L.2 Development of the Dentition Flashcards
When do the PRIMARY TEETH begin to develop?
6-8 weeks in utero
When do the PRIMARY TEETh begin to calcify?
14-19 weeks in utero
What are the first PRIMARY teeth to erupt? Which teeth?
6 months…mand centrals
Which Primary teeth typically come in the arch first, mandibular or maxillary?
mandibular, usually 2 months earlier than its maxillary counterpart
What are the LAST PRIMARY teeth into the dentition? When?
Maxillary 2nd molars…24 months
What are the three main stages of tooth development in order please? What are the OFFICIAL NAMES of these stages?
Bud (initiation), Cap(proliferation), Bell (differentiation)
What is the most common PRIMARY tooth to never develop?
Primary Maxillary Lateral Incisior
What is HANDS DOWN, the most common PERMANENT tooth to not develop?
3rd molar
Besides the MOST OBVIOUS Permanent tooth to be missing (3rd molar), what are the next three most common in order?
1.Mand 2nd PM 2.Max Lat Incisior 3.Max 2nd PM (most distal tooth in each set!)
Who is most effected by supernumerary teeth? male or female?
male 2:1
Are supernumeraries more common in the form of permanent teeth or primary teeth?
permanent (5:1)
Which arch has 90% of supernumerary tooth development?
maxilla
What percent of primary supernumerary teeth have a permanent successor?
33%
What two stages do gemination and fusion occur?
initiation (bud) and proliferation (cap)
When does concrescence occur?
after formation
What is more common fusion or gemination?
FUSION (94% of the time!)
Which teeth arise from Dental Lamina?
all non-succedaneous (so all primary teeth and permanent molars)
What are the 3 teeth most likely to me microdontic?
1.Maxillary Lateral Incisiors 2.2nd PMs 3.3rd molars
Some of the signs for Dentinogenesis Imperfecta: _______ is undermineralized
dentin
Some of the signs for Dentinogenesis Imperfecta: _______ color
opalescent
Some of the signs for Dentinogenesis Imperfecta: the pulp is ________ or small
obliterated
What is unique about type I dentinogenesis imperfecta?
it is also considered osteogenesis/brittle bones
What are 2 unique things about type II dentinogenesis imperfecta?
its TEETH ONLY and its more common
What is the unique thing about type III Dentinogenesis imperfecta?
its only found in Brandywine
What are these describing?: Enamel thin and wears easily Dentin and pulp normal Yellow discoloration
Amelogenesis imperfecta
What is the characteristic of type I Amelogenesis Imperfecta?
HypoPlastic
What is the characteristic of type II Amelogenesis Imperfecta?
HypoMaturation
What is the characteristic of type III Amelogenesis Imperfecta?
HypoCalcified
Which dental abnormality is associated with Nails, Hair, Teeth, Sweat glands?
Ectodermal Dysplasia
Which dental abnormality is associated with defective ameloblast maturation?
Enamel Hypocalcification
Which dental abnormality is associated with defective enamel matrix formation VitD, Illness in infancy/prematurity?
Enamel Hypoplasia
Apposition: Decreased number =
hypoplasia
Apposition: poor quality =
hypocalcified
Apposition: increased size =
hypertrophy
Which of the following is a hereditary dental defect in which the enamel of the teeth is soft and under-calcified in context, yet normal in quantity? hypoplasia, hypocalcification, Fluorosis
hypo calcification
Now don’t get confused. You’ve got primary eruption DOWN. but now heres the catch. whats the sequence of calcification of primary teeth?
A-D-B-C-E….what was eruption again? (a-b-d-c-e)
If you were to see an infancy ring on a primary tooth when did an event most likely happen and where on a 2nd molar might it be found?
it probably happened at 10 months and it would be at the CEJ.
If you were to see a neonatal ring on a primary tooth when did it most likely happen and where on a max 2nd molar would you find it?
most likely at birth and it will be toward the occlusal surface
****What is the sequence of ERUPTION for primary teeth?
A-B-D-C-E
I love dat shit- What is the trick to learning the age of when the primary teeth erupt?
7 + 4….7 months = 0 teeth, 11 mo = 4 teeth, 15 mo = 8 teeth etc…
Formation and Eruption of Primary teeth: when do Primary teeth begin to form?
6 weeks in utero
Formation and Eruption of Primary teeth: when does Calcification begin?
14-19 weeks IN UTERO
Formation and Eruption of Primary teeth: WHEN is enamel of all primary teeth usually complete?
1st year of life
Formation and Eruption of Primary teeth: when have all the primary teeth usually erupted?
by the 2nd year of life
Formation and Eruption of Primary teeth: When are the roots of all primary teeth usually complete?
3rd year of life
General Characteristics of Primary vs Permanent teeth: Crown- _______ than in permanent, Constricted _______ table AND ______ area
SHORTER….occlusal…cerivcal
General Characteristics of Primary vs Permanent teeth: Crown: the enamel and dentin are ______ in primary teeth
THINNER
General Characteristics of Primary vs Permanent teeth: Crown: what two words describe pedo teeth contacts?
broad and flat
General Characteristics of Primary vs Permanent teeth: Crown-what is their typical shade?
lighter and more opaque
General Characteristics of Primary vs Permanent teeth: Which dimension of the primary tooth has the largest pulp horn? (fascinating!)
MB portion of the tooth is largest pulp horn
Which portion of the Pedo pulp has more tortuous/irregular/accessory canals
radicular pulp
What are the three types of INCLUSION CYSTS possible in the newborn? What is a key feature of treating them?
Epstein’s Pearls, Bohn’s Nodules, and Dental Lamina Cysts…THEY ARE BENIGN and Will go away w/o Tx!!
What are remnants of epithelial tissue trapped along mid palatal raphe?
Epstein’s Pearls
What are Buccal & Lingual aspects of dental ridges/Junction hard, soft palate Remnants of mucous gland tissue?
Bohn’s Nodules
What is the result of remnants of dental lamina on the crest of alveolar ridge?
Dental-Lamina Cyst
What are teeth called if they are present at birth?
Natal Teeth
What are teeth that erupt within 30 days of birth?
Neonatal teeth
What is the sore called on the bottom of the tongue caused by neonatal teeth?
Riga Fede
What are these describing? Supernumerary teeth, defective, mobile, Incidence 1 in 4000, Risk for aspiration, removal is generally recommended
Pre-Deciduous teeth
What is this describing? Normal primary teeth, Incidence 1 in 2000, Should not be extracted (if possible) Radiograph helpful
primary teeth erupted prematurely
What is a Bluish, opaque swelling, that is Asymptomatic, is Overlying an erupting tooth, is an Accumulation of fluid in the follicular sac and is Self-limiting on gingival emergence?
an Eruption Hematoma!
Is an eruption hematoma associated with infection or hematoma?
NO! Mis-nomer! its not actually a hematoma!