Podcast
Questions and Answers
Which dental anomaly is characterized by an extraordinary curving or angulation of the tooth root?
Which dental anomaly is characterized by an extraordinary curving or angulation of the tooth root?
- Taurodontism
- Dilaceration (correct)
- Enamel pearl
- Dens invaginatus
What is another term for dens invaginatus?
What is another term for dens invaginatus?
- Enamel pearl
- Supernumerary teeth
- Tooth within a tooth (correct)
- Dens evaginatus
Which teeth are most commonly affected by dens invaginatus?
Which teeth are most commonly affected by dens invaginatus?
- Maxillary lateral incisors (correct)
- Mandibular molars
- Mandibular canines
- Maxillary premolars
Which anomaly is described as an anomalous tubercle or cusp located in the center of the occlusal surface?
Which anomaly is described as an anomalous tubercle or cusp located in the center of the occlusal surface?
What is a key characteristic of taurodontism?
What is a key characteristic of taurodontism?
Which of the following best describes the term 'mesiodens'?
Which of the following best describes the term 'mesiodens'?
Where are enamel pearls most commonly found?
Where are enamel pearls most commonly found?
Which of the following is LEAST likely to harbor supernumerary teeth?
Which of the following is LEAST likely to harbor supernumerary teeth?
What is a key characteristic of enamel pearls?
What is a key characteristic of enamel pearls?
Which type of tooth wear is primarily caused by an external chemical process not involving bacteria?
Which type of tooth wear is primarily caused by an external chemical process not involving bacteria?
A patient presents with teeth that appear chipped at the gum line. Which condition is MOST likely the cause?
A patient presents with teeth that appear chipped at the gum line. Which condition is MOST likely the cause?
Complete anodontia is MOST strongly associated with which condition?
Complete anodontia is MOST strongly associated with which condition?
What is the primary difference between abrasion and attrition?
What is the primary difference between abrasion and attrition?
Which of these situations is classified as 'false anodontia'?
Which of these situations is classified as 'false anodontia'?
What is the main cause of abfraction lesions?
What is the main cause of abfraction lesions?
A patient presents with worn down teeth which are also translucent. Which condition MOST likely accounts for this?
A patient presents with worn down teeth which are also translucent. Which condition MOST likely accounts for this?
In which condition do all teeth appear smaller than normal?
In which condition do all teeth appear smaller than normal?
What is a key characteristic of gemination?
What is a key characteristic of gemination?
Which of the following best describes the term concrescence?
Which of the following best describes the term concrescence?
What is a likely consequence of generalized macrodontia due to insufficient space?
What is a likely consequence of generalized macrodontia due to insufficient space?
What distinguishes localized microdontia from generalized microdontia?
What distinguishes localized microdontia from generalized microdontia?
Which teeth are most commonly affected by concrescence?
Which teeth are most commonly affected by concrescence?
In fusion, what structures might be shared between teeth?
In fusion, what structures might be shared between teeth?
What is a key feature of localized macrodontia?
What is a key feature of localized macrodontia?
Which of the following is NOT a typical cause of tooth impaction?
Which of the following is NOT a typical cause of tooth impaction?
What type of enamel defect is characterized by a normal amount of enamel, but with impaired mineralization?
What type of enamel defect is characterized by a normal amount of enamel, but with impaired mineralization?
Which of the following factors does NOT influence the effects of enamel hypoplasia?
Which of the following factors does NOT influence the effects of enamel hypoplasia?
A patient presents with enamel defects on a permanent tooth due to a periapical inflammatory disease of the overlying deciduous tooth. The affected tooth is known as a:
A patient presents with enamel defects on a permanent tooth due to a periapical inflammatory disease of the overlying deciduous tooth. The affected tooth is known as a:
Why are anterior teeth less frequently affected by Turner's hypoplasia?
Why are anterior teeth less frequently affected by Turner's hypoplasia?
Systemic factors generally impact developing teeth if they occur:
Systemic factors generally impact developing teeth if they occur:
Which of the following is NOT a cited cause for enamel hypoplasia or hypocalcification?
Which of the following is NOT a cited cause for enamel hypoplasia or hypocalcification?
Hutchinson’s incisors are characterized by:
Hutchinson’s incisors are characterized by:
What is the characteristic feature of 'mulberry molars'?
What is the characteristic feature of 'mulberry molars'?
Which of the following best describes fluorosis?
Which of the following best describes fluorosis?
What is a key characteristic of hypoplastic teeth seen in amelogenesis imperfecta?
What is a key characteristic of hypoplastic teeth seen in amelogenesis imperfecta?
What is the primary difference between hypoplastic and hypocalcified amelogenesis imperfecta?
What is the primary difference between hypoplastic and hypocalcified amelogenesis imperfecta?
Which term is used to describe the unusual translucent, opalescent appearance of teeth seen in dentinogenesis imperfecta?
Which term is used to describe the unusual translucent, opalescent appearance of teeth seen in dentinogenesis imperfecta?
What is the main difference between Dentinogenesis Imperfecta type I and type II?
What is the main difference between Dentinogenesis Imperfecta type I and type II?
In dentinogenesis imperfecta type III, what is a distinctive feature of the dentine and pulp?
In dentinogenesis imperfecta type III, what is a distinctive feature of the dentine and pulp?
How does dentine dysplasia type I differ from type II in terms of color of dentition and periapical lesions?
How does dentine dysplasia type I differ from type II in terms of color of dentition and periapical lesions?
What is a common characteristic of type I dentinogenesis imperfecta crowns?
What is a common characteristic of type I dentinogenesis imperfecta crowns?
In Regional Odontodysplasia, which of the following is NOT typically observed?
In Regional Odontodysplasia, which of the following is NOT typically observed?
What are the typical microscopic features of dentin in type II dentinogenesis imperfecta?
What are the typical microscopic features of dentin in type II dentinogenesis imperfecta?
What differentiates true denticles from false denticles?
What differentiates true denticles from false denticles?
What is the primary cellular activity associated with internal resorption?
What is the primary cellular activity associated with internal resorption?
Where does external resorption commonly begin?
Where does external resorption commonly begin?
Which of the following can be classified as an exogenous stain?
Which of the following can be classified as an exogenous stain?
What is the typical color progression associated with tetracycline staining during tooth development?
What is the typical color progression associated with tetracycline staining during tooth development?
Flashcards
Generalized Microdontia
Generalized Microdontia
All teeth in the mouth are smaller than normal, often seen in individuals with pituitary dwarfism.
Localized Microdontia
Localized Microdontia
A single tooth is significantly smaller than its counterparts, with an altered shape.
Generalized Macrodontia
Generalized Macrodontia
All teeth in the mouth appear larger than usual, often associated with pituitary gigantism.
Localized Macrodontia
Localized Macrodontia
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Gemination
Gemination
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Fusion
Fusion
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Concrescence
Concrescence
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Eruption Anomaly
Eruption Anomaly
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Attrition
Attrition
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Abrasion
Abrasion
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Erosion
Erosion
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Abfraction
Abfraction
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Complete anodontia
Complete anodontia
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Partial anodontia
Partial anodontia
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Pseudoanodontia
Pseudoanodontia
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False anodontia
False anodontia
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Dilaceration
Dilaceration
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Dens Invaginatus
Dens Invaginatus
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Dens Evaginatus
Dens Evaginatus
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Taurodontism
Taurodontism
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Supernumerary Teeth
Supernumerary Teeth
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Enamel Pearls
Enamel Pearls
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Mesiodens
Mesiodens
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Supernumerary (Location)
Supernumerary (Location)
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Enamel hypoplasia
Enamel hypoplasia
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Enamel hypocalcification
Enamel hypocalcification
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Impact of external factors on enamel formation
Impact of external factors on enamel formation
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Turner's Hypoplasia
Turner's Hypoplasia
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Timing of systemic factors in enamel development
Timing of systemic factors in enamel development
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Infectious diseases and enamel defects
Infectious diseases and enamel defects
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Hutchinson's Incisors
Hutchinson's Incisors
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Other causes of enamel defects
Other causes of enamel defects
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Hypoplastic teeth
Hypoplastic teeth
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Hypocalcified teeth
Hypocalcified teeth
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Amelogenesis Imperfecta
Amelogenesis Imperfecta
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Dentinogenesis Imperfecta
Dentinogenesis Imperfecta
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Dentin Dysplasia
Dentin Dysplasia
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Fluorosis (hypocalcification)
Fluorosis (hypocalcification)
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Mulberry molars
Mulberry molars
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Dentinogenesis Imperfecta Type I
Dentinogenesis Imperfecta Type I
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Regional Odontodysplasia
Regional Odontodysplasia
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Pulp Calcification
Pulp Calcification
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Internal Resorption
Internal Resorption
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External Resorption
External Resorption
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Exogenous Stains
Exogenous Stains
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Endogenous Stains
Endogenous Stains
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Regional Odontodysplasia: Type I & II
Regional Odontodysplasia: Type I & II
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Atypical Dentine Tubular Patterns
Atypical Dentine Tubular Patterns
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Study Notes
Anomalies of Teeth
- Teeth anomalies can be categorized by alterations in size, shape, or number.
Alterations in Size (Microdontia)
- Generalized Microdontia: All teeth are smaller than normal, often associated with pituitary dwarfism. They may appear small relative to a large jaw.
- Localized Microdontia: A single tooth is smaller than normal, and its shape is also altered. Examples include peg lateral incisors, maxillary third molars, and supernumerary teeth.
Alterations in Size (Macrodontia)
- Generalized Macrodontia: Teeth appear enlarged, for example, in pituitary gigantism. This enlargement can lead to overcrowding and abnormal tooth eruption patterns due to insufficient space.
- Localized Macrodontia: An abnormality affects a single tooth, often a third molar, and shows an unusually enlarged size.
Alterations in Shape
- Gemination: Two teeth form from a single enamel organ. Two crowns share the same root; partial or complete cleavage may cause two separate teeth.
- Fusion: Two developing tooth germs join, creating a single, large tooth structure. Fusion may involve the entire length of the teeth or only the roots. Root canals may be separate or fused.
Alterations in Shape (Other)
- Concrescence: Adjacent teeth fuse together through their cementum, commonly in maxillary second and third molars.
- Dilaceration: Teeth roots have irregular curving or angulation, making extractions and root canal treatment challenging.
- Dens Invaginatus (Dens in dente): A tooth within a tooth, manifested as an exaggerated lingual pit, common in maxillary lateral incisors, and often bilateral.
- Dens Evaginatus: A small tubercle or cusp located centrally on the occlusal surface of a tooth. Often bilateral.
- Taurodontism: Teeth featuring an enlarged body and pulp chamber; the apical displacement also occurs, commonly in multirooted teeth, appearing 'bull-like' on radiographs.
Alterations in Number (Anodontia)
- Anodontia: Absence of teeth.
- Complete anodontia: All teeth are missing.
- Partial anodontia: One or a few teeth are missing, commonly third molars, followed by second premolars and maxillary laterals.
- Pseudoanodontia: Teeth are clinically missing due to impaction or delayed eruption.
- False anodontia: Teeth have exfoliated or been extracted.
- Complete anodontia is sometimes associated with ectodermal dysplasia.
Other Anomalies (Impaction)
- Impaction: Third molars and maxillary canines are commonly impacted, often due to crowding or physical barriers. Unusual tooth germ orientation or fusion of bone around the tooth (ankylosis) may also play a role.
Defects of Enamel
- Environmental Defects: External factors during enamel formation (e.g., prolonged illness, trauma, malnutrition) can cause defects like hypoplasia (quantitatively defective enamel) and hypocalcification (qualitatively defective enamel).
- Turner's Hypoplasia: Enamel defects due to inflammation of the underlying deciduous tooth. Anterior teeth are less affected as they form earlier.
- Systemic factors: Factors like congenital syphilis, nutritional deficiencies (like rickets), birth trauma, fluoride exposure, and idiopathic causes can lead to enamel hypoplasia or hypocalcification affecting teeth formed before age six.
- Fluorosis: Hypocalcification caused by high fluoride levels in drinking water during tooth crown formation. May present as white spots to pitted, irregular, discoloured enamel.
Defects of Dentine
- Dentinogenesis Imperfecta: Autosomal dominant trait. Affecting both primary and permanent teeth. Three types, primarily affecting primary teeth with dentin abnormality often associated with osteogenesis imperfecta. Characterized by opalescent dentin with easily fractured enamel. Features include a discolored, often translucent or opalescent crown, excessive constriction at the CEJ, and tulip or bell-shaped crowns.
Other Defects
- Dentine Dysplasia: Rare autosomal dominant trait. Two types, radicular (Type I) and coronal (Type II). Primary teeth are sometimes more affected than permanent teeth in Type I Dentin Dysplasia, with short roots and potential premature loss. Type II has larger pulp chambers and opalescent primary teeth.
- Regional Odontodysplasia: Anomalies involving both enamel and dentine, affecting the hard tissues derived from epithelial and mesenchymal components. Features include short roots, open apical foramina, enlarged pulp chambers, and sometimes "ghost teeth”. The permanent teeth are more affected, and eruption is often delayed.
- Pulp Calcification: Calcifications (pulp stones) may be linear or nodular, occurring more commonly with increasing age, and often composed of dentine (true denticles) or foci of dystrophic calcification (false denticles). Often categorized as 'attached' or 'free'.
Resorption
- Internal Resorption: Resorption of dentin as a reaction to injury or as an unexplained trigger; occurs due to osteoclast or dentinoclast activation on the root's internal surfaces, often followed by reversal lines indicating repair attempts.
- External Resorption: Resorption of dentin from external factors like chronic inflammation, cysts, benign tumors, malignant neoplasms, trauma, re-implantation, or impaction.
Stains
- Exogenous Stains: Stainable substances ingested in food or produced by bacteria, removable with abrasives.
- Endogenous Stains: Caused by substances circulating in the body during tooth development, like tetracycline (causing yellow-gray-brown staining). Other factors include Rh incompatibility (staining green-brown) or congenital porphyria (red-brown staining) due to porphyrin deposition.
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