02.06 abnormalities of shape, color, development Flashcards

1
Q

abortive attempt by a single tooth bud to divide

A

gemination

-there would be 21 teeth instead of 20

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2
Q

the union of normally discrete teeth

two separate root canals

A

fusion

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3
Q

the fusion of two teeth along the root surface

two separate root canals

A

concrescence (it occurs post erruptive)

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4
Q

complete cleavage of a tooth bud resulting in the formation of a supernumerary tooth
-the completion of _______

A

Twinning, which is the completion of gemination

-the teeth will be mirror images

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5
Q

“bull-like teeth”
body of the tooth enlarged, roots reduced in size
-increased risk of pulp exposure during cavity preparation
-very large pulps

A

Taurodontism

-both primary and permanent teeth involved

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6
Q

the tooth fold in on itself, usually on lingual of maxillary laterals

A

Dens-in-dente or Dens Invaginatus

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7
Q

what are the most frequently missing teeth

A

mandibular 2nd bicuspid (33%), then max lateral incisor (27%), then max 2nd pm, then mand lateral incisors
-3rd molars 25%

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8
Q
  • (polydactyly) patient with 6 fingers on each hand
  • autosomal recessive
  • short stature
  • cardiac abnormalities
A

Ellis Van Creveld Syndrome or Chondroectodermal dysplasia

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9
Q
  • AD inheritance
  • missing maxillary incisors
  • Degeneration of the anterior chamber of the eye
A

Rieger syndrom

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10
Q

syndromes associated with missing teeth

…..

A
  • Ellis Van Creveld Syndrome (Chondroectodermal Dysplasia)
  • Rieger syndrome
  • oro-facial-digital syndrom
  • hypohidrotic ectodermal dysplasia……
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11
Q
  • lack of teeth is often presenting complaint at 12-18 months of age
  • defects in the enamel may resemble amelogenesis imperfecta
  • dental abnormalities may be the only striking feature
A

ectodermal dysplasia

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12
Q
  • lack of teeth is often presenting complaint at 12-18 month
  • defects in enamel may resemble AI
  • Dental abnormalities may be the only striking feature
A

ectodermal dysplasia

-they will also have lack of alveolar development

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13
Q

permanent teeth present in ectodermal dysplasia

A
  • commonly 4-14 teeth present
  • more teeth in the maxilla
  • most commonly missing are mand incisors and pms, followed by max pms
  • most commonly present: max CI, k, max and mand first molars
  • conical and peg shaped teeth
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14
Q

Hyperdontia

A
  • extra teeth
  • males affected 2:1 over females
  • maxillary anterior (mesiodens) most common (9X more common)
  • AD most common with lack of penetrances
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15
Q
  • AD,
  • multiple osteomas
  • intestinal polyps with high malignancy rate
A

Gardners syndrome

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16
Q

Syndromes with extra teeth

A
  • Gardners Syndrome
  • Cleidocranial Dysplasia
  • cleft lip and plalate
17
Q

what are the three types of amelogenesis imperfecta?

A

1-hypoplastic
2-hypocalcified
3-hypomature

18
Q

type of AI, hard, thin enamel, small teeth, occaisionally tapered

A

Hypoplastic AI

19
Q

type of AI

  • normal thickness, soft and abrades easily
  • pitted surface
  • varieable radiodensity-moth eaten appearance
A

hypocalcified

20
Q

type of AI

  • soft enamel of normal thickness
  • fractures and flakes away
  • radiographically can not distinguish enamel from dentin
A

hypomature

21
Q

Types of DI

A

types I, II, III

22
Q

type of DI

  • hereditary opalescent dentin-NEVER occurs with OI
  • both dentitions equally affected
  • one of the most common inherited defects in man
  • sporadic cases very rare
  • almost complete penetrance
A

type II

23
Q

type of DI

  • always occurs with osteogenesis Imperfecta (OI), but not visa versa
  • primary dentition more severely affected than permanent
  • great variability within a family
A

type I

24
Q

worst and most rare type of DI

-shell tooth appearance on radiographs

A

type III, bradywine type

25
Q

large pulp chambers with pulpal extensions to the enamel

A

vitamin D- resistant rickets

26
Q
  • “ghost teeth”
  • localized arrest of tooth development
  • teeth do not develop, only outline of crown is evident
A

regional odontodysplasia