Non carious diseases of teeth Flashcards
Local factors of acquired disorders
trauma – dilacerated incisor/turner teeth
infection –turner teeth
radiotherapy
idiopathic – regional odontodysplasia/enamel opacities
Systemic factors of acquired disorders
tetracycline disorders
serious systemic disease or malnutrition
fluorosis
dilacerated incisor
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
turner teeth
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
regional odontodysplasia
ghost teth
local development eg vascular defect causing ischaemia, local infection
enamel opacities
1 in 3 children
histologically hypomineralised
tetracycline staining
tetracycline becomes incorporated in the teeth mineralising at the same time
teeth normal when erupt – gradually grey colour
hereditary conditions
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
Connation
Union of 2 teeth during development involving enamel, dentine and pulp
Concrescence
Union of teeth at roots by deposition of cementum
always affect roots
Connations classified
fusion : union between 2 initially separate tooth germs
germination : the union by incomplete separation of 2 teeth developing from single tooth germ
connation present in population
0.5-1% of population have deciduous tooth connation
0.1% of population have permanent tooth connation
inherited as an autosomal dominant trait
clinical features of connation
enlarged crowns with apparent partial separation
cause crowding/delayed eruption of adjacent teeth
concrescence
multiple teeth fused at root
molar teeth
pathology concrescence
inflammatory/space-occupying lesion
union via cementum deposition
treatment for both connations and concrescence
depends on aesthetic/function factors
endo and restorative procedures with permanent incisor connations
extractions for impacted and unerupted 3rd molars
dens in dente
localised disturbance of tooth development
deep penetrating pit extending into the tooth from the crown
invaginated odontome