dental anomolies 1 Flashcards
Enamel defects
Ameloblasts sensitivity?
Enamel defects may be caused by what factors?
Enamel remodeling?
Abnormalities etched?
Enamel defects
Ameloblasts: extremely sensitive to external stimuli
Enamel defects may be caused by local or systemic factors
Enamel remodeling does not occur after initial formation
Abnormalities etched permanently on tooth surface
Stages of enamel development
1) Matrix formation: enamel proteins laid down
2) Mineralization: minerals deposited, original proteins removed
3) Maturation: final mineralization, remaining original proteins removed> Hard, translucent enamel
Enamel defects
Timing of injury: affects?
Final enamel: record of?
Timing of injury: affects location and appearance of defect
Final enamel: record of all significant insults received during toothdevelopment
Enamel hypoplasia
large areas of missing enamel
Pits, fissures, grooves
enamel opacities
areas of enamel hypomaturation
diffuse or demarcated
White, yellow, brown
enamel hypoplasia of a systemic cause due to more generalized app
enamel opacities
turner hypoplasia
Clinical and Radiographic features:
Observed in which tooth? MC?
Traumatic cases?
app?
Extensive hypoplasia may involve?
RG?
Periapical inflammatory disease or trauma of overlying deciduous tooth
Clinical and Radiographic features:
Observed in permanent teeth – MC premolar
Traumatic cases – max central incisors
Focal areas of white, yellow, brown discoloration
Extensive hypoplasia – may involve entire crown
RG: lack of enamel, irregular surface dentin
severity of turner hypoplasia depends on?
timing on development, earlier= more severe
Antineoplastic therapy and development
Severity dependent on?
which is more severe?
Developmental abnormalities secondary to use of radiation orchemotherapy
Severity dependent on age of treatment, form of therapy, dose and field ofradiation
Radiation therapy – more severe alterations
Antineoplastic therapy
Clinical features:
Radiation:
Chemotherapy:
Radiation: Hypodontia, microdontia, radicular hypoplasia, enamel hypoplasia
Chemotherapy: enamel hypoplasia, microdontia, occasionally radicular hypoplasia
what previous medical tx likley occurred in this pt
antineoplastic tx
Dental Fluorosis
Ingestion of?
mechanism?
Dose?
Ingestion of excessive FL → significant enamel defects
Retention of amelogenin proteins in enamel → hypomineralized enamel
Dose dependent
fluorosis clinical features
color?
caries?
distribution?
White, opaque enamel, with areas of brown/yellow discoloration
Affected teeth are caries resistant
Bilateral, symmetrical distribution
fluorosis
Treatment: enamel defects
most defects are?
focal lose of enamel may lead to?
options?
Most defects are cosmetic
Focal loss of enamel – increased prevalence of caries
Composite restorations, veneers, full crowns
Tooth wear
Considered pathologic when?
Considered pathologic when the degree of destruction creates functional, aesthetic, or dental sensitivity problems
Attrition
Loss of tooth structure due to?
what can accelerate process?
Loss of tooth structure due to tooth-to-tooth contact
Poor-quality/absent enamel can accelerate process
attrition clinical features
Incisal and occlusal surfaces
Large, flat, smooth and shiny wear facets
Slow loss of tooth structure, reparative secondary dentin forms
Abrasion
defined?
MC agent
Pathologic wearing of tooth structure secondary to an external agent
Toothbrushing MC