Enamel Flashcards
Calcification begins at _____
Cusp tips and moves down (incisal edges first)
Timing of calcification?
Long process
What promotes calcification?
Proteins- don’t worry about specific ones
Ealry maturation stage
loss of organic matter and water and influx of mineral salts
Know eruption sequences!
If a patient is missing a tooth which stage of development was disturbed? When?
Initiation- same for extra tooth
in utero-know when
Has an extra tooth? which stage
initiation-specifically bud stage
patient has a weird shaped tooth? (peg lateral)
Morphodifferentiation
If a patient has weird colored teeth, which stage?
Apposition-genetic
One tooth weird color?
Maybe calcification
Patient is 16 and tooth is impacted which stage is disturbed?
eruption
Hypodontia and Anodontia affects what (%)
primary teeth 0.1-.7%
Permanent 2-9%
Most likely to be missing
3rd molars > upper laterals > 2nd premolars > lower centrals
Syndromes with hypodontia
Ectodermal dysplasia and orofacial clefts
Dental anomalies with initiation
hypodontia and supernumerary
Anomalies with proliferation
gemination and fusion
Anomalies with Morphodifferentiation
Macrodontia, microdontia, dens in dente, dens evaginatus, talon cusp
Anomalies of aposition/calcification-with enamel
amelogenesis imperfecta, molar-incisor hypomineralization, fluorosis, tooth discoloration
anomalies of aposition and calcification of dentin
dentinogenesis imperfecta, dentinal dysplasia
Supernumerary teeth %’s
primary teeth .3-.8%
Permanent 1-3.5%
Supernumeray more common in which jaw? %?
Maxilla-98%
Mesiodens
supernumerary teeth in the midline
Shape of supernumerary teeth
normal or conical/tuberculate
Syndrom of supernumary
clediocranial dysplasia
cleidocranial dysplasia
a shit ton of extra teeth-commonly causes lots of impaction
Double tooth-two options
fusion or gemination
% of double teeth prim and perm
2.5% prim
.2% permanent
Fusion
joining of two tooth germs-usually two teeth of normal series-2 roots
number of roots in fusion
2
number of teeth in mouth with fusion
normal - 1
Gemination
two tooth buds from a single tooth germ-normal number of teeth-one root canal
number of root canals in gemination
1-tooth number normal tho
macrodontia
tooth larger than normal-NOT fusion or gemination
Syndromes of Macrodontia
KBG syndrome, hemi facial hyperplasia
% of macro dontia
1.1% in permanent
Microdontia and %
Small tooth- 2.0% in perm
Most common tooth of microdontia
max lat (peg) and 3rd molars
Syndrome of microdontia
pituitary dwarfism
Dens in dente
developmental invagination in the cingulum pit
% of perm teeth with dens in dente
4.0%
Most common tooth with dens in dente
max lat
Dens evaginatus
tubercle projecting from the occlusal surface
Commonality of dens evaginatus
~4%
Dens evaginatus affects what race commonly
asian
Most common tooth of dens evaginatus
premolars
Asians most commonly have this defect
dens evaginatus
Talon cusp and %
hornlike projection of the cingulum ~1-2%
Most common tooth of talon cusp
max cent incisor
Amelogenesis imperfecta
inherited defect of enamel
Prevalence of amelogenesis imperfecta
1:14,000
Teeth affected by amelogenesis
prim and perm
Phenotypes of amelogenesis
slide 49
hypoplastic
50
Hypomaturation
insuficient removal of enamel proteins causing poor crystal quality causing normal thickness but soft and rough surface
Phenotype of hypomaturation
yellow-brown friable enamel
enamel is rapidly lost by attrition and teeth are sensative
anterior open bite is infrequent
Hypocalcified phenotype
insufficient calcification of enamel –> normal thickness but friable
Visual of hypocalcified
yellow brown or orange brown
enamel lost by attrition-teeth sensative
ant open bite frequent!!!
Teeth acumulate calculus deposits
Molar incisor hypomineralization and prevelance
localized opacity or breakdown in permanent molars and incisors—prevalence of 10% very high
etiology of molar incisor hypomineralization
disturbance of tooth formation (i.e. high fever) between birth and 1st year
MIH (molar incisor hypomin) enamel thickness and surface
normal thickness-smooth and white, brown or yellow
boundary adj to normal enamel
distinct boundary
breakdown in MIH?
may or may not be
where is opacity in MIH?
incisal 1/3
restoration in perm molars of MIH
atypical or extensive caries
Enamel Hypoplasia
defect in quantity of enamel-caused by intitial failure of deposition of enamel protein or mineralization defect
Enamel hypoplasia general or localized?
localized to one tooth
Enamel hypoplasia is related with _____ of the primary dentition
dental trauma
fluorosis
slide57
tooth discoloration
59
dentinogenesis imperfecta
61
Dentinal dysplasia and prevalence
inherited defect of dentine-1:100,000-primary and perm