dental anomolies 2 Flashcards
Gemination
which dentition?
Attempt of a single tooth bud to divide, resulting in a bifid crown
Affects deciduous and permanent dentition
clinical features gemination
tooth count?
MC where?
Tooth count is normal when anomalous tooth is counted as one
MC in the anterior maxilla
gemination radio app
bifid crown with shared root canal
gemination
Fusion
Affects which dentition
Union of two normally separate tooth buds → form a joined tooth
Affects deciduous and permanent dentition
fusion clinical features
tooth count? MC where?
Tooth count reveals missing tooth when anomalous tooth is counted as one
MC in anterior mandible
fusion radio app
seperate canals usually present
fusion
Concrescence
Two fully formed teeth joined by root surfaces by cementum
concresence Clinical features:
MC where?
Often involves which teeth?
May result from?
MC in posterior maxilla
Often involves 2nd molar – root in close proximity to 3rd molar
May result from postinflammatory/carious tooth
Talon cusp Clinical features:
Extends how far on tooth?
MC in which dentition?
MC in which teeth?
MC what ethnics?
Well-delineated additional cusp located on the surface of an anterior tooth
Extends at least half the distance between CEJ and incisal edge
MC in permanent dentition
MC in maxillary lateral > central incisor
MC in Asian, Inuit, Native American
talon cusp
Dens evaginatus Clinical features:
defined?
where on tooth?
Observed where in arch? MC tooth?
MC in what arch?
MC in ethnics?
May result in?
Dens evaginatus
Clinical features:
Cusp-like elevation of enamel
central groove or lingual ridge of the buccal cusp
Observed in posterior teeth (premolar MC)
MC in mandible
MC in Asian, Inuit, Native Americans
May result in occlusal interference
Dens evaginatus Frequent association with?
shovel shaped incisors (high marginal ridges)
Dens invaginatus/ Dens in dente
Clinical features:
Defined?
MC teeth?
may become?
Deep surface invagination of the crown or root lined by enamel
MC permanent maxillary lateral and central incisors
“tooth within a tooth”
Opening may become carious
types of dens invaginatus
type 1: only in crown
type 2: past CEJ
type 3: perforation possible
dens en dente
Enamel pearl Clinical features:
def?
MC which teeth?
MC at area on tooth?
periodontal attachment?
Presence of enamel in an unusual location
MC max molars > mandibular molars
MC at furcation area or near CEJ
Precludes normal periodontal attachment, PDL not adhered to enamel
enamel pearl
Taurodontism
def?
Isolated or syndromic?
may be associated with?
Enlargement of the body and pulp chamber of a multi-rooted tooth
Isolated or syndromic
may be associated with cleft lip/palate
Taurodontism Clinical features:
Pulp chambers?
Mild/severe?
MC in which teeth?
May appear?
Pulp chambers – increased apico-occlusal height
Mild to severe cases
MC in permanent teeth
May appear bilateral
taurodontism
Hypercementosis
def?
Isolated or many teeth?
Generalized pattern; consider?
Associated with?
Non-neoplastic deposition of excessive cementum along the root
Isolated or involve multiple teeth
Generalized pattern: consider Paget disease
Associated with local factors like trauma, inflammation