Dental Anomalies Flashcards
deviation from normal, usually related to embryonic development that may result in the absence, excess, or deformity of body parts.
Does not mean abnormal
Anomaly
A genetic extremly disorder assocates wirh ectodermal dysplasia. Normally has associated abornmalities. Missing Teeth. Permanent or primary teeth.
Anodontia
What are the 3 types of adodontia?
- Complete Adodontia (no teeth at all)
- Hypodontia (abcesses of 1-6 teeth)
- Oligodontia ( abscess of 6+ teeth)
Adodontia is assocated with what?
Ectodermal Dysplasia (miss formation of ectoderm; bad skin, nerve, teeth)
?
Total anodontia (no teeth at all)
Total congenital abscense of a set of teeth Primary or secondary dentition. Rare
* Sex-linked genetic trait
Total anodontia
Ectodermal dysplasia reslts in what?
Development of ectoderm (outer embryonic cell layer) Affects:
* Hair, nails, sebaceous & sweat glands (cant sweat), salivary glands
Congenitally missing 1-6 teeth, may not be herediatry but commonly runs in famuly, radiograph required to assure missing teeth are acutally not there
partial anodontia
Which is the most commonly missing permanent tooth?
Maxillary 3rd molars
Partial anodontia
Which is the 2nd most commonly missing permanent teeth?
Max Lateral Incisors
Partial anodontia
Which is the third most frequently missing permanent teeth?
Mandibular 2nd PM
Partial anodontia
Which teeth are the LEAST likely to be absent from the dentition?
Canines! Stable, always there!
Partial anodontia
Wide space in between canine and central?
Narrow space between canine and central?
Wide space= extracted lateral
Narrow space= missing lateral
always confirm with x-ray
Partial anodontia
What are 2 other teeth that can somtimes be missing?
- Primary mandibular incisors
- Permanent mandibular central incisors
Extra teeth
Supernumerary teeth
* all diffrent shape and sizes
3 most common location for supernumerary teeth
- Maxillary Incisor Area
- Third Molar Area
- Mandibular Premolar Area
A small supernumerary tooth that is found bewteen central incisors.
* At maxillary midlines
* Conse shaped
* Short root
* May or may not be visible in oral cavity; uneruped cause diastema btwn centrals
Mesioden
Where is it less frequent to have a supernumerary tooth?
Btwn lateral and canine
?
Mesioden
an unerupted mesioden can causes what?
A diastema btwn centrals
?
Molar form mesioden
Supernumerary teeth distal to third molars
* More common in maxillary arch, can occur in mandible
* Rarely erupt
* Usually discovered through radiographs
Distomolars; para molar; 4th molars
Where is the most common location for mandibular supernumerary teeth?
Look like what?
- between the first and second premolar regions.
- Generally resemble normal premolars in size and shape
?
Supernumery tooth in the mandible
Where else can you have supernumery teeth in the mandible?
In bewteen central incisor areas
3 seperate roots
Abnormal Crown Morphology
Which third molars have the most variable crown shape of all permanent teeth, followed by which other thirds?
* Small peg shaped crown
* multi cupsts
* malformed vesrion of 1st or 2nd molar
- Maxillary 3rd molars are most odd
- Followed by mandible
What are the 6 abnormal tooth morphology?
- Abnormal Crown Morphology
- Abnormal Root Morphology
- Anomalies in tooth Position
- Additional Developmental Malformations
- Reactions to Injury after Eruption
- Unusual Dentitions.
Abnormal Crown Morphology
- The most common anomaly in tooth shape in anterior region of the permanent dentition.
- 1-2% of population
- Tooth is conical tapers cervically, blunt point
- 1 lobe
Peg shaped Max Lateral
?
Peg Shaped Lateral Incsiors
Extremely rare
Peg shaped centrals
Abnormal Crown Morphology
from the splitting (or twinning) of a single forming tooth.
* Tooth division is incomplete
* Double in width, notched
* single root, common pulp canal
* More in primary
* Most common in max incisors & cannines
Gemination or Twinning:
1 root 2 teeth, more teeth in arch
? What do you specifically call each?
Gernination!
* 4th molar
* 5th incsiors
The union of two adjacent tooth germs, always involving the dentin.
* Common in anteriors
* Primary more common
* Mandibular incisor area > Maxillary.
Fusion
2 teeth 2 roots, same number off teeth in arch
What does the radiograph of fusion abnormality look like?
2 seperate but fused roots with seperate pulp chambers.