Developmental Disturbances of Teeth Classification
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Questions and Answers

What characterizes the crowns of shell teeth?

  • They are completely normal in shape and size.
  • They are bulbous with short roots. (correct)
  • They show signs of excessive wear and thinning.
  • They are larger than normal with constricted necks.

What is a common consequence of caries in shell teeth?

  • Excessive enamel growth.
  • Early pulp exposure. (correct)
  • Formation of multiple teeth.
  • Total pulp chamber obliteration.

How does the dentine of shell teeth differ from that of a normal tooth?

  • It is calcified and dense.
  • It is hyper-mineralized and smooth.
  • It contains many more dentinal tubules.
  • It lacks a normal odontoblastic layer. (correct)

Which of the following describes a common radiographic feature of shell teeth?

<p>Partial or total obliteration of the pulp chambers. (A)</p> Signup and view all the answers

What unusual feature is observed in the dentinal tubules of shell teeth?

<p>They are poorly calcified with interglobular spaces. (B)</p> Signup and view all the answers

What is a likely clinical presentation of acquired generalized enamel hypoplasia?

<p>Horizontally oriented rows of pits on the enamel surface (A)</p> Signup and view all the answers

What characteristic distinguishes dental fluorosis from other enamel defects?

<p>Mottled appearance affecting mainly permanent teeth (D)</p> Signup and view all the answers

What effect does a prolonged environmental insult have on enamel hypoplasia?

<p>It produces a wider zone of hypoplasia (A)</p> Signup and view all the answers

At what fluoride concentration in drinking water is dental fluorosis likely to occur?

<p>Greater than 1.5 ppm (B)</p> Signup and view all the answers

What is one of the main effects of increased fluoride levels on tooth development?

<p>Interferes with ameloblastic function (B)</p> Signup and view all the answers

How is tetracycline pigment deposition characterized in developing teeth?

<p>Produces discoloration of calcifying tissues (C)</p> Signup and view all the answers

What clinical grade represents very mild dental fluorosis?

<p>Small white opaque areas involving less than 25% of the surface area (C)</p> Signup and view all the answers

What is Dentinogenesis Imperfecta commonly referred to as?

<p>Hereditary Brown Opalescent Dentin (C)</p> Signup and view all the answers

Which supernumerary tooth is located between the maxillary central incisors?

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

What condition is associated with multiple impacted supernumerary teeth?

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

Which feature characterizes supplemental teeth?

<p>They morphologically resemble adjoining teeth. (D)</p> Signup and view all the answers

Which statement accurately describes hereditary structural anomalies in teeth?

<p>They affect both deciduous and permanent dentitions. (D)</p> Signup and view all the answers

What distinguishing feature characterizes acquired factors affecting teeth?

<p>They create horizontally oriented enamel defects. (B)</p> Signup and view all the answers

Which type of microdontia involves all teeth being smaller than normal?

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

Amelogenesis imperfecta is primarily associated with which type of defect?

<p>Hereditary enamel formation disorders. (A)</p> Signup and view all the answers

What is the most commonly affected tooth in localized microdontia?

<p>Maxillary lateral incisor (D)</p> Signup and view all the answers

What dental condition is characterized by an enlarged pulp chamber and short roots?

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

What is one potential complication of impacted supernumerary teeth?

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

Which of the following is NOT a characteristic of hereditary anomalies in dental structure?

<p>They are often associated with nutritional deficiencies. (B)</p> Signup and view all the answers

Which type of teeth are most commonly affected by taurodontism?

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

Which developmental defect primarily results from acquired environmental factors?

<p>Enamel defects due to trauma. (B)</p> Signup and view all the answers

What is the defining feature of an enamel pearl?

<p>A small, spherical projection on the root surface (B)</p> Signup and view all the answers

What is a common systemic factor that can lead to developmental enamel defects?

<p>Nutritional deficiencies. (C)</p> Signup and view all the answers

How may cleidocranial dysplasia manifest clinically?

<p>Delayed eruption of permanent teeth. (D)</p> Signup and view all the answers

What causes dens invaginatus?

<p>Invagination of the enamel organ into the dental papilla (C)</p> Signup and view all the answers

Which type of enamel defect is characterized by the presence of pits or defects that are horizontally oriented?

<p>Acquired environmental defects. (B)</p> Signup and view all the answers

In taurodontism, where is the bifurcation or trifurcation typically located?

<p>Near the apices of the roots (B)</p> Signup and view all the answers

What condition is often associated with the absence of upper lateral incisors?

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

What is the primary diagnostic method for detecting supernumerary roots?

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

Which of the following patterns of enamel defects is commonly associated with hereditary structural anomalies?

<p>Diffuse or vertically oriented defects. (D)</p> Signup and view all the answers

Which teeth are most commonly congenitally absent?

<p>Maxillary lateral incisors (D)</p> Signup and view all the answers

What are supernumerary roots most commonly found in?

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

What histological components may be present in an enamel pearl?

<p>Enamel, dentin, and pulp (C)</p> Signup and view all the answers

What is the likely cause of total or partial anodontia?

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

What describes predeciduous dentition?

<p>Rudimentary teeth that are present at birth (D)</p> Signup and view all the answers

How are supernumerary teeth defined?

<p>Extra teeth that do not morphologically resemble adjacent normal teeth (C)</p> Signup and view all the answers

Which of the following is typically a sign of hypodontia?

<p>Missing one or more permanent teeth (B)</p> Signup and view all the answers

What condition describes teeth that are formed after the permanent dentition?

<p>Post-permanent dentition (A)</p> Signup and view all the answers

Which of the following statements about hair follicles is accurate in relation to certain conditions?

<p>Defective or absent hair follicles can lead to dry skin conditions (A)</p> Signup and view all the answers

The crowns of shell teeth are characterized by larger and normal root canals.

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

The teeth affected by shell teeth syndrome typically display color variations from bluish-gray to brown.

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

A distinguishing feature of shell teeth is the obliteration of the pulp chamber.

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

Shell teeth have histologically normal enamel and a straight amelodentinal junction.

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

The roots of teeth affected by shell teeth are extremely long.

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

Hereditary structural anomalies usually affect both the deciduous and permanent dentitions.

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

Acquired factors are known to affect both enamel and dentine.

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

Amelogenesis imperfecta affects the deciduous dentition but not the permanent dentition.

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

Hereditary anomalies usually produce horizontally oriented enamel defects.

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

Systemic factors contributing to enamel defects can include nutritional deficiencies.

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

Acquired environmental factors will usually affect all teeth undergoing development.

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

Hereditary enamel defects can result from both hereditary enamel hypoplasia and hypo-calcification.

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

Acquired defects primarily affect the primary dentition exclusively.

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

The absence of sebaceous glands can lead to oily skin.

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

Total or partial anodontia refers to the failure of development of one or more permanent teeth.

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

Supernumerary teeth are more common in the mandible than in the maxilla.

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

Predeciduous dentition is a common occurrence in the infant population.

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

Hypodontia is commonly associated with the absence of the third molars and maxillary lateral incisors.

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

Salivary gland hypoplasia is frequently associated with xerostomia.

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

The etiology of congenital missing teeth is well understood and primarily caused by environmental factors.

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

Supernumerary teeth can be normal in shape and resemble adjacent teeth.

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

Taurodontism is characterized by the enlargement of the tooth trunk at the expense of the roots.

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

Supernumerary roots are typically found in upper incisors.

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

An enamel pearl is a small, spherical enamel projection usually found on maxillary molars.

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

Dens invaginatus results from the failure of Hertwig's epithelial root sheath to invaginate.

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

The pulp chamber in taurodontism is often smaller than normal with cervical constriction.

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

Both permanent and deciduous teeth can be affected by taurodontism.

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

Enamel pearls may consist of enamel only or enamel, dentin, and pulp.

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

Supernumerary teeth are often diagnosed visually without the need for radiographic examination.

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

Total anodontia is the absence of all teeth and is commonly associated with hereditary ectodermal dysplasia.

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

Hypodontia refers to the complete absence of teeth in an individual.

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

Macrodontia is classified as an abnormality in number, indicating an excess of teeth.

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

Partial anodontia can also be referred to as true anodontia when the absent teeth fail to develop.

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

Dentinogenesis imperfecta refers to defects in enamel and dentin structure.

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

Talon cusp is an anomaly associated with an abnormality in the type of tooth rather than its structure.

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

Embedded teeth can be considered a form of abnormality in eruption.

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

Gemination occurs when two teeth are fused together to form a single tooth entity.

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

Gemination results in two completely separate crowns that have a single root and root canal.

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

Concrescence occurs before root formation is complete.

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

Fusion results in a reduction of the total number of teeth by one.

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

Dilaceration is characterized by a sharp bend along the long axis of a tooth.

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

Macrodontia refers to teeth that are smaller than normal.

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

Talon cusp is an extra cusp that resembles an eagle's wing.

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

The number of teeth is usually increased in cases of gemination.

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

Concrescence is often caused by trauma or crowding of teeth.

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

What is the location of a distomolar?

<p>A distomolar is located distal to the third molar.</p> Signup and view all the answers

What hereditary condition is associated with multiple impacted supernumerary teeth?

<p>Multiple impacted supernumerary teeth may be associated with cleidocranial dysostosis.</p> Signup and view all the answers

What defines localized microdontia?

<p>Localized microdontia involves a single or a group of teeth that are smaller than normal.</p> Signup and view all the answers

What dental condition can arise around impacted supernumerary teeth?

<p>Impacted supernumerary teeth can develop dentigerous cysts around the crown.</p> Signup and view all the answers

What is a major clinical manifestation of cleidocranial dysplasia?

<p>A high arched palate is a major clinical manifestation of cleidocranial dysplasia.</p> Signup and view all the answers

What characterizes generalized macrodontia?

<p>Generalized macrodontia occurs when all teeth in both arches are larger than normal.</p> Signup and view all the answers

What is the expected outcome for teeth affected by enamel hypoplasia?

<p>Teeth with enamel hypoplasia may exhibit pits or defects on the enamel surface.</p> Signup and view all the answers

What happens to deciduous teeth in cleidocranial dysplasia?

<p>There is a delay in shedding of deciduous teeth in individuals with cleidocranial dysplasia.</p> Signup and view all the answers

What are the main categories of developmental disturbances of teeth?

<p>The main categories are abnormalities in number, size, shape, structure, and eruption.</p> Signup and view all the answers

What is the difference between total anodontia and partial anodontia?

<p>Total anodontia is the complete absence of all teeth, while partial anodontia involves the absence of a single tooth or a group of teeth.</p> Signup and view all the answers

How is pseudo anodontia characterized?

<p>Pseudo anodontia occurs when teeth fail to erupt despite their development, resulting in clinically absent teeth.</p> Signup and view all the answers

What is hereditary ectodermal dysplasia and its relation to dental anomalies?

<p>Hereditary ectodermal dysplasia is a hereditary defect that can lead to total or partial anodontia, primarily affecting males.</p> Signup and view all the answers

Describe the condition known as taurodontism.

<p>Taurodontism is characterized by an enlarged pulp chamber and short roots in teeth.</p> Signup and view all the answers

What types of abnormalities can result from defective apposition and calcification?

<p>Defective apposition and calcification can lead to enamel defects like amelogenesis imperfecta and dentin defects like dentinogenesis imperfecta.</p> Signup and view all the answers

In what ways can teeth exhibit abnormalities in size?

<p>Teeth can exhibit size abnormalities through conditions such as microdontia, where teeth are smaller than normal, or macrodontia, where they are larger.</p> Signup and view all the answers

What potential issues can arise from embedded or impacted teeth?

<p>Embedded or impacted teeth can lead to conditions like pseudo anodontia and may require surgical intervention for management.</p> Signup and view all the answers

What is the appearance of dens in dente on a radiograph?

<p>It appears as a tooth-like structure within the pulp of the involved tooth.</p> Signup and view all the answers

What clinical features are associated with dens evaginatus?

<p>It appears as an accessory cusp on premolars and may have a pulp horn extending into it.</p> Signup and view all the answers

What unique features are found in the teeth of children born with congenital syphilis?

<p>They often exhibit barrel-shaped permanent incisors with a central notch and may show enamel hypoplasia.</p> Signup and view all the answers

Describe the typical appearance of Moon's molars.

<p>Moon's molars exhibit a constricted occlusal surface with rounded angles and a dome shape.</p> Signup and view all the answers

How do mulberry molars differ from normal first molars?

<p>Mulberry molars have rough, pitted occlusal surfaces with multiple irregular tubercles replacing the normal cusps.</p> Signup and view all the answers

What factors can lead to developmental disturbances in teeth?

<p>Developmental disturbances can be hereditary or acquired due to local factors affecting individual teeth.</p> Signup and view all the answers

What features characterize Hutchinson's teeth?

<p>Hutchinson's teeth are barrel-shaped with tapered mesial and distal surfaces, often exhibiting a central notch.</p> Signup and view all the answers

What is the primary mechanism thought to cause dens evaginatus?

<p>It is thought to result from the proliferation and evagination of enamel epithelium during tooth development.</p> Signup and view all the answers

What clinical presentation indicates a history of systemic factors causing enamel hypoplasia?

<p>Horizontally oriented rows of pits on the enamel surface.</p> Signup and view all the answers

How does the fluoride concentration in drinking water relate to dental fluorosis?

<p>Ingestion of fluoride levels greater than 1.5 ppm can lead to enamel hypoplasia or hypocalcification, known as dental fluorosis.</p> Signup and view all the answers

What is the primary adverse effect of high fluoride levels on ameloblasts?

<p>Increased fluoride levels interfere with ameloblastic function, disrupting enamel matrix formation and calcification.</p> Signup and view all the answers

What staining results from tetracycline exposure in developing teeth?

<p>Tetracycline causes stained, hypoplastic enamel due to its binding to calcifying tissues.</p> Signup and view all the answers

How is dental fluorosis clinically graded?

<p>It is graded from very mild, with less than 25% surface area affected, to severe, where enamel is black, brittle, and chipped easily.</p> Signup and view all the answers

What inherited condition is associated with abnormal dentine formation?

<p>Dentinogenesis imperfecta, also known as hereditary brown opalescent dentine.</p> Signup and view all the answers

What effects do brief versus prolonged environmental insults have on enamel hypoplasia?

<p>A brief insult creates a narrow line of hypoplasia, while a prolonged insult results in a wider zone affecting more teeth.</p> Signup and view all the answers

What is the role of systemic environmental factors in enamel hypoplasia?

<p>Systemic environmental factors, such as mineral deficiencies, can lead to acquired generalized enamel hypoplasia.</p> Signup and view all the answers

What is the main distinction between hereditary enamel hypoplasia and hereditary enamel hypocalcification?

<p>Hereditary enamel hypoplasia is a quantitative defect with deficient enamel matrix, while hypocalcification is a qualitative defect with normal matrix but defective mineralization.</p> Signup and view all the answers

Describe the surface texture and luster of enamel in cases of hereditary enamel hypocalcification.

<p>Enamel in hereditary enamel hypocalcification has a rough surface texture and lacks surface luster, appearing dull.</p> Signup and view all the answers

What causes localized enamel hypoplasia known as 'Turner's tooth'?

<p>Turner's tooth is caused by trauma or localized infection during the formation of the affected teeth.</p> Signup and view all the answers

Explain how hereditary enamel hypoplasia affects the size and quality of the teeth.

<p>It results in smaller teeth with insufficient amounts of hard, smooth, and translucent enamel.</p> Signup and view all the answers

What are the radiographic characteristics of enamel in hereditary enamel hypoplasia?

<p>The enamel in hereditary enamel hypoplasia appears with normal radiopacity.</p> Signup and view all the answers

What impact does hereditary enamel hypocalcification have on the appearance and durability of teeth?

<p>Teeth may appear dull, vary in color from white opaque to yellow-brown, and exhibit soft and friable enamel that fractures easily.</p> Signup and view all the answers

How does the mineralization process differ in hereditary enamel hypoplasia versus hereditary enamel hypocalcification?

<p>Hereditary enamel hypoplasia has normal mineralization while hereditary enamel hypocalcification has defective mineralization.</p> Signup and view all the answers

Identify the key features that differentiate acquired enamel hypoplasia from hereditary enamel defects.

<p>Acquired enamel hypoplasia typically affects only the permanent teeth and is often localized, unlike hereditary defects which may affect both dentitions.</p> Signup and view all the answers

What is the histological characteristic of the dentinal tubules in shell teeth?

<p>The dentinal tubules in shell teeth are fewer in number, widely spaced, larger in diameter, and irregular.</p> Signup and view all the answers

How is the pulp chamber affected in shell teeth?

<p>The pulp chamber in shell teeth is not obliterated, and the pulp itself is very wide with coarse fibrous connective tissue.</p> Signup and view all the answers

What is a notable radiographic feature of shell teeth?

<p>A notable radiographic feature of shell teeth is the presence of small bulbous crowns and short, narrow root canals.</p> Signup and view all the answers

Describe the typical clinical appearance of shell teeth.

<p>Shell teeth typically appear bluish-gray to brown with bulbous crowns, and the crowns are slightly smaller than normal.</p> Signup and view all the answers

Total __________ is the absence of all teeth.

<p>anodontia</p> Signup and view all the answers

Hypodontia refers to the partial absence of a __________ or a group of teeth.

<p>tooth</p> Signup and view all the answers

Hereditary ectodermal dysplasia can lead to __________ anodontia.

<p>total</p> Signup and view all the answers

Dens invaginatus is one type of abnormality in __________.

<p>shape</p> Signup and view all the answers

Microdontia is characterized by teeth that are smaller than __________.

<p>normal</p> Signup and view all the answers

A common feature of hereditary ectodermal dysplasia is the __________ of sweat glands.

<p>absence</p> Signup and view all the answers

The condition known as __________ is when clinically absent teeth still fail to erupt.

<p>pseudo anodontia</p> Signup and view all the answers

__________ refers to an increase in the number of teeth, such as hyperdontia.

<p>Supernumerary teeth</p> Signup and view all the answers

In taurodontism, the bifurcation or trifurcation occurs near the ______ of the roots.

<p>apices</p> Signup and view all the answers

An enamel pearl, also known as enameloma, is typically found on the root surface near the ______ area.

<p>bifurcation</p> Signup and view all the answers

Dens invaginatus is caused by the invagination of all layers of the ______ organ.

<p>enamel</p> Signup and view all the answers

Supernumerary roots are most commonly seen in mandibular ______, canines, and molars.

<p>premolars</p> Signup and view all the answers

In taurodontism, the pulp chamber is extremely large with a much greater ______ height than normal.

<p>apico-occlusal</p> Signup and view all the answers

The term taurodontism literally means '______-like' teeth.

<p>bull</p> Signup and view all the answers

Enamel pearls may consist of enamel only or enamel, dentine, and ______.

<p>pulp</p> Signup and view all the answers

The condition known as dens invaginatus results in the formation of an enamel-lined cavity that communicates with the ______.

<p>surface</p> Signup and view all the answers

The crowns of shell teeth have a ______ appearance due to their small size and constricted neck.

<p>bulbous</p> Signup and view all the answers

In shell teeth, the dentinal tubules are fewer in number, widely spaced, and ______ in diameter than normal.

<p>larger</p> Signup and view all the answers

Shell teeth are clinically similar to dentinogenesis imperfecta except that the ______ chamber is not obliterated.

<p>pulp</p> Signup and view all the answers

A common histological feature of shell teeth is the presence of numerous ______ in the pulp.

<p>pulp stones</p> Signup and view all the answers

In shell teeth, the roots are described as being extremely ______.

<p>short</p> Signup and view all the answers

Hereditary structural anomalies usually affect both the deciduous and permanent ______.

<p>dentitions</p> Signup and view all the answers

Acquired (environmental) factors usually affect only one dentition, typically the ______.

<p>permanent</p> Signup and view all the answers

Hereditary anomalies usually affect either ______ or dentine.

<p>enamel</p> Signup and view all the answers

Acquired (environmental) factors tend to affect both ______ and dentine.

<p>enamel</p> Signup and view all the answers

Amelogenesis imperfecta is a hereditary familial disorder of enamel formation affecting both the primary and permanent ______.

<p>dentitions</p> Signup and view all the answers

Hereditary enamel hypoplasia is one type of ______ imperfecta.

<p>amelogenesis</p> Signup and view all the answers

Acquired factors can be categorized into local and ______ factors.

<p>systemic</p> Signup and view all the answers

Systemic factors leading to enamel defects may include nutritional deficiencies, fevers, and hormonal ______.

<p>disturbances</p> Signup and view all the answers

Dens in dente may appear as either a normally shaped or malformed crown that exhibits a deep pit in the area of the ______.

<p>cingulum</p> Signup and view all the answers

Dens evaginatus appears as an accessory cusp on the occlusal surface between the buccal and ______ cusps of premolars.

<p>lingual</p> Signup and view all the answers

The venereal disease caused by the spirochetes 'treponema pallidum' is known as ______.

<p>syphilis</p> Signup and view all the answers

Children born to syphilitic mothers may show characteristic abnormalities in the size, shape, and structure of their permanent ______.

<p>teeth</p> Signup and view all the answers

Hutchinson's teeth are described as barrel-shaped with tapering mesial and distal surfaces giving a ______ appearance.

<p>screw-driver</p> Signup and view all the answers

Moon's molars exhibit a constricted occlusal surface and a ______ shape.

<p>dome</p> Signup and view all the answers

Developmental disturbances that may affect the structure of teeth can be hereditary or ______.

<p>acquired</p> Signup and view all the answers

A ______ horn may extend into the extra cusp seen in dens evaginatus.

<p>pulp</p> Signup and view all the answers

Lack of sebaceous glands results in dry ______.

<p>skin</p> Signup and view all the answers

Total or partial anodontia of both ______ is a common oral manifestation.

<p>dentitions</p> Signup and view all the answers

The alveolar process is deficient in ______.

<p>height</p> Signup and view all the answers

The most common congenitally absent permanent teeth are the third ______.

<p>molars</p> Signup and view all the answers

Supernumerary teeth are extra teeth that do not morphologically resemble any of the adjacent normal ______.

<p>teeth</p> Signup and view all the answers

Predeciduous dentition is a very rare condition due to accessory buds formed before the enamel organ of the deciduous ______.

<p>teeth</p> Signup and view all the answers

Salivary glands hypoplasia with ______ is sometimes seen.

<p>xerostomia</p> Signup and view all the answers

The absence of upper lateral incisor may be associated with ______ palate.

<p>cleft</p> Signup and view all the answers

Match the features of shell teeth with their descriptions:

<p>Crowns = Small bulbous crowns and bluish-gray to brown color Roots = Extremely short roots Pulp chamber = Not obliterated with coarse fibrous connective tissue Dentinal tubules = Fewer in number, widely spaced, and larger in diameter</p> Signup and view all the answers

Match the histological features of shell teeth with their characteristics:

<p>Enamel = Normal Mantle dentine = Peripheral layer normal Odontoblastic layer = Absent Pulp stones = Numerous pulp stones present</p> Signup and view all the answers

Match the clinical presentations of shell teeth with their potential sequelae:

<p>Caries = Early pulp exposure common Color variance = Bluish-gray to brown hues Pulp condition = Wider than normal pulp with irregularities Root structure = Short with narrow canals</p> Signup and view all the answers

Match the abnormalities in shell teeth with their implications:

<p>Pulp chamber obliteration = Not present Dentine thickness = Thin dentine forming a shell Crown appearance = Bulbous with smaller proportions Radiographic feature = Partial obliteration of pulp chambers</p> Signup and view all the answers

Match the terms associated with shell teeth to their definitions:

<p>Shell teeth = Rare dental abnormality similar to dentinogenesis imperfecta Dentinogenesis imperfecta = Condition where dentine is poorly formed Pulpage exposure = Outcome of caries affecting shell teeth Interglobular spaces = Large areas due to poorly calcified dentine</p> Signup and view all the answers

Match the dental conditions with their corresponding descriptions:

<p>Gemination = Partial division of a single tooth germ resulting in two crowns Fusion = Union of two adjacent tooth germs reducing tooth count Concrescence = Joining of teeth along the roots after root formation Dilaceration = Angulation or sharp bend along the long axis of a tooth</p> Signup and view all the answers

Match the dental anomalies with their features:

<p>Macrodontia = Normal-sized teeth appearing large in small jaws Microdontia = Condition where teeth are smaller than normal Talon Cusp = Extra cusp resembling an eagle's talon Concrescence = Teeth joined by cementum after root development</p> Signup and view all the answers

Match the dental issues with their causes or characteristics:

<p>Gemination = Affects deciduous and permanent teeth, normal count Fusion = Can be complete or incomplete based on development stage Concrescence = Caused by trauma or crowding of teeth Dilaceration = Related to trauma during root development</p> Signup and view all the answers

Match the following terms with their definitions in dental anatomy:

<p>Macrodontia = Teeth appear larger due to small jaw size Microdontia = Condition associated with smaller than normal teeth Talon Cusp = An extra cusp development in a tooth Dilaceration = Bending or angulation of the tooth axis</p> Signup and view all the answers

Match the condition with its effect on tooth count:

<p>Gemination = Normal tooth count Fusion = Reduced tooth count by one Concrescence = Does not affect overall tooth count Dilaceration = Does not alter the number of teeth present</p> Signup and view all the answers

Match the conditions with their primary developmental influences:

<p>Gemination = Inherited or genetic factors Fusion = Trauma and crowding during development Concrescence = Post-root formation trauma Dilaceration = Trauma during root growth</p> Signup and view all the answers

Match the concept with the corresponding feature:

<p>Gemination = Two crowns with a single root Fusion = Two adjacent teeth merging into one Concrescence = Roots fused by cementum post-development Dilaceration = Bending occurring at various tooth levels</p> Signup and view all the answers

Match the dental conditions with their specific locations or demographics:

<p>Gemination = Common in maxillary incisor region Fusion = Can occur at any stage of tooth development Concrescence = Typically found after root development Dilaceration = May occur along any length of tooth</p> Signup and view all the answers

Match the type of enamel defect with its description:

<p>Hereditary enamel hypoplasia = Defect involving underdeveloped enamel Hereditary enamel hypo-calcification = Defect involving poorly mineralized enamel Acquired enamel hypoplasia = Defect resulting from environmental factors Amelogenesis imperfecta = Hereditary disorder affecting enamel formation</p> Signup and view all the answers

Match the factor with its classification in enamel defects:

<p>Trauma = Local acquired factor Nutritional deficiencies = Systemic acquired factor Congenital syphilis = Systemic acquired factor Amelogenesis imperfecta = Hereditary factor</p> Signup and view all the answers

Match the criteria with hereditary or acquired defects:

<p>Affects enamel or dentine = Hereditary defects Usually affects all teeth = Hereditary defects Affects both enamel and dentine = Acquired defects Produces horizontally oriented pits = Acquired defects</p> Signup and view all the answers

Match the enamel defect type with the teeth it affects:

<p>Hereditary enamel hypoplasia = Affects both primary and permanent teeth Acquired enamel defects = May affect only one dentition Amelogenesis imperfecta = Affects both dentitions Environmental enamel hypoplasia = Affects usually permanent teeth</p> Signup and view all the answers

Match the systemic factor with its potential impact on enamel formation:

<p>Fevers = May cause enamel hypoplasia Calcium deficiency = Affects mineralization of enamel Hormonal disturbances = May impact enamel quality Irradiation = Can lead to local enamel defects</p> Signup and view all the answers

Match the enamel defect characteristics with their descriptions:

<p>Diffuse defects = Typical of hereditary anomalies Vertically oriented pits = Common in hereditary enamel defects Horizontally oriented defects = Characteristic of acquired factors Single or grouped teeth affected = Typical of acquired factors</p> Signup and view all the answers

Match the term with its related defect:

<p>Amelogenesis imperfecta = Involves hereditary defects Local factors = Examples include trauma and infection Systemic factors = Includes nutritional deficiencies and fevers Enamel hypoplasia = Affects enamel development</p> Signup and view all the answers

Match the enamel defect type with its occurrence:

<p>Hereditary factors = Affect both dentitions Acquired environmental factors = Affects usually one dentition Hereditary enamel hypo-calcification = Involves mineralization issues Acquired enamel defects = Result from environmental stressors</p> Signup and view all the answers

Match the following abnormalities in the number of teeth with their descriptions:

<p>Total anodontia = Absence of all teeth Partial anodontia = Absence of a single tooth or a group of teeth True anodontia = Ab absent teeth fail to develop Pseudo anodontia = Clinically absent teeth develop but fail to erupt</p> Signup and view all the answers

Match the following conditions with their clinical features:

<p>Hereditary Ectodermal Dysplasia = Total or partial absence of sweat glands Streeter's Syndrome = Thin, smooth, and dry skin Total anodontia = Rare condition associated with hereditary defects Pseudo anodontia = Embedded or impacted teeth that fail to erupt</p> Signup and view all the answers

Match the following size abnormalities with their terms:

<p>Microdontia = Abnormally small teeth Macrodontia = Abnormally large teeth Talon cusp = Additional cusp on the tooth Taurodontism = Enlarged pulp chamber and short roots</p> Signup and view all the answers

Match the following shape abnormalities with their definitions:

<p>Gemination = Incomplete splitting of a single tooth bud Fusion = Union of adjacent tooth buds Dilaceration = Abnormal curvature of the tooth Enamel pearl = Localized deposition of enamel on the root</p> Signup and view all the answers

Match the following defects of enamel with their conditions:

<p>Amelogenesis imperfecta = Hereditary enamel defect Acquired defects of enamel = Environmental factors affecting enamel Dentinogenesis imperfecta = Defect in dentin structure Regional odontodysplasia = Defects in both enamel and dentin</p> Signup and view all the answers

Match the following eruption abnormalities with their characteristics:

<p>Premature eruption = Eruption before the normal time Delayed eruption = Eruption after the normal time Embedded teeth = Teeth that fail to erupt completely Submerged teeth = Teeth that are positioned below the occlusal plane</p> Signup and view all the answers

Match the following descriptions with the type of anodontia:

<p>Total anodontia = Associated with hereditary ectodermal dysplasia Partial anodontia = Clinically missing teeth that do not develop True anodontia = Complete absence of dental development False anodontia = Loss of teeth post-extraction</p> Signup and view all the answers

Match the following abnormalities with their types:

<p>Hyperdontia = Increase in the number of teeth Hypodontia = Decrease in the number of teeth Supernumerary teeth = Extra teeth beyond the normal count Supplemental teeth = Additional teeth that resemble normal teeth</p> Signup and view all the answers

Match the following dental conditions with their descriptions:

<p>Total anodontia = Complete absence of teeth Partial anodontia = Failure of development of one or more permanent teeth Supernumerary teeth = Extra teeth beyond the normal count Hypodontia = Congenital absence of specific teeth</p> Signup and view all the answers

Match the following types of dentition with their classifications:

<p>Predeciduous dentition = Teeth present at birth Post-permanent dentition = Teeth formed after the permanent dentition Supernumerary teeth = Extra teeth not resembling adjacent teeth Supplemental teeth = Teeth resembling normal teeth but additional in number</p> Signup and view all the answers

Match the following commonly congenitally absent teeth with their locations:

<p>Maxillary lateral incisor = Often absent in hypodontia Mandibular second premolar = Commonly absent in partial anodontia Third molar = Most frequently absent permanent teeth Deciduous maxillary lateral incisor = Rarely absent but sometimes seen</p> Signup and view all the answers

Match the following oral manifestations with their conditions:

<p>High palate = Seen in total or partial anodontia Xerostomia = Due to salivary gland hypoplasia Deficient alveolar process = Associated with anodontia Cone-shaped teeth = Observed in dental defects</p> Signup and view all the answers

Match the types of supernumerary teeth with their features:

<p>Conical = Small and pointed additional teeth Erupted = Teeth that have emerged into the oral cavity Impacted = Teeth that are trapped beneath the gumline Multiple = Several extra teeth present at once</p> Signup and view all the answers

Match the eitiological factors associated with dental conditions:

<p>Hereditary tendency = Family history of dental anomalies Radiation Therapy = Can damage tooth germs during formation Ectodermal dysplasia = Genetic condition affecting tooth development Unknown etiology = Cause of many anodontia cases</p> Signup and view all the answers

Match the following definitions with their dental terms:

<p>Hypodontia = Absence of one or more teeth Supernumerary tooth = An extra tooth that does not resemble others Cone-shaped tooth = Tooth with a tapered shape Anodontia = Complete lack of teeth formation</p> Signup and view all the answers

Match the following dental anomalies with their potential clinical features:

<p>Xerostomia = Dry mouth due to salivary gland dysfunction Cleft palate = Opening in the roof of the mouth Retarded eruption = Delayed appearance of teeth High alveolar ridge = Insufficient height of the jawbone</p> Signup and view all the answers

Match the following features with their respective dental conditions:

<p>Taurodontism = Apically displaced bifurcation or trifurcation Dens invaginatus = Enamel-lined cavity communicating with the surface Enamel pearl = May consist of enamel only or enamel, dentine, and pulp Talon cusp = Composed of normal enamel and dentin with a pulp horn</p> Signup and view all the answers

Match the following dental conditions with their primary features:

<p>Supernumerary roots = Extra roots commonly seen in mandibular premolars Talon cusp = Projects from the cingulum area to the incisal edge Enamel pearl = Usually found on maxillary molars near bifurcation Taurodontism = Large pulp chamber with no cervical constriction</p> Signup and view all the answers

Match the terms with their definitions:

<p>Talon cusp = Lingual projection on an incisor tooth Enamel pearl = Small, spherical enamel projection on the root Taurodontism = Bull-like teeth with enlarged pulp chambers Dens invaginatus = Cavity formation caused by enamel organ invagination</p> Signup and view all the answers

Match the dental terms with their clinical implications:

<p>Taurodontism = No remarkable clinical morphological characteristics Supernumerary roots = Diagnosed primarily through radiography Dens invaginatus = May result in enamel-lined cavities Enamel pearl = Forms due to abnormal displacement of ameloblasts</p> Signup and view all the answers

Match the dental condition with its classification:

<p>Taurodontism = Variable form from mild to extreme Dens invaginatus = Linked to odontogenesis disruption Supernumerary roots = Most common in specific tooth types Enamel pearl = May contain various histological components</p> Signup and view all the answers

Match the clinical features with their corresponding conditions:

<p>Taurodontism = Large apico-occlusal height in pulp chamber Enamel pearl = Found near bifurcation on the root surface Dens invaginatus = Communicates with the tooth surface Talon cusp = Normal enamel composition found</p> Signup and view all the answers

Match the following dental anomalies to their functions or origins:

<p>Dens invaginatus = Caused by invagination during odontogenesis Enamel pearl = Results from epithelial root sheath differentiation Supernumerary roots = Often radiographically diagnosed Taurodontism = Results from failure of Hertwig's sheath to invaginate</p> Signup and view all the answers

What color variations are typically seen in shell teeth?

<p>Bluish-gray to brown (A)</p> Signup and view all the answers

Shell teeth have short roots that are extremely long in length.

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

What histological abnormality is commonly associated with the pulp in shell teeth?

<p>Absence of odontoblastic layer</p> Signup and view all the answers

The dentinal tubules in shell teeth are fewer in number and have a larger diameter than normal, making them _____.

<p>irregular</p> Signup and view all the answers

Match the following features with their characteristics related to shell teeth:

<p>Teeth color = Bluish-gray to brown Crown appearance = Small and bulbous Root length = Extremely short Pulp chamber = Widely opened and not obliterated</p> Signup and view all the answers

What term describes the absence of all teeth?

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

True or False: Partial anodontia refers to the absence of a single tooth or a group of teeth.

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

What hereditary condition is associated with total anodontia?

<p>Hereditary ectodermal dysplasia</p> Signup and view all the answers

The dental condition characterized by the presence of additional teeth, such as supernumerary teeth, is known as _____

<p>hyperdontia</p> Signup and view all the answers

Match the following terms to their definitions:

<p>Hypodontia = Absence of some teeth Anodontia = Absence of all teeth Supernumerary teeth = Extra teeth beyond the normal count Macrodontia = Teeth larger than normal</p> Signup and view all the answers

Which of the following options are associated with abnormalities in tooth shape? (Select all that apply)

<p>Gemination (A), Dens Invaginatus (B), Fusion (C)</p> Signup and view all the answers

What is the term for teeth that are embedded or impacted?

<p>Pseudo anodontia</p> Signup and view all the answers

True or False: Total anodontia is common and frequently occurs without hereditary conditions.

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

Which type of supernumerary tooth is located distal to the third molar?

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

Supplemental teeth usually possess a morphology that is similar to the adjoining teeth.

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

What is the hereditary disease characterized by deficient growth of bones like the cranial vault and clavicles?

<p>Cleidocranial Dysplasia</p> Signup and view all the answers

Microdontia refers to teeth that are __________ than normal size.

<p>smaller</p> Signup and view all the answers

Match the following terms related to abnormalities in the size of teeth:

<p>Microdontia = Abnormal small teeth Macrodontia = Abnormal large teeth Localized microdontia = Involves a single or group of affected teeth Generalized macrodontia = All teeth larger than normal</p> Signup and view all the answers

What may develop in relation to unerupted supernumerary teeth?

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

Generalized microdontia includes normal-sized teeth appearing small due to large jaws.

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

Which is a common site for supplemental teeth?

<p>Maxillary lateral incisors</p> Signup and view all the answers

What is gemination characterized by?

<p>Partial division of a single tooth germ (B)</p> Signup and view all the answers

What condition is characterized by a sharp bend along the long axis of a tooth?

<p>Dilaceration</p> Signup and view all the answers

Fusion can result in a reduction of the total number of teeth by one, except in the case of a __________ tooth germ.

<p>supernumerary</p> Signup and view all the answers

Which type of abnormality involves the union of two adjacent tooth germs?

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

Match the dental abnormalities with their characteristics:

<p>Gemination = Partial division of a tooth germ Fusion = Union of two adjacent tooth germs Concrescence = Joining of teeth along their roots Talon Cusp = Extra cusp resembling an eagle's talon</p> Signup and view all the answers

Microdontia results in teeth that are larger than normal.

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

Describe the appearance of a talon cusp.

<p>It resembles an eagle's talon.</p> Signup and view all the answers

Which characteristic differentiates hereditary enamel hypoplasia from hereditary enamel hypocalcification?

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

In hereditary enamel hypocalcification, the enamel is hard and smooth.

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

What is the common appearance of teeth affected by hereditary enamel hypoplasia?

<p>Translucent and small</p> Signup and view all the answers

In cases of acquired enamel hypoplasia, traumatic injuries usually affect the upper deciduous _________.

<p>incisors</p> Signup and view all the answers

Match the following features with their corresponding enamel defect:

<p>Hardness = Hypocalcification Translucency = Hypoplasia Surface texture = Hypocalcification Luster = Hypoplasia</p> Signup and view all the answers

Which of the following statements about acquired enamel hypoplasia is true?

<p>It can occur as a result of trauma to developing teeth (B)</p> Signup and view all the answers

Hereditary enamel hypoplasia is characterized by a defect in the mineralization of the enamel.

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

How does periapical infection in a deciduous tooth lead to enamel hypoplasia?

<p>Infection can affect the underlying developing tooth germ, leading to enamel hypoplasia of the succeeding permanent tooth.</p> Signup and view all the answers

What is a defining characteristic of taurodontism?

<p>Apically displaced bifurcation or trifurcation (B)</p> Signup and view all the answers

Supernumerary roots are most commonly found in maxillary canines.

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

What condition is characterized by an enamel-lined cavity caused by invagination of the enamel organ?

<p>Dens invaginatus</p> Signup and view all the answers

An enamel pearl is often found on the root surface near the ______ area.

<p>bifurcation</p> Signup and view all the answers

Match the dental conditions with their descriptions:

<p>Taurodontism = Enlargement of the pulp chamber with short roots Dens invaginatus = Invagination of the enamel organ Enamel pearl = Spherical projection found on root surfaces Supernumerary roots = Extra roots commonly seen in certain teeth</p> Signup and view all the answers

Which of the following teeth types are typically affected by supernumerary roots?

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

In taurodontism, the pulp chamber typically lacks anatomical constriction.

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

What is the common radiographic feature of taurodontism?

<p>An extremely large pulp chamber</p> Signup and view all the answers

Flashcards

Ectodermal Dysplasia

A condition where an individual has abnormally dry skin, absent or defective hair follicles, and often defective fingernails.

Hypodontia

A condition where one or more permanent teeth fail to develop. It is a relatively common occurrence, with third molars, maxillary lateral incisors, and mandibular second premolars being most frequently affected.

Anodontia

A condition where all or some teeth fail to develop, often in individuals with Ectodermal Dysplasia. This can also be caused by radiation therapy during tooth development.

Supernumerary Teeth

The presence of extra teeth beyond the normal number. They are more common in the maxilla than the mandible and are often found in the permanent dentition.

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Predeciduous Teeth

Extra teeth that form before the normal deciduous (baby) teeth. They are rare, usually small, and present at birth. They are usually found in the mandibular incisor area.

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Post-permanent Teeth

Extra teeth that form after the normal permanent teeth. They are believed to be caused by delayed eruption of previously impacted permanent teeth.

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Supplemental Teeth

A type of supernumerary tooth that does not resemble any adjacent normal teeth. They can be small and conical, erupted or impacted.

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Salivary Gland Hypoplasia

A condition where salivary glands are underdeveloped, leading to dryness of the mouth (xerostomia)

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Mesiodens

A supernumerary tooth located between the maxillary central incisors.

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Distomolar

A supernumerary tooth located distal to the third molar.

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Paramolar

A supernumerary tooth located on the buccal surface of upper molars.

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Microdontia

A genetic condition resulting in small-sized teeth.

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Generalized Microdontia

A condition where all teeth are smaller than normal.

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Cleidocranial Dysplasia

An uncommon genetic disease characterized by underdeveloped bones, particularly the collarbones and skull.

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Macrodontia

A condition where teeth are larger than normal.

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Shell Teeth

A rare dental condition characterized by small, bulbous crowns, short roots, and a constricted neck, giving the teeth a bulbous appearance.

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Pulp Obliteration

A hallmark feature of Shell Teeth where the pulp chamber and root canal are filled with poorly formed dentine, often leading to early pulp exposure.

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Abnormal Dentinal Tubules

A distinguishing feature of Shell Teeth, with dentinal tubules that are fewer, wider, and more irregular than normal, contributing to reduced tooth strength and increased susceptibility to decay.

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Abnormal Pulp in Shell Teeth

Characterized by a wide pulp space lacking a normal odontoblastic layer and filled with coarse fibrous connective tissue.

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Early Pulp Exposure in Shell Teeth

A common complication of Shell Teeth, where the thin enamel and abnormal dentin make the teeth more vulnerable to decay, leading to early exposure of the pulp.

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Incisal Lingual Ridge

A projection of enamel and dentin from the cingulum area of an incisor, extending towards the incisal edge. It contains a pulp horn.

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Taurodontism

An enlargement of the tooth trunk with apical displacement of the bifurcation or trifurcation, resulting in short roots.

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Enamel Pearl

A small, spherical enamel projection found on the root surface near the bifurcation or trifurcation area, typically on maxillary molars.

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Dens Invaginatus (Dens in Dente)

An invagination of the enamel organ into the dental papilla during tooth development, resulting in an enamel-lined cavity that communicates with the surface.

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Supernumerary Roots

Extra roots found most commonly in premolars, canines, and third molars.

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Taurodontism Pathogenesis

A condition characterized by the failure of Hertwig's epithelial root sheath to invaginate properly, leading to an enlarged tooth trunk and apical bifurcation or trifurcation.

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Enamel Pearl Pathogenesis

A result of abnormal displacement of ameloblasts below the amelodentinal junction or differentiation of epithelial root sheath cells into ameloblasts, causing enamel nodule formation.

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Dens Invaginatus Pathogenesis

The invagination of all enamel organ layers into the dental papilla during tooth development, creating an enamel-lined cavity.

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Differentiating Hereditary and Acquired Dental Defects: Dentition Affected

Hereditary structural anomalies affect both deciduous and permanent dentitions, while acquired factors affect only one dentition, usually the permanent dentition.

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Differentiating Hereditary and Acquired Dental Defects: Enamel or Dentine?

Hereditary enamel defects usually affect either enamel or dentine, while acquired enamel defects affect both enamel and dentine.

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Differentiating Hereditary and Acquired Dental Defects: Defect Orientation

Hereditary enamel defects often produce diffuse or vertically oriented defects, while acquired defects tend to produce horizontally oriented defects.

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What is Amelogenesis Imperfecta?

Amelogenesis imperfecta is a hereditary disorder affecting enamel formation in both primary and permanent dentitions. It can manifest as hypoplasia (thin enamel) or hypocalcification (weak enamel), or both.

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Which dentitions are affected by Amelogenesis Imperfecta?

Amelogenesis imperfecta is a hereditary disorder affecting enamel formation in both primary and permanent dentitions.

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What are the types of Amelogenesis Imperfecta?

Amelogenesis imperfecta can present as either hypoplasia (thin enamel) or hypocalcification (weak enamel).

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How is enamel affected in Amelogenesis Imperfecta?

Amelogenesis imperfecta is a hereditary disorder affecting enamel formation in both primary and permanent dentitions. It can present as hypoplasia (thin enamel) or hypocalcification (weak enamel), or both.

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What is the cause of Amelogenesis Imperfecta?

Amelogenesis imperfecta is a hereditary disorder affecting enamel formation in both primary and permanent dentitions.

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Generalized Enamel Hypoplasia

A condition where the enamel is abnormally thin or pitted, caused by systemic factors during tooth development.

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Clinically, how does generalized enamel hypoplasia present?

Horizontal rows of pits on the enamel surface, indicating the timing and severity of a systemic factor during tooth development.

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Dental Fluorosis

A condition that affects the enamel of teeth due to excessive fluoride intake during tooth development. It can range from mild white spots to severe discoloration and chipping.

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How does Fluoride affect enamel?

Fluoride disrupts the normal function of ameloblasts, which are cells responsible for enamel formation. This leads to defects in both matrix formation and calcification of enamel.

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Dentinogenesis Imperfecta

An inherited disorder affecting dentin formation, resulting in fragile teeth with translucent, brownish-yellow coloration.

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Which teeth are affected by Dentinogenesis Imperfecta?

Both deciduous (baby) and permanent teeth are affected by Dentinogenesis Imperfecta.

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Tetracycline Pigmentation

Tetracycline, an antibiotic, can bind to calcifying tissues during tooth development, leading to stained and hypoplastic enamel.

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How does Tetracycline Affect tooth color?

Tetracycline deposition occurs along the growth lines of enamel and dentin, often resulting in the entire tooth being discolored.

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Pulp Obliteration in Shell Teeth

A major characteristic of Shell Teeth where the pulp chamber and root canal are filled with poorly formed dentin, often leading to early pulp exposure.

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Abnormal Dentinal Tubules in Shell Teeth

A distinguishing feature of Shell Teeth, with dentinal tubules that are fewer, wider, and more irregular than normal, contributing to reduced tooth strength and increased susceptibility to decay.

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Total Anodontia

Absence of all teeth, often associated with a genetic disorder affecting ectodermal development.

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Partial Anodontia (Hypodontia)

The absence of one or more teeth, either due to failure in tooth development or failure to erupt.

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Hereditary Ectodermal Dysplasia

A hereditary disorder affecting the development of ectodermally derived structures, like skin, hair, nails, and teeth.

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Dens Invaginatus

An invagination of all layers of the enamel organ into the dental papilla during odontogenesis, resulting in the formation of an enamel-lined cavity that communicates with the surface.

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Supernumerary Roots: Diagnosis

Supernumerary roots are diagnosed radiographically.

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Dentition Affected: Hereditary vs Acquired

Hereditary dental defects affect both deciduous and permanent dentitions, while acquired defects affect only one, usually the permanent dentition.

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Enamel or Dentine: Hereditary vs Acquired

Hereditary enamel defects typically affect either enamel or dentine, whereas acquired defects impact both.

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Defect Orientation: Hereditary vs Acquired

Hereditary enamel defects often present as diffuse or vertically oriented pits or defects, while acquired defects tend to be horizontally oriented.

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Types of Amelogenesis Imperfecta

Amelogenesis imperfecta can present as either hypoplasia, where the enamel is thin, or hypocalcification, where the enamel is weak, or a combination of both.

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What is Dental Fluorosis?

Dental fluorosis is a condition caused by excessive fluoride intake during tooth development. It can range from mild white spots to severe discoloration and chipping.

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What is Dentinogenesis Imperfecta?

Dentinogenesis imperfecta is an inherited disorder affecting dentin formation, resulting in fragile teeth with a translucent, brownish-yellow coloration. This condition affects both deciduous and permanent teeth.

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Fusion of Teeth

The union of two adjacent tooth germs, which results in a single tooth with two crowns and one root. The number of teeth is reduced by one.

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Concrescence

A rare condition where two teeth are joined along their roots by cementum after root formation is complete. Often caused by trauma or overcrowding.

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Dilaceration

A sharp bend or angulation along the long axis of a tooth, usually caused by trauma during root development. This bend can occur anywhere along the tooth.

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Talon Cusp

An extra cusp on the tooth that resembles an eagle's talon. It's a rare occurrence.

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Gemination

A condition where a single tooth germ partially divides, leading to a tooth with two crowns but one root. The number of teeth remains the same.

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Partial Anodontia / Hypodontia

The absence of one or more teeth, either due to failure of the teeth to develop or failure to erupt.

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What are Supernumerary Teeth?

An extra tooth beyond the normal number. It is more common in the maxilla than the mandible and are often found in the permanent dentition.

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What is a Mesiodens?

A supernumerary tooth located between the maxillary central incisors.

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What is a Distomolar?

A supernumerary tooth located distal to the third molar.

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What is a Paramolar?

A supernumerary tooth located on the buccal surface of upper molars.

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What is Cleidocranial Dysplasia?

A hereditary rare disease characterized by deficient growth of bones developed in membranes, like the skull and clavicle.

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What is Microdontia?

An abnormal small tooth.

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What is Macrodontia?

An abnormal large tooth.

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What are the common teeth affected by Macrodontia?

The most commonly affected single tooth are maxillary central incisors, canines, followed by maxillary lateral and third molars.

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Dens in Dente (Dens Invaginatus)

A condition where a tooth develops an enamel-lined cavity within its pulp, appearing as a "tooth within a tooth".

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Congenital Syphilis

A condition caused by syphilis infection during fetal development. It can lead to characteristic abnormalities in teeth, particularly the upper central incisors and first molars.

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Hutchinson's Teeth

The permanent upper central incisors may appear barrel-shaped, with a central notch and rounded incisal angles, resembling a screwdriver. These teeth may also exhibit enamel hypoplasia.

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Moon's and Mulberry Molars

The first permanent molars may have a constricted occlusal surface, rounded angles, and a dome-shaped appearance (Moon's molars) or a rough, pitted occlusal surface with multiple tubercles (mulberry molars).

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Abnormal Tooth Structure

Developmental disturbances that affect the structure of teeth, impacting either enamel, dentin, or both. These anomalies can be hereditary or acquired.

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What is Hereditary Enamel Hypoplasia?

Hereditary enamel hypoplasia is a condition where the enamel matrix is deficient, resulting in thin, hard, and translucent enamel. Teeth tend to be smaller in size.

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What is Hereditary Enamel Hypocalcification?

Hereditary enamel hypocalcification is a condition where enamel mineralization is defective, resulting in soft, opaque, and dull enamel.

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What is Turner's Tooth?

Turner's tooth is a localized enamel hypoplasia affecting one or two teeth. It is caused by trauma or infection during tooth development.

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What is Acquired Enamel Hypoplasia?

Acquired enamel hypoplasia is often confined to permanent teeth and can be caused by local factors like trauma or infection.

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How can trauma affect tooth development?

Trauma to upper deciduous incisors can result in pigmentation of the enamel, usually on the labial surface.

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How can infection affect tooth development?

Periapical infection of a deciduous molar can reach the developing tooth germ of the succeeding premolar, causing enamel hypoplasia.

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How do Hereditary and Acquired Enamel Hypoplasia differ in terms of dentition affected?

Hereditary enamel hypoplasia affects both deciduous and permanent teeth, while acquired enamel hypoplasia mainly affects the permanent dentition.

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How do Hereditary and Acquired Enamel Hypoplasia differ in terms of enamel or dentin affected?

Hereditary enamel hypoplasia usually involves only enamel or dentin, while acquired enamel hypoplasia often affects both enamel and dentin.

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What are Shell Teeth?

A rare dental condition characterized by small, bulbous crowns, short roots, and a constricted neck, giving the teeth a bulbous appearance.

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What is Pulp Obliteration in Shell Teeth?

The pulp chamber and root canal are filled with poorly formed dentine, often leading to early pulp exposure.

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How are Dentinal Tubules Abnormal in Shell Teeth?

Dentinal tubules in Shell Teeth are fewer, wider, and more irregular than normal, contributing to reduced tooth strength and increased susceptibility to decay.

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Describe the Abnormal Pulp in Shell Teeth?

The pulp space is wide, lacking a normal odontoblastic layer, and filled with coarse fibrous connective tissue.

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Why is Early Pulp Exposure common in Shell Teeth?

Early pulp exposure is common, due to the thin enamel and abnormal dentin making the teeth more vulnerable to decay.

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Generalized Enamel Hypoplasia: Appearance

Acquired enamel hypoplasia usually presents as horizontal rows of pits on the enamel surface, which correspond to the time of development, duration, and severity of the systemic environmental factor.

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Dental Fluorosis: Cause

Excessive Fluoride intake during tooth formation can disrupt ameloblasts, leading to enamel defects, ranging from mild white spots to severe discoloration and chipping.

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Partial Anodontia

Absence of one or more teeth, either due to failure of the teeth to develop or failure to erupt.

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Dens in Dente

A tooth-like structure forms within the pulp of the tooth, giving it the appearance of a "tooth within a tooth". Often seen in upper lateral incisors and can lead to caries, pulp infection, and periapical disease.

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Amelogenesis Imperfecta

A hereditary condition affecting enamel formation in both primary and permanent teeth, manifesting as thin enamel (hypoplasia), weak enamel (hypocalcification), or a combination of both.

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Local Factors Affecting Tooth Development

Local factors such as trauma, infection, or irradiation that can affect tooth development.

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Systemic Factors Affecting Tooth Development

Systemic factors, such as nutritional deficiencies, fevers, hormonal disturbances, or medications which can impact overall tooth formation.

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Shape Abnormalities

A condition where teeth are malformed or improperly shaped. This can arise from a range of factors, including trauma, infection, or genetic predispositions.

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Enamel Hypoplasia

A condition where the enamel of teeth is abnormally thin or pitted, typically caused by systemic factors such as nutritional deficiencies or infections.

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Hereditary Enamel Hypoplasia

A condition where tooth enamel is too thin, smooth, hard, and translucent. Teeth are often smaller in size.

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Hereditary Enamel Hypocalcification

A condition where tooth enamel is normally thick, but has poor mineralization. It leads to weak, opaque, and dull enamel that easily fractures.

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Turner's Tooth

Localized enamel hypoplasia affecting one or two teeth, usually caused by trauma or infection occurring during tooth development.

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Acquired Enamel Hypoplasia

Acquired defects of enamel are usually confined to the permanent dentition. They often originate from local factors.

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Trauma and Enamel Hypoplasia

Trauma to upper deciduous incisors can result in pigmentation of the enamel, usually on the labial surface.

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Infection and Enamel Hypoplasia

Periapical infection of a deciduous molar can reach the developing tooth germ of the succeeding premolar, causing enamel hypoplasia.

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Dentition Affected: Hereditary vs. Acquired Enamel Hypoplasia

Hereditary enamel hypoplasia affects both deciduous and permanent teeth. Acquired enamel hypoplasia primarily affects the permanent dentition.

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Enamel or Dentine: Hereditary vs. Acquired Enamel Hypoplasia

Hereditary enamel hypoplasia usually involves only enamel or dentin. Acquired enamel hypoplasia often affects both enamel and dentine.

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What is Taurodontism?

An enlargement of the tooth trunk with apical displacement of the bifurcation or trifurcation, resulting in short roots.

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What is the pathogenesis of Taurodontism?

The failure of Hertwig's epithelial root sheath to invaginate at the proper horizontal level to form the furcation area.

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What is an Enamel Pearl?

A small, spherical enamel projection found on the root surface near the bifurcation or trifurcation area, typically on maxillary molars.

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What is the pathogenesis of Enamel Pearl?

Abnormal displacement of ameloblasts below the amelodentinal junction or differentiation of epithelial root sheath cells into ameloblasts, causing enamel nodule formation.

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What is Dens Invaginatus (Dens in Dente)?

An invagination of all layers of the enamel organ into the dental papilla during tooth development, resulting in an enamel-lined cavity that communicates with the surface.

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What is the pathogenesis of Dens Invaginatus?

Invagination of all layers of the enamel organ into the dental papilla during odontogenesis.

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What are Supernumerary Roots?

Extra roots found most commonly in premolars, canines, and third molars.

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How are Supernumerary Roots Diagnosed?

Supernumerary roots are diagnosed radiographically.

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Fusion

The union of two adjacent tooth germs, resulting in a single tooth with two crowns and one root. The number of teeth is reduced by one.

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What is Dens in Dente (Dens Invaginatus)?

A condition where a tooth develops an enamel-lined cavity within its pulp, giving it the appearance of a "tooth within a tooth".

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What is congenital syphilis?

A condition caused by syphilis infection during fetal development, leading to characteristic abnormalities in teeth.

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What are Hutchinson's Teeth and Moon's and Mulberry Molars?

This condition can lead to characteristic abnormalities in teeth, particularly the upper central incisors and first molars.

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Study Notes

Developmental Disturbances of Teeth: Classification

  • Number Abnormalities (defective initiation): Variations in the number of teeth, either fewer (hypodontia/anodontia) or more (hyperdontia).

    • Hypodontia/Anodontia: Absence of one or more teeth
      • Can be total (absence of all teeth) or partial (absence of some teeth)
      • Often associated with hereditary ectodermal dysplasias. Can also occur in isolation.
      • True anodontia = Teeth fail to develop
      • Pseudoanodontia = Teeth develop but fail to erupt (embedded or impacted).
      • False anodontia = Occurs as the result of tooth loss.
      • Total absence of all teeth is exceedingly rare.
      • It usually occurs in association with hereditary ectodermal dysplasia ("Streeter's Syndrome").
      • May be associated with cleft palate.
      • May result from radiation therapy during tooth formation.
    • Hyperdontia: Presence of more teeth than normal
      • Includes pre-deciduous, post-permanent, and supernumerary teeth
      • Associated with cleft palate, radiation treatment, familial incidence
  • Size Abnormalities (defective proliferation): Variations in tooth size.

    • Microdontia: Teeth smaller than normal. Localized or generalized; may affect tooth size relatively in relation to other structures (relative microdontia). Common affected teeth include maxillary lateral incisors and third molars.
      • May be generalized (all teeth are smaller than normal) or localized (a single or group of teeth is smaller)
      • Normal-sized teeth can appear small in large jaws (relatively generalized).
    • Macrodontia: Teeth larger than normal. Localized or generalized; may affect tooth size relatively in relation to other structures (relative macrodontia). Common affected teeth include maxillary central incisors, canines and third molars.
      • May be generalized (all teeth are larger than normal) or localized (a single or group of teeth is larger).
  • Shape Abnormalities (morpho-differentiation): Variations in tooth shape.

    • Gemination: A single tooth germ divides into two or more, resulting in multiple crowns
      • May be completely or incompletely separated crowns.
    • Fusion: Two or more adjacent tooth germs fuse to form one tooth
      • Fusion may be complete or incomplete, affecting either the crowns or roots or both.
      • May be related to trauma, heredity, or crowding.
    • Concrescence: Fusion of tooth roots after crown formation is complete.
      • Roots fused together but with separate crowns
    • Dilaceration: A sharp bend or curve in the tooth's long axis
      • Caused by trauma during root development.
    • Talon Cusp: An extra cusp resembling an eagle's talon. (Usually on mandibular incisors)
    • Taurodontism: Elongated tooth with the pulp chamber extending towards the apex.
    • Dens Invaginatus: A portion of the enamel invaginates into the crown's pulp. (Dens in dente)
      • Involves enamel invaginating into the tooth's crown.
    • Enamel pearl: A small, spherical enamel projection on a tooth's root. Usually found on maxillary molars.
      • Small, spherical protrusion of enamel located on tooth root near the bifurcation.
  • Structure Abnormalities (defective apposition and calcification): Variations in the tooth structure.

    • Defects of enamel: Disorders in enamel formation.
      • Hereditary: (eg., amelogenesis imperfecta)
      • Acquired (from local or systemic factors, eg. trauma, infection, or nutritional deficiencies)
    • Defects of dentin: Disorders in dentin formation.
      • Dentinogenesis imperfecta
    • Defects of enamel and dentin: Combined defects.
      • Regional odontodysplasia
      • Enamel hypoplasia/Hypocalcification (permanent teeth, except for cases of endemic fluorosis)

Tooth Eruption Abnormalities (defective eruption):

  • Premature eruption: Teeth erupt earlier than normal
  • Delayed eruption: Teeth erupt later than normal
  • Embedded/Impacted teeth: Teeth remain trapped within the jawbone
  • Submerged teeth: Teeth erupt but are covered by the gum

Additional Teeth:

  • Predeciduous
  • Post-permanent
  • Supernumerary

Supplemental Teeth:

  • Occur before the permanent teeth
  • Small in size
  • Usually in the mandibular incisor area
  • May be seen before the formation of the enamel organ

Other Abnormal Tooth Types:

  • Cleidocranial Dysplasia: Rare hereditary condition, characterized by skeletal abnormalities such as delayed or missing bone development and failure to close the skull sutures.
  • Total Anodontia: Complete absence of all teeth
  • Partial Anodontia: Absence of some teeth
  • Additional classification of additional teeth includes Predeciduous teeth, Post-permanent dentition and Supernumerary teeth
  • Cleidocranial dysostosis: Genetic condition characterized by delayed or missing bone development, including in the skull and collarbone (clavicle). Delayed tooth development is one manifestation, not the defining one.
  • Anodontia: Total anodontia is rare and often accompanies ectodermal dysplasia
  • Congenital syphilis (Prenatal syphilis): Infection of the fetus during pregnancy that can affect tooth development in children.

Oral Manifestations

  • Some of the common oral manifestations include abnormal, cone-shaped or retarded teeth in eruption; high or cleft palate; underdevelopment of salivary glands; and deficiencies in alveolar process height.

Tooth Size Abnormalities (Microdontia/Macrodontia)

  • Microdontia: All/Localized, Generalized/Relative. Common affected teeth include maxillary lateral incisors and third molars, affects one single tooth (eg., peg lateral incisors). May be due to hereditary/systemic factors.
  • Macrodontia: All/Localized, Generalized/Relative. Common affected teeth include maxillary central incisors, canines and third molars. May also affect multiple teeth or just one tooth. May be due to hereditary/systemic factors.

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Dental Anomalies PDF

Description

Explore the classification of developmental disturbances in teeth, including number, size, and shape abnormalities. Learn about conditions such as hypodontia, hyperdontia, microdontia, and more. This quiz will test your understanding of these dental anomalies and their implications.

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