Ch. 307 - Development and Developmental Anomalies of the Teeth Flashcards

1
Q

Primary teeth form in dental crypts by ___ weeks of fetal life

A

12

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2
Q

The permanent 1st, 2nd, and 3rd molars arise from buds that develop at approximately __, ___, and ___

A

4 mos of gestation, 1 yr of age, 4-5 yr of age

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3
Q

Lay down an organic matrix that forms enamel

A

Ameloblast

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4
Q

Calcification of primary teeth begins at ___ and concludes at ___ with mineralization of the 2nd primary molars

A

3-4 months in utero; postnatally at approximately 12 months

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5
Q

Primary dentition: Earliest to calcify

A

Maxillary central incisor at 3-4 month in utero

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6
Q

Primary dentition: Last to calcify

A

Maxillary second molar at 6 months in utero

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7
Q

Permanent dentition: Earliest to erupt

A

Mandibular central incisor at 6-7 years

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8
Q

Permanent dentition: Last to erupt

A

Third molar at 17-21 years

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9
Q

Occurs when no tooth buds form as in ectodermal dysplasia or when there is a disturbance of a normal site of initiation (e.g. area of a palatal cleft)

A

Anodontia

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10
Q

Teeth that are most commonly absent

A

1) 3rd molars 2) Maxillary lateral incisors 3) Mandibular 2nd premolars

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11
Q

Occurs when the dental lamina produces more than the normal number of buds

A

Supernumerary teeth

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12
Q

MC location of supernumerary teeth

A

Between maxillary central incisors

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13
Q

2 teeth joined together

A

Twinning

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14
Q

Twinning is most often observed where

A

Mandibular incisors of the primary dentition

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15
Q

Twinning can result from 3 phenomena

A

1) Gemination 2) Fusion 3) Concrescence

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16
Q

Result of the division of 1 tooth germ to form a bifid crown on a single root with a common pulp canal

A

Gemination

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17
Q

Joining of incompletely developed teeth that, owing to pressure, trauma, or crowding, continue to develop as 1 tooth

A

Fusion

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18
Q

Single wide crown supported on 2 roots

A

Fusion

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19
Q

Attachment of the roots of closely approximated adjacent teeth by an excessive deposit of cementum

A

Concrescence

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20
Q

Type of twinning that is found most often in the maxillary molar region

A

Concrescence

21
Q

Group of hereditary conditions that manifest in enamel defects of the primary and permanent teeth without evidence of systemic disorder

A

Amelogenesis imperfecta

22
Q

Teeth are covered by only a thin layer of abnormally formed enamel through which yellow underlying dentin is seen

A

Amelogenesis imperfecta

23
Q

T/F Susceptibility to caries is low in Amelogenesis Imperfecta

24
Q

Main problem in amelogenesis imperfecta

A

Enamel is subject to destruction from abrasion

25
Management of amelogenesis imperfecta
Complete coverage of the crown for dentin protection, to reduce tooth sensitivity, and for improved appearance
26
Odontoblasts fail to differentiate normally resulting in poorly calcified dentin
Dentinogenesis imperfecta
27
Enamel-dentin junction is altered, causing enamel to break away
Dentinogenesis imperfecta
28
Opaque white patches or horizontal lines on the tooth
Hypocalcification
29
Pitting or areas devoid of enamel
Hypoplasia
30
Mottled enamel
Fluorosis
31
Fluorosis can result from systemic fluoride consumption ___ amount during enamel formation
>0.05mg/kg/day
32
Fluorosis can be caused by
1) Residing in an area of high fluoride content of drinking water >2.0ppm 2) Swallowing excessive fluoridated toothpaste 3) Inappropriate fluoride prescriptions
33
Fluorosis presents clinically as
Inconspicuous white, lacy patches on the enamel to severe brownish discoloration and hypoplasia
34
Severe brownish discoloration and hypoplasia in severe fluorosis are usually seen with fluoride concentrations in the drinking water > ___
5.0ppm
35
Neonatal condition that can produce blue to black discoloration of the primary teeth
Hyperbilirubinemia
36
Produces red-brown discoloration of teeth
Porphyria
37
If administered during the period of enamel formation, this can result in brown-yellow discoloration and hypoplasia of enamel
Tetracyclines
38
Cause teeth to fluoresce under UV light
Tetracyclines
39
Period at risk for discoloration and hypoplasia due to tetracycline use
4 months of gestation to 7 years of life
40
Conditions associated with delayed eruption of the 20 primary teeth
1) Familial 2) Hypopituitarism 3) Hypothyroidism 4) Cleidocranial dysplasia 5) Trisomy 21
41
Premature loss of primary teeth is MCC by
Premature eruption of permanent teeth
42
If the entire dentition is advanced for age and sex, ___ or ___ should be considered
1) Precocious puberty 2) Hyperthyroidism
43
Natal teeth are observed in approx 1 in 2000 newborns in the position of the
Mandibular central incisors
44
Teeth that are present at birth
Natal teeth
45
Teeth that erupt in the 1st month of life
Neonatal teeth
46
Teeth whose attachment are limited to the gingival margin, with little root formation or bony support
Natal and neonatal teeth
47
T/F A radiograph can differentiate between a supernumerary and prematurely erupted primary tooth
T
48
T/F A family history of natal or premature eruption is present in affected children
T
49
Exfoliation failure occurs most commonly in what region
Mandibular incisor