Non carious diseases of teeth Flashcards

1
Q

Local factors of acquired disorders

A

trauma – dilacerated incisor/turner teeth
infection –turner teeth
radiotherapy
idiopathic – regional odontodysplasia/enamel opacities

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2
Q

Systemic factors of acquired disorders

A

tetracycline disorders
serious systemic disease or malnutrition
fluorosis

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3
Q

dilacerated incisor

A

trauma displaces the crown of the developing tooth
root development continues but at an angle
tooth fails to erupt often with retention of the deciduous predecessor

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4
Q

turner teeth

A

arises due to local trauma/infeection
due to issues with primary predecessor
range of disorders from yellow-brown pigmentation of enamel to extensive pitting and irregularity of the crown

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5
Q

regional odontodysplasia

A

ghost teth
local development eg vascular defect causing ischaemia, local infection

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6
Q

enamel opacities

A

1 in 3 children
histologically hypomineralised

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7
Q

tetracycline staining

A

tetracycline becomes incorporated in the teeth mineralising at the same time
teeth normal when erupt – gradually grey colour

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8
Q

hereditary conditions

A

teeth only
- absent teeth/additional teeth
- connations
- dens-in-dente
- amelogenesis imperfecta and dentinogenesis imperfecta

affecting other tissues in addition to teeth
- osteogenesis imperfecta
- cleidocranial dysplasia
- anhidrotic ectodermal dysplasia
- down’s syndrome

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9
Q

Connation

A

Union of 2 teeth during development involving enamel, dentine and pulp

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10
Q

Concrescence

A

Union of teeth at roots by deposition of cementum
always affect roots

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11
Q

Connations classified

A

fusion : union between 2 initially separate tooth germs
germination : the union by incomplete separation of 2 teeth developing from single tooth germ

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12
Q

connation present in population

A

0.5-1% of population have deciduous tooth connation
0.1% of population have permanent tooth connation
inherited as an autosomal dominant trait

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13
Q

clinical features of connation

A

enlarged crowns with apparent partial separation
cause crowding/delayed eruption of adjacent teeth

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14
Q

concrescence

A

multiple teeth fused at root
molar teeth

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15
Q

pathology concrescence

A

inflammatory/space-occupying lesion
union via cementum deposition

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16
Q

treatment for both connations and concrescence

A

depends on aesthetic/function factors
endo and restorative procedures with permanent incisor connations
extractions for impacted and unerupted 3rd molars

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17
Q

dens in dente

A

localised disturbance of tooth development
deep penetrating pit extending into the tooth from the crown
invaginated odontome

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18
Q

general features of dens in dente

A

1-5% population
maxillary lateral incisors
bilateral

19
Q

clinical features dens in dente

A

tooth crown may be distorted
invagination arises in crown
base of pit will have a thin layer of enamel/dentine

20
Q

HPC dens in dente

A

incidental finding
morphological abnormality
periodontal pain

21
Q

radiolographical features of dens in dente

A

affected tooth may show intracoronal radiolucency
extend to involve root
associated with periapical radiolucency

22
Q

pathology of dens in dente

A

deeply penetrating pit lined by enamel
distortion of underlying dentine
enamel and dentine may be defective

23
Q

treatment of dens in dente

A

endodontic tx
extraction

24
Q

amelogenesis imperfecta

A

produce inherited congenital defects primarily of enamel formation with/without defects in tooth morphology and/or eruption

25
Q

clinical features amelogenesis imperfecta

A

hypoplastic - thin enamel. surface rough and discoloured.
hypomature - abnormal thickness. opaque/discoloured
hypocalcified - abnormal thickness of enamel

26
Q

radiological features of amelogenesis imperfecta

A

thin layer of enamel of normal radiodensity in hypoplastic AI
reduced radiodensity of enamel in hypomature and hypocalcified AI
may have been unerupted teeth or delayed eruption

27
Q

pathology of amelogenesis imperfecta

A

variety of morphological changes in enamel substructure as well as hardness and thickness

28
Q

dentinogenesis imperfecta

A

congenital defects in primarily in dentine formation, which may be associated with osteogenesis imperfecta

29
Q

dentinogenesis imperfecta general features

A

1 in 6k livebirths
variety of inheritance patterns
variety of molecular and biochemical defects affecting collagen

30
Q

dentinogenesis imperfecta HPC

A

present in childhood
discolouration or rapid wear of teeth

31
Q

detinogenesis imperfecta clinical features

A

amber or blue
bulbous crown
easy fracturing of enamel with rapid attrition

32
Q

dentinogenesis imperfecta radiological features

A

teeth have short roots
rapid obliteration of pulp chambers and canals after eruption

33
Q

dentinogenesis imperfecta pathology

A

enamel normal
mantle dentine formation
later formed dentine abnormal
pulp cavity obliterated

34
Q

cleidocranial dysplasia

A

rare genetic condition that affects teeth and bones such as skull etc

35
Q

Cleidocranial dysplasia HPC

A

failure in eruption of permanent teeth

36
Q

Cleidocranial dysplasia clinical features

A

short stature
prominence of frontal,parietal,occipital bones
absent of clavicles
delayed shedding of deciduous teeth

37
Q

cleidocranial dysplasia radiological features

A

absent clavicle
broad skull

38
Q

cleidocranial dysplasia pathology

A

bone show trabeculation and thick collagen bundles
teeth with thin roots with deficient or absent secondary cellular cementum

39
Q

treatment of cleidocranial dysplasia

A

combination of surgery and ortho
surgery to remove deciduous teeth and expose permanent successors
ortho to encourage eruption and align teeth

40
Q

Hypodidrotic ectodermal dysplasia

A

x-linked recessive condition characterised by a developmental failure of ectodermal structures, particularly skin/hair/sweat glands

41
Q

hypohidrotic ectodermal dysplasia general features

A

x linked recessive
detected first in early childhood

42
Q

hypohidrotic ectodermal dysplasia clinical features

A

absent/malformed teeth
cone shaped teeth
few teeth

43
Q

down’s syndrome

A

congenital condition characterised by intellectual disability, trisomy of chromosome 21

44
Q

general features of down’s syndrome

A

characterised facies with prominent epicanthic folds, downwardly slanted palebral fissures, mid-facial hypoplasia
short stature