Anatomy of Oral Cavity Flashcards
Retromolar pad
Tissue covering retromolar
Fornix
Deepest part of fornix.
Dental anomalies
Related to embryonic development. Excess, absence or deformity of a body part. Common on maxillary arch, less so on mandibular arch. More common on permanent dentition.
Anodontia
Absence of teeth- total and partial.
Adentuous
No teeth because of extraction.
Ectoderm
responsible for generating teeth, nails, hair, sebaceous and salivary glands.
Ectodermal displasia
No teeth, no eyebrows, no hair, teeth, nails, glands.
Partial anodontia
Most commonly missing adult teeth: third molars (especially max.), max lateral incisors 1-2% of pop, mandibular second premolars 1%.
Missing primary
Mandibular central incisors - occasionally permanent mand. central incisor is also missing. Very rare anomaly.
Extra or supernumerary teeth
Permanent dentitions and 90% of max arch. Low occurance in primary dentition. Max incisor area, third molar area, mand. premolar area.
Extra max central incisor
Sometimes missing lateral. Most common area for having a spare tooth.
Mesiodens
Develop from a single lobe.Mesiodens located on midline
Extra molars ** check this, this doesn’t make too much sense.
Paramolar: located buccal or lingual
Distomolar: behind molars.
Fourth molar: located buccal or lingual
Gardner Syndrome
Too many damn teeth.
Malformed third molars
Can adopt any shape. Can fuse at rootline, or have some heavy flexion or distortion. Many tubercles can be present.
Peg shaped max lateral incisors
Crown anomaly - one lobed - similar in shape to mesiodens.
Peg shaped max central incisors
Exactly what it sounds like. Usually no max lateral.
Gemination
Twinning. One crown double in width, one root, on pulp chamber and canal. Looks like 2 (twins), (primary and anteiror). One germ divides or splits (should normally form a single tooth).
Fusion
Two adjacent crowns fuse and appear double in width (two roots, two pulp chambers and canals). Need to differentiate this from gemination. During development, germs fuse.
Sometimes this can happen with supernumerary paramolar fused to a third molar.
Hutchinson’s Incisors
Congenital Syphilis. When a mother has syphilis, child will likely die, but child can survive (unlikely). Certain teeth have a shape to them because of this. Wide at CEJ, have a notch on incisal edge - do not confuse with gemination or twinning. Called screwdriver shape.
Mulberry molars
first molars - have a lot of little tubercles on occlusal surface. Again, a result of syphilis.
Accessory cusps, tubercles and ridges
What this sounds like.
Unusually prominent ridge on facial of max central incisor
Kinda looks like a canine.
Tuberculum intermedium
Third (middle) lingual cusp on mand molars.
Talon cusp
Similar to extra lingual cusp.
Overgrown marginal ridge
Talon cusp - can have groove that extends into root surface. Max lateral.
Variations in tooth size
Macrodontia affects incisors and canines, microdontia affects max lateral incisors and third molars.
Shovel shaped max incisors
More common in american indians, asian, mongoloid and eskimos.
Dilaceration vs flexion
Severe bending. NOT the same thing, often used as if the same.
Main difference is that flexion is that there is a deviation at root level. Dilaceration - flexion takes place between crown and root.
Enamel pearls
Often near furcation of molars. Little pearls of enamel with a tiny pore of dentin inside. These are troublesome, cause a lack of periodontum attachment in the area.
Taurodontia
Bull tooth - molars. Found in neanderthals, native americans, eskimos. Large pulp cavity - little to no constriction in roots. Looks like two pulp chambers opposing each other.
Dens in dente
Tooth within a tooth. Dens invaginatus. Very prone to decay- seal this right away. Affects 5% of population.
Hypercementosis
Thickening of cementum - a lot of it - trauma or metabolic dysfunction, or infection. This happens after development. NOT EMBRYOLOGICAL. In essence, a webbed tooth.
Concrescence of roots
Do not confuse with fusion. Joining of cementum of adjacent teeth after eruption. Fusion happens during development.
Dwarfed roots
Hereditary or orthodontic movement. Halts root growth, making it too short.
Extra accessory roots
Common in third molars, and mand first and second. Mandibular canine commonly has 2 roots. Premolar can have buccal and lingual roots. Can also be found on primary canines (very very rare). Max first premolars can have 3 roots - two buccal, one lingual.
Tooth position anomalies
Impacted - unerupted
Transposition - tooth coming in to nose - ectopic eruption.
Tooth rotation
Ankylosis
Impacted
In wrong position because of root position - unerupted. It cannot erupt because of this.
Transposition
Malpositioned lateral incisors and canines switch places.
Rotated max second premolar
Tooth position anomaly.
Ankylosis
Failure to complete eruption due to trauma or infection. Loss of periodontal ligament, root fused to bone.
Enamel dysplasia
Abnormal enamel formation
- amelogenesis imperfecta
- fluorosis
- enamel damage from high fever
- focal hypermaturation
Dentin dysplasia
Abnormal dentin formation
- Dentinogenesis imperfecta
- tetracycline stain.
Infraversion
Tooth does not reach occlusal plane.
Supraversion
Tooth passes occlusal plane
Labial/lingualversion
What it sounds like.
Amelogenesis imperfecta
Faulty enamel formation - hereditary total or partial lack of enamel. Both dentitions tend to have this. Have pitted surface, you can usually see dentin underneath. Tend to be brown/yellow in color. Look rough in terms of surface.
Fluorosis
From too much fluoride during tooth formation. Mild = mottled enamel
severe = pitted enamel.
Pitted enamel
Damage due to high fever. As a result of this, there can be a problem with enamel development. Usually on occlusal 1/3rd.
Enamel hypoplasia
Hypomaturation - local or generalized. Focal enamel hypoplasia (turner’s tooth - from local trauma or infection - like an abscess on primary tooth). Used often in archeology.
Dentinogenesis imperfecta
Faulty dentin formation - hereditaryin both dentitions. These teeth have no pulp chamber- only enamel, no dentin. Extremely prone to decay. Teeth look very opalescent.
Biliary Atrisia
Confused with amelogenesis imperfecta. When you see stripes of green on incisal or cervical surfaces. This means that this person can have a blockage of the biliary duct that connects liver with gall bladder.
Tetracycline stain
Drug taken while tooth forming in embryo - causes a different in color and stain. Age 8 or 9+ is when you can start giving this drug. This affects the dentin, not enamel.
Reactions to injury
- Attrition
- Abrasion
- Abfraction
- Erosion
Attrition
Wear of enamel and dentin due to opposing tooth contact - bruxism.
Abrasion
Wear of tooth structure by mechanical means - tooth brush, tooth pick, tobacco. Abrasive products, incorrect tooth brushing.
Abfraction
Bending of tooth due to heavy occlusion with enamel chipping off at cervical.
Erosion
Wear of tooth structure due to chemical agents. Citric acids, carbonated beverages, bulimic patients.
Bruxism
Normally teeth contact 20-40 minutes a day. Patients with this contact 40 minutes every hour during the evening - attrition.
More unusual
Mand molars with max molar anatomy.