Oral Anatomy & Histology (Review: Outcome 14) Flashcards

1
Q

Role of the DA - Tooth Anomalies

A
  • Recognition of anomaly
  • Patient education
  • Treatment considerations
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2
Q

Types of Developmental Disorders

A

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

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3
Q

Disturbances in Jaw Development

A
  • 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
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4
Q

Disturbances in lip, palate, and tongue development

A
  • 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
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5
Q

Tooth Anomalies

A
  • Stage of development
  • Length of effect
  • Hereditary or environmental cause
  • More often in permanent dentition
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6
Q

Etiology of Anomalies

A

Stages of development
1. Initiation
2. Proliferation
3. Histo-differentiation
4. Morpho-differentiation
5. Apposition
6. Maturation

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7
Q

Abnormal number of teeth

A

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

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8
Q

Anodontia (Hypodontia)

A

Partial or complete absence of teeth

Commonly include:
- permanent third molars
- maxillary lateral incisors
- mandibular second premolars

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9
Q

Hyperdontia

A

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
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10
Q

Abnormal size

A
  • 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
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11
Q

Macrodontia

A
  • Abnormal increase in tooth size
  • Childhood hyperpituitarism (gigantism) can cause
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12
Q

Microdontia

A

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

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13
Q

Abnormal Shape

A
  • Later stages of tooth development
  • Proliferation and morphodifferentiation processes
  • Can present as abnormal crown or root shape
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14
Q

Dens in Dente

A
  • Cap Stage
  • Enamel organ invaginates into the dental papillae
  • Commonly affects permanent lateral incisor

Cause: Hereditary factors

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15
Q

Gemination

A
  • 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

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16
Q

Fusion

A
  • Cap Stage
  • Union of 2 adjacent tooth germs
  • Results in a large tooth with 2 pulp cavities
  • One fewer tooth in the dentition
  • Common on anteriors in primary dentition

Cause: pressure

17
Q

Tubercle

A
  • Cap stage
  • Small rounded enamel extension
  • Commonly found on posterior occlusal surface or anterior lingual surfaces

Cause:
- trauma, pressure or metabolic disease affecting the enamel organ

18
Q

Enamel Pearl

A
  • Apposition and Maturation Stage
  • Sphere of enamel on root

Cause:
- displacement of ameloblasts to root surface

19
Q

Hypercementosis

A
  • Refers to the excess deposition of cementum on root surfaces
  • A variety of local and systemic factors have been associated: trauma, inflammation, supraeruption, pituitary gigantism, arthritis, calcinosis, Paget’s disease, rheumatic fever and goiter
  • Occurs predominantly in adults and an increased frequency is seen with increasing age
  • May cause concrescence
20
Q

Concrescence

A
  • Apposition and Maturation Stage
  • Union of the root structure of two or more teeth by cementum
  • Commonly affects the permanent maxillary molars

Cause:
- traumatic injury or crowing of the teeth

21
Q

Root Formation

A

i. Dilaceration - results in a distorted root of severe crown angulation (caused by injury or pressure during tooth development)

ii. Flexion - a deviation or bend restricted to just the root

iii. Accessory roots - due to trauma, pressure or metabolic disease that effects HERS (Hertwig’s epithelial root sheath) during root development

22
Q

Structural Anomalies

A
  • Resulting from disturbances in enamel and dentin formation
  • Apposition and Maturation Stages
  • Enamel or dentin dysplasia
23
Q

Enamel Dysplasia

A
  • Results from a reduction in the quantity of enamel matrix
  • Teeth appear with pitting and intrinsic colour changes in enamel
24
Q

Amelogenesis Imperfecta

A
  • Type of enamel hypoplasia/dysplasia
  • Hereditary etiology
  • Can affect all teeth of both the primary and permanent dentitions
  • Teeth have very thin enamel that chips off or have no enamel at all (crowns are yellow)
  • Varies in severity
  • Hereditary enamel hypoplasia is a type of amelogenesis imperfecta that is characterized by teeth with crowns that are hard and glossy, yellow, and cone-shaped or cylindrical
25
Q

Dental Fluorosis

A
  • A change in the appearance of the tooth’s enamel
  • Can vary from barely noticeable white spots in mild forms to staining and pitting in the more severe forms
  • Only occurs when younger children consume too much fluoride from any source over long periods when teeth are developing under gums
26
Q

Turner’s Teeth

A
  • Hypoplasia of the enamel involving a single permanent tooth
  • If found on a canine or a premolar, the most likely cause is an infection that was present when the primary tooth was still in the mouth
  • If found in the anterior area of the mouth, the most likely cause is a traumatic injury to a primary tooth
27
Q

Hutchinson’s Incisors

A
  • Abnormally shaped permanent front teeth (incisors)
  • Usually associated with congenital syphilis (treponema palladium)
28
Q

Mulberry Molars

A

First molar tooth whose occlusal surface is pitted due to congenital syphilis with nodules replacing the cusps

29
Q

Dentin Dysplasia

A

Faulty development of dentin

30
Q

Dentinogenesis Imperfecta

A
  • Hereditary basis
  • Results in blue-gray or brown teeth with an opalescent sheen
  • Enamel appears as usual but chips off due to lack of support from the abnormal underlying dentin
  • Results in severe attrition
  • Teeth that have dentiogenesis imperfecta are opalescent and have an almost amber color
31
Q

Tetracycline Staining

A
  • Incorporation into dentinal tissue that is calcifying at the time of administration
  • Antibiotic becomes chemically bound to the dentin for the life of the tooth and because of the transparency of enamel, it is visible
  • Permanent discoloration varies from yellow or gray to brown depending on the dose or the type of drug received in relation to body weight
32
Q

Odontoma

A

Etiology is unknown
- local trauma
- inflammatory and/or infectious processes
- dental lamina remnants
- hereditary anomalies
- odontoblastic hyperactivity
- alterations of the genetic component responsible for controlling dental development

33
Q

Complex odontomas

A

When the calcified dental tissues are simply arranged in an irregular mass bearing no morphologic similarity to rudimentary teeth

34
Q

Compound odontomas

A

Composed of all odontogenic tissues in an orderly pattern that results in many teeth-like structures but without morphologic resemblance to normal teeth

35
Q

Ameloblastoma

A

A tumor composed of remnants of dental lamina

36
Q

Degeneration Changes

A

i. Attrition
- wearing down of incisal/occlusal
- frictional contact
- grinding/occlusion

ii. Abrasion
- mechanical wearing away of tooth
- buccal/lingual surface
- recession
- toothbrush abrasion

iii. Abfraction
- V-shaped notches in dentin
- confused with abrasion
- shear and tensile stresses
- CEJ - slight flexion

iv. Erosion
- chemical wearing away
- dissolving enamel

37
Q

Bruxism

A
  • Oral habit consisting of involuntary gnashing, grinding, and clenching of the teeth in movements other than chewing
  • usually occurs during sleep and is commonly associated with stress or tension
38
Q

Orofacial piercings

A
  • Have become popular among some segments of the population
  • Dental complications include: chipped and broken teeth, serious infections at the sites of piercings
  • Infection can spread throughout the head and neck area, with serious results
39
Q

Abnormal eruption of teeth

A

i. Premature eruption
- teeth are present at birth
- neonatal teeth are those that erupt within the first 30 days of life

ii. Ankylosis
- in deciduous teeth affected by ankylosis, bone has fused to cementum and dentin, preventing exfoliation

iii. Impaction
- occurs when any tooth remains unerupted in the jaw beyond the time at which it should normally erupt