Oral Anatomy & Histology (Review: Outcome 14) Flashcards
Role of the DA - Tooth Anomalies
- Recognition of anomaly
- Patient education
- Treatment considerations
Types of Developmental Disorders
i. Inherited disorders are different from developmental disorders because they are caused by an abnormal gene
- a congenital disorder is one that is present at birth
- either inherited or developmental; however, exact cause of most congenital abnormalities is unknown
ii. Genetic factors
- malformations that are often the result of genetic factors such as chromosomal abnormalities
iii. Environmental factors
- called teratogens; include infections, drugs, and exposure to radiation
Disturbances in Jaw Development
- Macrognathia
- Micrognathia
- Exostoses: a benign bony growth projecting outward from the surface of a bone
- Torus palatinus: a bony overgrowth at the midline of the hard palate
- Torus mandibularis: a bony overgrowth on the lingual surface of the mandible
Disturbances in lip, palate, and tongue development
- Cleft lip: results when maxillary and medial nasal processes fail to fuse
- Cleft palate: results when palatal shelves fail to fuse with primary palate
- Cleft uvula: mildest form of cleft palate
- Ankyloglossia: often called tongue-tie; results in a short lingual frenum that extends to the apex of the tongue
Tooth Anomalies
- Stage of development
- Length of effect
- Hereditary or environmental cause
- More often in permanent dentition
Etiology of Anomalies
Stages of development
1. Initiation
2. Proliferation
3. Histo-differentiation
4. Morpho-differentiation
5. Apposition
6. Maturation
Abnormal number of teeth
i. Initiation stage
ii. Lack of initiation within the dental lamina
- absence of a single tooth or an entire dentition
iii. Associated with:
- ectodermal dysplasia
- endocrine dysfunction
- systemic disease
- radiation
Anodontia (Hypodontia)
Partial or complete absence of teeth
Commonly include:
- permanent third molars
- maxillary lateral incisors
- mandibular second premolars
Hyperdontia
Supernumerary tooth or teeth
Commonly found:
- between permanent maxillary incisors
- distal to third molars
Cause:
- Hereditary
- Mesiodens
- Small extra central incisor
- Erupts between two centrals
Abnormal size
- Bud stage of the development (Proliferation)
- Abnormal proliferation of the tooth bud can cause a single tooth or multiple teeth or an entire dentition to be larger or smaller than usual
- Generally genetic with partial
- Endocrine dysfunction associated with complete
Macrodontia
- Abnormal increase in tooth size
- Childhood hyperpituitarism (gigantism) can cause
Microdontia
Complete Microdontia - Rare
- all teeth small
- associated with Hypopituitarism or Down’s Syndrome
True Partial Microdontia
- hereditary factors involved
- commonly affects the permanent maxillary lateral incisors and permanent third molars
Abnormal Shape
- Later stages of tooth development
- Proliferation and morphodifferentiation processes
- Can present as abnormal crown or root shape
Dens in Dente
- Cap Stage
- Enamel organ invaginates into the dental papillae
- Commonly affects permanent lateral incisor
Cause: Hereditary factors
Gemination
- Cap stage
- Tooth germ tries to divide and develops a large single-rooted tooth with one pulp cavity and “twinning” in the crown of anterior teeth
- Correct number of teeth will be present
- Unsuccessful attempt is indicated by an incisal notch
Cause: Hereditary