LESSON 3 (ENAMEL, DENTIN, CEMENTUM DEFECTS) Flashcards
ENAMEL DEFECTS
ENAMEL HYPOPLASIA
ENAMEL HYPOCALCIFICATION
AMELOGENESIS IMPERFECTA
an incomplete or defective formation of the organic enamel matrix of teeth
ENAMEL HYPOPLASIA
defect in quantity and shape of enamel
ENAMEL HYPOPLASIA
True or false
In ENAMEL HYPOPLASIA it has normal hardness
True
defect in quality and color of enamel
ENAMEL HYPOCALCIFICATION
normal amounts of enamel are produced but are
hypomineralized
ENAMEL HYPOCALCIFICATION
True or false
In ENAMEL HYPOCALCIFICATION its enamel is softer than normal
True
rickets
Nutritional Deficiency
→ exanthematous diseases (measles,
chickenpox, scarlet fever)
→ systemic diseases
Nutritional Deficiency
ingestion of fluoride-containing drinking water during the time of tooth formation may result in _____
mottled enamel
Mottled Enamel or Fluorosis
→ mild to moderate fluorosis
o ranges clinically from white enamel
spots to “mottled” brown and white
discoloration
True or False
True
appears as pitted, irregular, and discolored enamel
severe fluorosis
In Congenital Syphilis it
involves the maxillary and mandibular permanent _____ and the _____
incisors, first molars
What etiological factor?
anterior teeth
o Hutchinson’s teeth
Congenital Syphilis
molars
o mulberry molars (Moon’s molars, Forunier’s molars)
Congenital Syphilis
hypoplastic teeth
Congenital Syphilis
decreased level of calcium in blood
Hypocalcemia
vitamin D deficiency and parathyroid deficiency
Hypocalcemia
usually involves a single tooth
Local Infection (Abscess) or Trauma
most commonly one of the permanent
maxillary incisors or a maxillary or
mandibular premolar
Local Infection (Abscess) or Trauma
In Local Infection (Abscess) or Trauma, what color is the mild?
brownish discoloration
severe
o pitting and irregularity of the tooth crown
Local Infection (Abscess) or Trauma
Turner’s teeth, Turner’s hypoplasia
Local Infection (Abscess) or Trauma
refers to a group of hereditary disorders of enamel formation in both dentitions
AMELOGENESIS IMPERFECTA
hereditary brown opalescent teeth
AMELOGENESIS IMPERFECTA
teeth erupt with insufficient amount of enamel from pits and grooves to complete absence (aplasia)
HYPOPLASTIC
abnormal contour and absent interproximal contact points evident
HYPOPLASTIC
the quantity of enamel is normal but it is soft and friable
HYPOCALCIFIED
fractures and wears readily
HYPOCALCIFIED
color ranges from white opaque to yellow to brown teeth darkens with age
HYPOMATURATION
radiographically, enamel appears reduced in bulk, often showing a thin layer over occlusal and interproximal surfaces
HYPOMATURATION
dentin and pulp chamber appears normal and are not
caries prone
HYPOMATURATION
treatment of HYPOMATURATION
no treatment necessary other than cosmetic restoration
an autosomal dominant condition affecting both deciduous and permanent teeth
DENTINOGENESIS IMPERFECTA
affected teeth are gray to yellowish-brown and have broad crowns with constriction of the cervical area resulting in a ‘tulip’ shape
DENTINOGENESIS IMPERFECTA
translucent hue
DENTINOGENESIS IMPERFECTA
partial or complete obliteration of the pulp in Type I or II
DENTINOGENESIS IMPERFECTA
RADIOGRAPHIC FEATURES
→ the teeth appear solid, lacking pulp chambers and root canals
DENTINOGENESIS IMPERFECTA
RADIOGRAPHIC FEATURES
enamel may be lost early through fracturing away because of
abnormal DEJ
DENTINOGENESIS IMPERFECTA
always occurs in families with osteogenesis imperfecta
TYPE I DENTINOGENESIS IMPERFECTA
primary teeth more severely affected
TYPE I DENTINOGENESIS IMPERFECTA
→ hereditary opalescent dentin
→ never occurs in association with osteogenesis imperfecta
TYPE II DENTINOGENESIS IMPERFECTA
→ this is inherited as an autosomal dominant trait
→ dentitions are equally affected
TYPE II DENTINOGENESIS IMPERFECTA
there is continued formation of dentin
TYPE II DENTINOGENESIS IMPERFECTA
Brandywine type
TYPE III DENTINOGENESIS IMPERFECTA
same clinical appearance with Type I and II
TYPE III DENTINOGENESIS IMPERFECTA
→ multiple pulp exposures in deciduous teeth
→ both dentitions are affected
TYPE III DENTINOGENESIS IMPERFECTA
“shell teeth”
TYPE III DENTINOGENESIS IMPERFECTA
→ enamel of tooth appears normal, but dentin is extremely thin
TYPE III DENTINOGENESIS IMPERFECTA
pulp chambers are enormous due to effective dentin formation
TYPE III DENTINOGENESIS IMPERFECTA
extremely short roots
TYPE III DENTINOGENESIS IMPERFECTA
HISTOLOGIC FEATURES
→ defective dentin, normal enamel
→ dentin is composed of irregular dentinal tubules
o larger in diameter
o less numerous than normal
TYPE III DENTINOGENESIS IMPERFECTA
→ there may be complete absence of dentinal tubules
→ there is absence of scalloping in the DEJ
TYPE III DENTINOGENESIS IMPERFECTA
CHEMICAL AND PHYSICAL FEATURES
→ water content is greatly increased
→ inorganic content is less than normal dentin
TYPE III DENTINOGENESIS IMPERFECTA
ROOTLESS TEETH
DENTIN DYSPLASIA
CLINICAL FEATURES
→ increased mobility and may exfoliate prematurely
RADICULAR DENTIN DYSPLASIA (TYPE I)
RADIOGRAPHIC FEATURES
→ short, blunt, bulged, conical or absent roots
→ distinct W-shaped roots of a mandibular molars
RADICULAR DENTIN DYSPLASIA (TYPE I)
→ periapical radiolucencies present in the absence of caries
representing
→ abscess, granulomas, or cysts
RADICULAR DENTIN DYSPLASIA (TYPE I)
Primary Teeth
total obliteration of pulp chambers
RADICULAR DENTIN DYSPLASIA (TYPE I)
Permanent Teeth
pulpal obliteration, thin crescent-shaped remnants of pulp chambers
RADICULAR DENTIN DYSPLASIA (TYPE I)
HISTOPATHOLOGY
→ enamel and mantle layer of dentin are normal
RADICULAR DENTIN DYSPLASIA (TYPE I)
abnormal dentin:
o less dense, a lot of regular distribution and orientation of tubular dentin aside from tubular dentin, there’s also osteodentin
RADICULAR DENTIN DYSPLASIA (TYPE I)
abnormal dentin:
remaining coronal and root dentin consist of a series of fused nodular masses composed of tubular dentin and osteodentin
RADICULAR DENTIN DYSPLASIA (TYPE I)
slit-like remnant of pulpal tissue
RADICULAR DENTIN DYSPLASIA (TYPE I)
“lava flowing around boulders”
RADICULAR DENTIN DYSPLASIA (TYPE I)
gnarled burlwood
RADICULAR DENTIN DYSPLASIA (TYPE I)
series of sand dunes
RADICULAR DENTIN DYSPLASIA (TYPE I)
True or false
CORONAL DENTIN DYSPLASIA (TYPE II)
CLINICAL FEATURES is
both dentitions affected
True
Primary Teeth
bluish gray, brownish, yellowish color
CORONAL DENTIN DYSPLASIA (TYPE II)
Permanent Teeth
normal clinical appearance; roots have normal shape and length
CORONAL DENTIN DYSPLASIA (TYPE II)
Deciduous Teeth
→ have obliterated pulp chambers
→ roots of both dentitions of N shape and length
CORONAL DENTIN DYSPLASIA (TYPE II)
Permanent Teeth
→ large pulp chamber
→ pulp stones in pulp chambers
→ narrow pulp canals
CORONAL DENTIN DYSPLASIA (TYPE II)
the radicular extension is thistle-shaped or
flame-shaped to the root portion of the pulp
(very narrow)
CORONAL DENTIN DYSPLASIA (TYPE II)
Deciduous Teeth
→ normal zone of mantle dentin
CORONAL DENTIN DYSPLASIA (TYPE II)
Permanent Teeth
→ normal coronal dentin except for pulpal third which exhibits areas of globular and interglobular dentin
→ numerous pulp stones
CORONAL DENTIN DYSPLASIA (TYPE II)
amorphous/atubular root dentin
CORONAL DENTIN DYSPLASIA (TYPE II)
GHOST TEETH
REGIONAL ODONTODYSPLASIA
(ODONTOGENESIS IMPERFECTA)
odontodysplasia, odontogenic dysplasia, odontogenesis imperfecta, ghost teeth
REGIONAL ODONTODYSPLASIA
Enamel & Dentin- thin & defective
Pulp Chamber- very large
REGIONAL ODONTODYSPLASIA (GHOST TEETH)
→ excessive deposition of cementum
→ overgrowth of the cementum
HYPERCEMENTOSIS
becomes bulbous as it goes to the apical area
Apical Hypercementosis
Diffused Hypercementosis is an
all around
True or false
True
it will be harder to extract because there’s too much cementum closely attached to the bone (thick); on the sides of the tooth
Lateral Hypercementosis
→ small, calcified areas found in periodontal membrane
→ free, attached, embedded
CEMENTICLES
→ teeth are united by cementum only
→ form of fusion which occurs after root formation has been
completed
CONCRESCENCE