signup and view all the answers

    Which condition involves the sudden change in direction of the root of a tooth?

    <p>Dilaceration (C)</p> Signup and view all the answers

    What defines the structure of the periosteum?

    <p>Two layers, one osteogenic and one fibrous (D)</p> Signup and view all the answers

    What initiates the inflammatory periosteal bone reaction?

    <p>Bacterial infections spreading to the periosteum (C)</p> Signup and view all the answers

    What is the most common condition associated with the abnormal position of teeth or follicle?

    <p>Ectopia (D)</p> Signup and view all the answers

    Which dental anomaly is characterized by the appearance of a tooth within a tooth?

    <p>Dens in dente (D)</p> Signup and view all the answers

    What might a significant inflammatory reaction in the periosteum lead to in the maxillary region?

    <p>Formation of a dental abscess (B)</p> Signup and view all the answers

    What condition is linked with cleft palate syndrome and appears as an accessory cusp on incisors?

    <p>Talon cusp (B)</p> Signup and view all the answers

    What is the primary function of Sharpey's fibers in the periosteum?

    <p>To anchor the periosteum to the bone surface (B)</p> Signup and view all the answers

    What describes a dental condition involving the presence of a single enlarged or partially divided pulp chamber?

    <p>Gemination (C)</p> Signup and view all the answers

    Which type of dental anomaly is characterized by two pulp chambers and fused dentin?

    <p>Fusion (A)</p> Signup and view all the answers

    What characterizes hypomaturation type of amelogenesis imperfecta?

    <p>Weak enamel crystals that flake away (B)</p> Signup and view all the answers

    What does the term taurodontism refer to in dental morphology?

    <p>Molars shaped like a bull with large pulp chambers (C)</p> Signup and view all the answers

    What defines regional odontodysplasia?

    <p>Thin enamel and large pulp chambers in a localized area (D)</p> Signup and view all the answers

    What is a common consequence of dentin dysplasia type I?

    <p>Rootless teeth with short, conical roots (B)</p> Signup and view all the answers

    What is a primary feature of Hutchinson's teeth observed in congenital syphilis?

    <p>Constricted shape at the incisal with extra cusps on posterior teeth (C)</p> Signup and view all the answers

    What is the role of amelogenesis imperfecta in dental anomalies?

    <p>Defective formation of enamel (A)</p> Signup and view all the answers

    What is a characteristic radiographic feature that indicates mental foramen rather than a periapical lesion?

    <p>Intact lamina dura (D)</p> Signup and view all the answers

    Which condition is likely to be indicated by a lesion larger than 10mm on a radiograph?

    <p>Cyst (B)</p> Signup and view all the answers

    What is a distinguishing feature of dense bone island compared to sclerotic osteitis?

    <p>Localized growth of compact bone (C)</p> Signup and view all the answers

    What happens to the lamina dura in the presence of an infection?

    <p>It is likely to break down (D)</p> Signup and view all the answers

    Which of the following statements about periapical cemento-osseous dysplasia is true?

    <p>It can result in replacement with fibrous tissue and amorphous bone. (A)</p> Signup and view all the answers

    What key factor distinguishes an enlarged nasopalatine foramen from a cyst?

    <p>Size remaining consistent over time (A)</p> Signup and view all the answers

    How can a dentist differentiate between a nasopalatine duct cyst and an enlarged nasopalatine foramen?

    <p>By performing a vitality test (D)</p> Signup and view all the answers

    Which type of bone change is associated with the formation of periapical scar tissue?

    <p>Replacement of bone with dense fibrous tissue (D)</p> Signup and view all the answers

    What characteristic helps differentiate cementoblastoma from a dense bone island?

    <p>Occurrence of root resorption (D)</p> Signup and view all the answers

    Which structure is commonly misdiagnosed as a periapical lesion due to its location?

    <p>Maxillary sinus (B)</p> Signup and view all the answers

    What is a typical radiographic feature of condensing osteitis?

    <p>Well-defined radiopaque area (C)</p> Signup and view all the answers

    Which of the following is true regarding the maxillary sinus pneumatization?

    <p>It can expand over time. (B)</p> Signup and view all the answers

    What is a distinguishing feature of a dense bone island when viewed radiographically?

    <p>Uniform radiopaque density (D)</p> Signup and view all the answers

    What is the effect of a smaller field of view (FOV) on image quality and patient dose?

    <p>It increases image quality and reduces patient dose. (D)</p> Signup and view all the answers

    How does the detector size of Cone Beam Computed Tomography (CBCT) impact image quality?

    <p>A larger detector leads to more scatter radiation and decreased image quality. (B)</p> Signup and view all the answers

    What distinguishes the voxel size and shape in CBCT from that in conventional CT?

    <p>CBCT has isotropic voxels while CT has non-isotropic voxels. (B)</p> Signup and view all the answers

    What is the relationship between bit depth and image quality in dental imaging?

    <p>Inadequate bit depth can result in reduced image quality. (A)</p> Signup and view all the answers

    Which of the following statements about image noise and scattering in CBCT and CT is correct?

    <p>CT reduces scatter radiation by rotating around the patient multiple times. (A)</p> Signup and view all the answers

    What is the primary reason protons move from a low energy state to a high energy state in MRI?

    <p>They are released by radiofrequency coils. (C)</p> Signup and view all the answers

    T1-weighted MRI images are typically used to emphasize which of the following?

    <p>Fats (B)</p> Signup and view all the answers

    Which statement about MRI contraindications is true?

    <p>Patients with cardiac pacemakers should avoid MRI. (C)</p> Signup and view all the answers

    What differentiates T2-weighted MRI images from T1-weighted images?

    <p>T2 highlights fluids, while T1 highlights fat. (D)</p> Signup and view all the answers

    Which application of MRI is NOT typically associated with dentistry?

    <p>Assess cranial nerve involvement (D)</p> Signup and view all the answers

    What can be considered a relative contraindication for an MRI?

    <p>History of claustrophobia (B)</p> Signup and view all the answers

    Which type of lesions can MRI effectively evaluate within the orofacial region?

    <p>Vascular lesions (A)</p> Signup and view all the answers

    Why are metals used in dental restorations typically considered safe for MRI?

    <p>They do not affect imaging results significantly. (D)</p> Signup and view all the answers

    What type of imaging modality is primarily used for visualizing soft tissues?

    <p>Magnetic resonance imaging (MRI) (A), Computed tomography (CT) (C)</p> Signup and view all the answers

    What is one major limitation of using 2D imaging in dental settings?

    <p>Difficulty distinguishing between different structures (A)</p> Signup and view all the answers

    How does the rotation difference between CT and CBCT affect the imaging process?

    <p>CT completes one slice with one revolution while CBCT can do multiple slices. (A)</p> Signup and view all the answers

    Which of the following types of conditions is an indication for utilizing 3D imaging?

    <p>Benign intraosseous cysts (B)</p> Signup and view all the answers

    What shape is the imaging beam used in cone beam computed tomography (CBCT)?

    <p>Cone-shaped (B)</p> Signup and view all the answers

    What aspect of imaging accuracy does voxel size in CBCT significantly improve?

    <p>Geometric fidelity (B)</p> Signup and view all the answers

    Which of the following is a key benefit of using CBCT over traditional CT imaging?

    <p>Lower radiation dose (B)</p> Signup and view all the answers

    Which of the following situations would NOT typically require the use of CBCT?

    <p>Tomography of soft tissue tumors (B)</p> Signup and view all the answers

    Which imaging modality was invented first in 1972?

    <p>Computed tomography (CT) (B)</p> Signup and view all the answers

    What is a primary application of cone beam computed tomography in dentistry?

    <p>Planning implants and assessing bone structure (D)</p> Signup and view all the answers

    What is one significant difference in image reconstruction between standard CT and CBCT?

    <p>CBCT requires multiple rotations for image collection. (B)</p> Signup and view all the answers

    What is the effect of higher bit depth on image quality in CBCT?

    <p>Improves contrast resolution and image quality (C)</p> Signup and view all the answers

    Which imaging method is specifically noted for evaluating true lesion extension?

    <p>Cone beam computed tomography (CBCT) (B)</p> Signup and view all the answers

    In what scenario would a sagittal view of dental imaging be crucial?

    <p>Visualizing anterior-posterior positioning of teeth (C)</p> Signup and view all the answers

    Which type of detector shape in 3D imaging generally provides better image quality?

    <p>Cylindrical volume detector (B)</p> Signup and view all the answers

    How can infections such as osteomyelitis be effectively evaluated using imaging?

    <p>Applying cone beam computed tomography (CBCT) (A)</p> Signup and view all the answers

    How does increasing mA affect image quality in 3D imaging?

    <p>It leads to better signal-to-noise ratio (A)</p> Signup and view all the answers

    What is a significant disadvantage of using higher KVP in imaging?

    <p>Increased radiation dose to the patient (A)</p> Signup and view all the answers

    What condition is typically NOT an application for CBCT?

    <p>Caries detection (A)</p> Signup and view all the answers

    What type of artifacts can occur due to metal restorations in MRIs?

    <p>Cupping artifacts (D)</p> Signup and view all the answers

    What is a primary benefit of using MRI over traditional X-rays?

    <p>Excellent soft tissue contrast resolution (C)</p> Signup and view all the answers

    Which of the following statements about electromagnetic radiation is correct?

    <p>Ionizing radiation can create free radicals in the body (C)</p> Signup and view all the answers

    What is one of the primary uses of intravenous contrast in MRI?

    <p>Enhancing vascular structures visibility (D)</p> Signup and view all the answers

    What aspect of MRI allows for the generation of detailed images?

    <p>Alignment of hydrogen protons in magnetic fields (D)</p> Signup and view all the answers

    What is a common limitation of CBCT images?

    <p>Limited visualization of soft tissue lesions (A)</p> Signup and view all the answers

    What is the purpose of using a lower energy state for protons in MRI?

    <p>To align protons more effectively in the magnetic field (D)</p> Signup and view all the answers

    Which imaging modality uses x-rays to generate images?

    <p>CBCT (D)</p> Signup and view all the answers

    Flashcards

    Hyperdontia

    Having more teeth than normal.

    Supernumerary teeth

    Extra teeth.

    Mesiodens

    Extra tooth between the central incisors.

    Hypodontia

    Missing one or a few teeth.

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    Congenital anomalies

    Conditions present at birth, either hereditary or due to environmental influences.

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    Acquired anomalies

    Conditions that develop after birth.

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    Macrodontia

    Teeth larger than normal.

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    Microdontia

    Teeth smaller than normal.

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    Impacted Tooth

    A tooth that fails to erupt through the gum line.

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    Transposition

    Teeth switching positions during development.

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    Ankylosis

    Tooth fused to the jawbone.

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    Ectopia

    Abnormal position of a tooth.

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    Gemination

    One tooth bud dividing into two, forming two teeth.

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    Fusion

    Two tooth buds growing together.

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    Concrescence

    Cementum of teeth fuses, root connection.

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    Taurodontism

    Molar with an abnormally large pulp chamber.

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    Dilaceration

    Sudden change in root direction, tooth curvature.

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    Dens in Dente

    Tooth within a tooth (invagination).

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    Den Evaginatus

    Enamel covered tubercle on tooth.

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    Amelogenesis Imperfecta

    Defect in enamel formation.

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    Hypoplastic Amelogenesis Imperfecta

    Thin enamel, can see dentin.

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    Dentinogenesis Imperfecta

    Defect in dentin formation.

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    Regional Odontodysplasia

    Regional defect affecting enamel, dentin and roots.

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    Proximal caries

    Dental decay that starts between two teeth, affecting the enamel and dentin. It begins as a small triangle at the surface and points towards the pulp.

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    Cervical burnout

    A radiographic illusion that can resemble proximal caries. It's caused by less dense bone in the cervical region, making the area appear darker.

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    Dental anomalies

    Abnormalities in tooth development, including size, shape, or number. Some examples are hypoplastic pits and concavities.

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    Occlusal caries

    Dental decay that starts on the chewing surface of a tooth, often in pits and fissures.

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    Rampant caries

    Fast and severe tooth decay, often seen in children with poor oral hygiene or adults experiencing xerostomia (dry mouth).

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    Caries of buccal and lingual surfaces

    Dental decay on the outer (buccal) or inner (lingual) surfaces of teeth, typically starting in pits and fissures.

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    Residual caries

    Caries remaining after a restoration has been placed, often near the pulp.

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    Radiolucent restoration

    A dental restoration that appears dark on a radiograph, making it difficult to distinguish from caries.

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    Root caries

    Dental decay affecting the root of a tooth, typically seen with gum recession.

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    Radiation-induced caries

    Tooth decay caused by radiation therapy to the head and neck, leading to dry mouth and changes in oral bacteria.

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    Osteomyelitis

    An infection of the bone, often caused by bacteria spreading from a nearby tooth infection. It occurs when the body's immune system fails to control the spread of infection, resulting in bone destruction.

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    Periostitis

    Inflammation of the periosteum, the protective membrane that covers the bone. This inflammation can cause layers of new bone to form, creating a characteristic onion-ring appearance on X-rays.

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    Sharpey's Fibers

    Strong collagen fibers extending from the bone into the periosteum, anchoring the periosteum firmly to the bone.

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    Periosteal Bone Reaction

    The body's response to infection, which causes the periosteum to thicken and form new bone. This reaction is a sign of inflammation and can be seen on X-rays.

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    Inflammatory Periosteal Bone Reaction

    A specific type of periosteal reaction caused by inflammation often due to infection. The periosteum reacts by forming new layers of bone around the infected area.

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    Maxillary Sinus

    A large air-filled cavity in the upper jaw bone, which can become infected if the infection spreads from a tooth.

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    Odontogenic Sinusitis

    Infection of the maxillary sinus, usually originating from a tooth infection. Symptoms include cold-like symptoms and pain around the sinus.

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    Perforation of the Floor of the Maxillary Sinus

    A hole in the floor of the maxillary sinus, allowing infection to drain into the sinus and cause odontogenic sinusitis. This can happen when an infection spreads from a tooth into the sinus.

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    Displacement of the Floor of the Sinus

    When the infection pushes on the floor of the maxillary sinus, causing it to shift or deform. This can be seen on X-rays.

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    Parulis

    A gum abscess caused by the spread of infection from the periosteum to the gingiva (gums).

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    Mental foramen

    A small opening on the mandible, usually near the apex of premolars, mimicking a periapical lesion.

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    Nasopalatine foramen/duct

    A small opening on the palate, usually between central incisors, that can be mistaken for a periapical lesion.

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    SLOB Rule

    Same Lingual, Opposite Buccal - when a radiographic object moves in the same direction as the X-ray beam, it is located lingually, and if it moves in the opposite direction, it is buccally.

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    Vitality test

    A test to assess the health and vitality of a tooth, especially when trying to determine if a lesion is related to a live tooth or a normal anatomical structure.

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    Enlarged foramen vs. Cysts

    Determining if a radiolucent area is a large, normal foramen or a pathology like a cyst based on size.

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    Submandibular gland fossa

    A depression in the mandible where the submandibular gland sits, sometimes mimicking radiolucent lesions.

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    Large marrow space

    Areas within bone filled with bone marrow, sometimes appearing as radiolucent lesions.

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    Pneumatization

    The process of air-filled spaces in bone, like the maxillary sinus, expanding and growing.

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    Dense bone island

    A localized area of denser bone within normal bone tissue, often appearing radiopaque.

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    Sclerosing osteitis

    Inflammation of bone characterized by excessive bone formation, often appearing as a radiopaque lesion.

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    Condensing osteitis

    A localized area of increased bone density often associated with a carious tooth, appearing as a radiopaque lesion.

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    Cementoblastoma

    A rare, benign tumor composed of cementum-like material, appearing as a radiopaque lesion with a radiolucent rim.

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    Periapical scar tissue

    Dense fibrous tissue that replaces bone after surgery or endodontic treatment, appearing as a radiolucent area.

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    Periapical cemento-osseous dysplasia

    A benign, developmental disorder of bone characterized by abnormal bone formation, appearing as a radiopaque lesion.

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    Rarefying Osteitis

    Inflammation of the bone characterized by bone destruction, making the area appear radiolucent on X-rays.

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    Periapical Space Widening

    An increase in the space between the tooth and the surrounding bone, often caused by trauma or caries.

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    Vitality Check

    A test to assess the health and vitality of a tooth, especially when evaluating a periapical lesion.

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    Cleidocranial Dysplasia

    A rare genetic condition involving skull and clavicle abnormalities, often accompanied by supernumerary teeth.

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    Gardner's Syndrome

    A genetic disorder characterized by an increased risk of colon cancer, multiple osteomas (bone growths), and numerous supernumerary teeth.

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    Peg Lateral

    A lateral incisor that is unusually small and peg-shaped, often seen in cases of microdontia.

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    Periosteum

    A tough membrane covering the outer surface of bones, containing cells that can produce new bone.

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    Changes in the Maxillary Sinus

    Infection can cause displacement, perforation, and drainage into the sinus, leading to odontogenic sinusitis.

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    Attrition

    The gradual wearing down of tooth enamel due to normal chewing forces. It's a natural process that happens over time.

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    Abrasion

    Loss of tooth enamel caused by friction from foreign objects like toothbrushes, dental floss, or even biting on hard objects.

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    External Root Resorption

    The process where the root of a tooth is resorbed (broken down) from the outside, often due to inflammation or trauma.

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    Apical Resorption

    A type of external root resorption that occurs at the tip of the root.

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    Cervical Resorption

    A type of external root resorption that occurs near the neck of the tooth, where the crown meets the root.

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    Internal Resorption

    The process where the root of a tooth is resorbed (broken down) from the inside, often due to trauma or infection.

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    Pulp Stones

    Small, hard calcifications (mineral deposits) that form within the pulp chamber of a tooth.

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    Hypercementosis

    An excessive buildup of cementum, the hard tissue that covers the root of a tooth. This can cause the root to appear abnormally large.

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    Stafne Bone Defect

    A non-cancerous bone defect, often found in the lower jaw, that appears as a radiolucent (dark) area on X-rays.

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    Exostosis

    A bony growth that protrudes outwards from the surface of a bone.

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    Enostosis

    A bony growth that occurs within the bone, often appearing as a dense, radiopaque (white) area on X-rays.

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    TMJ Abnormalities

    Disorders affecting the temporomandibular joint (TMJ), the joint that connects the jaw to the skull. These can cause pain, clicking, and limited jaw movement.

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    Cleft Palate

    A birth defect where the roof of the mouth (palate) doesn't fully close, creating an opening.

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    Maxillary Sinus Anomalies

    Abnormalities in the maxillary sinus, the air-filled cavity in the upper jawbone. These can affect the sinus's size, shape, and drainage.

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    Radiolucent

    Describes an area on a radiograph that appears dark, indicating less dense tissue, such as bone loss or infection.

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    Radiopaque

    Describes an area on a radiograph that appears white, indicating denser tissue like bone or tooth enamel.

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    Early Stage

    The initial stage of Periapical Cemento-Osseous Dysplasia, characterized by a radiolucent appearance due to the replacement of normal bone with fibrous tissue.

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    Mature Stage

    The final stage of Periapical Cemento-Osseous Dysplasia, characterized by a completely radiopaque appearance with a thin radiolucent rim, indicating a fully formed lesion.

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    Perforation of the Sinus Floor

    A hole in the floor of the maxillary sinus allows infection to drain into the sinus.

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    Superior Displacement of Sinus Floor

    Infection pushes the sinus floor upwards, distorting its shape.

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    Cone Beam CT (CBCT)

    A type of 3D imaging that uses a cone-shaped beam to create images of the head and neck. It's often used in dentistry for planning treatment and monitoring progress.

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    Field of View (FOV)

    The area of the patient's head captured by the imaging beam. A smaller FOV results in higher image quality but exposes the patient to less radiation.

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    Voxel Size

    The smallest 3D unit in a digital image, representing a cube of tissue. Smaller voxels mean more detail and higher image quality.

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    Isotropic Voxel

    Voxels with equal dimensions in all directions (X, Y, Z). This is typical in CBCT images, ensuring accurate 3D representation.

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    Bit Depth

    The number of bits used to represent the grayscale values in an image. Higher bit depth allows for more shades of gray and better image contrast.

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    3D Imaging: Why?

    Provides a more complete view of the tooth and surrounding structures, allowing for better diagnosis and treatment planning. This is especially important in cases where 2D images are limited.

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    CBCT vs. CT: Bone Only?

    CBCT primarily focuses on bone structures, while CT provides detailed views of both soft tissues and bones.

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    CBCT Applications

    CBCT is widely used in dentistry for implant planning, periodontics, endodontics, orthodontics, and surgical assessment.

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    Standard Views in CBCT

    CBCT images are typically viewed in three planes: Sagittal (left-right), Coronal (front-back), and Axial (top-bottom).

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    Soft Tissue vs. Bone Window

    CT imaging allows for both soft tissue and bone window settings. Soft tissue window enhances the visibility of soft tissues, while bone window emphasizes bone details.

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    Voxel Size and Shape

    Voxel is a 3D pixel, representing a small volume of tissue. CBCT uses isotropic voxels (equal width, length, and height), while CT uses non-isotropic voxels.

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    CT vs. CBCT: Radiation Dose

    CT delivers higher radiation doses compared to CBCT, due to longer exposure times.

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    CT vs. CBCT: Image Acquisition

    CT uses multiple rotations to generate axial sections, while CBCT utilizes one 360-degree rotation.

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    CT vs. CBCT: Reconstruction

    CT relies on computer calculations for sagittal and coronal views. CBCT provides basic projections (multiple sagittal planes) that serve as the foundation for 3D reconstructions.

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    CT vs. CBCT: Beam Shape

    CT uses a fan-shaped beam, while CBCT employs a cone-shaped beam.

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    CT vs. CBCT: Default Images

    CT's default image is axial, while CBCT provides multiple sagittal projections as its default.

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    CT vs. CBCT: Implications

    CT is often used for diagnosing and monitoring various infections, trauma, developmental anomalies, and tumors. CBCT primarily excels in implant planning, periodontics, endodontics, and orthodontics.

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    CBCT: Advantages

    CBCT offers high resolution, improved image quality, and lower radiation doses compared to traditional CT.

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    CBCT Limitations

    CBCT primarily focuses on bone structures, limiting the visualization of soft tissues. It can be less accurate in diagnosing soft tissue pathologies.

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    3D Imaging: Future

    Advanced imaging techniques, like CBCT and CT, continue to evolve, offering even higher resolution and precision. This leads to more accurate diagnoses, better treatment planning, and improved patient care.

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    Proton Alignment

    Most protons within the body are aligned in low energy states, resulting in a net magnetization.

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    Radiofrequency Pulse

    Radiofrequency waves are emitted by the MRI machine, causing protons in low energy states to absorb energy and transition to high energy states.

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    Signal Generation

    As protons return to their low energy states, they release energy, generating detectable signals that form the basis of MRI images.

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    T1 Imaging

    A type of MRI sequence that highlights tissues rich in fat, such as adipose tissue.

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    T2 Imaging

    A type of MRI sequence that highlights tissues with high water content, such as fluids.

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    MRI Safety & Metals

    Metallic objects can be attracted to the strong magnetic field of an MRI, posing a risk to the patient.

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    MRI for Soft Tissue

    MRI plays a vital role in visualizing and evaluating soft tissues, which are often challenging to assess with other imaging techniques.

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    TMJ Assessment with MRI

    MRI is a valuable tool for examining the temporomandibular joint (TMJ), helping diagnose conditions like disc displacement or joint degeneration.

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    Contrast Resolution

    The ability of an imaging system to differentiate between different shades of gray. Essential for distinguishing detailed anatomical structures.

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    What is the impact of bit depth on contrast resolution?

    Higher bit depth allows for a wider range of shades of gray, resulting in better contrast resolution. This means finer details can be distinguished in images.

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    3D Imaging Detectors

    Devices that capture images in 3D. Common types include image intensifiers (spherical shape, older) and flat panel detectors (cylindrical shape, newer).

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    Image Intensifier

    A type of 3D detector that uses a spherical volume to capture images. It's older technology.

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    Flat Panel Detector

    A type of 3D detector that uses a cylindrical shape to capture images. It's newer technology and produces better quality images.

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    Exposure Time (SNR)

    The length of time a detector is exposed to radiation. Affects signal-to-noise ratio, influencing image quality (less noise, better image).

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    mA in 3D Imaging

    Similar to 2D imaging, higher mA increases the amount of radiation, resulting in a stronger signal with less noise. This improves image quality but increases radiation dose.

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    kVp Impact on Image Quality

    Higher kVp improves image quality by increasing the energy of X-rays. However, this also increases the radiation dose to the patient.

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    CBCT Artifacts

    Distortions or abnormalities in a CBCT image caused by factors like metal restorations, scattered radiation, or the cone beam shape.

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    MRI (Magnetic Resonance Imaging)

    An advanced imaging modality that uses magnetic fields to create images of tissues, mainly using the magnetic moments of protons in water molecules. It's non-ionizing and provides excellent soft tissue contrast resolution.

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    MRI Pros

    MRI offers advantages like no radiation exposure, excellent soft tissue contrast, and the ability to use intravenous contrast for vascular imaging.

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    MRI Cons

    MRI has disadvantages, including lengthy scan times, potential metal susceptibility artifacts, and claustrophobia issues.

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    Study Notes

    Dental and Developmental Anomalies

    • Anomalies are deviations from the normal, either by heredity or environmental influences. They can be congenital (present at birth) or acquired (develop after birth).

    • Number of teeth anomalies include:

      • Hyperdontia/Supernumerary teeth: More teeth than usual; extra teeth. Premolars are the most common extra teeth, and are often found in the mandible.
      • Mesiodens: A common type of supernumerary tooth, typically located between the central incisors.
      • Hypodontia: Fewer teeth than usual.
      • Oligodontia: Missing multiple teeth.
      • Anodontia: Complete absence of teeth.
    • Size of teeth anomalies include:

      • Macrodontia: Teeth larger than normal.
      • Microdontia: Teeth smaller than normal.
    • Eruption or position of teeth anomalies include:

      • Impaction: Tooth remains embedded in the jawbone, preventing eruption.
      • Transposition: Teeth switch places with another in the dental arch.
      • Ankylosis: Tooth fuses to the jawbone.
      • Ectopia: Tooth erupts in an abnormal position.
    • Morphology (Form) of teeth anomalies include:

      • Gemination: A single tooth bud divides inadequately, resulting in two fused teeth.
      • Twinning: A tooth bud divides completely, creating two separate but fused teeth.
      • Fusion: Two or more tooth buds fuse together to form a single tooth.
      • Concrescence: Two or more teeth fuse together only through their cementum.
      • Taurodontism: A tooth with an unusually elongated pulp chamber.
      • Dens invagination: An invagination of the tooth enamel.
      • Dens evagination: An outward folding of the enamel organ
      • Dilaceration: A bend or curve in the root of a tooth, mostly due to injury.

    Congenital Anomalies

    • A condition present at birth, potentially from genetic or environmental factors.

    Acquired Anomalies

    • Not present at birth, developing after birth. They may be due to environmental causes.

    Studying That Suits You

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    Test your knowledge on various dental anomalies and conditions with this quiz. From supernumerary teeth to the complete absence of teeth, explore key terms and concepts in dentistry. Challenge yourself to understand the implications and characteristics of each condition.

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