dental anomalies quiz Flashcards

(65 cards)

1
Q

What is Oligodontia?

A

More than 6 missing teeth.

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2
Q

What is Anodontia?

A

Total lack of 1 or both dentitions.

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3
Q

True or False - In the primary dentition, it is most often seen that the maxillary lateral incisor is affected by hypodontia?

A

True

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4
Q

Name 4 syndromes most likely to be associated with hypodontia.

A
  1. Cleft lip and palate.
  2. Down Syndrome
  3. Ectodermal Displasia
  4. Oral facial digital syndrome.
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5
Q

Which syndrome do the following characteristics describe?

  • not a single disorder but a group of closely related conditions.
  • multiple missing teeth (hypodontia)
  • small conical teeth (microdontia)
  • thin sparse hair
  • dry skin
  • absence of sweating (heat intolerance)
  • retrusive hypopastic maxilla
  • x-linked hypohidrotic (worse in males), autosomal dominant/recessive
A

Ectodermal Dysplasia

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6
Q

Which term refers to submerged teeth?

A

Infraocclusion

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7
Q

List 4 descriptors of how hyperdontia teeth can appear.

A
  1. Supplemental (resemble normal teeth).
  2. Supernumerary (tubercular/conical).
  3. Anterior Maxilla Midline (mesiodens)
  4. Paramolars or Distomolars.
  5. Odontomes
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8
Q

Syndromes that hyperdontia may be associated with:

A
  1. Oral-facial digital syndrome.
  2. Gardeners Syndrome.
  3. Cleidocranial Dysplasia.
  4. Cleft Lip and Palate
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9
Q

True or False - around 1 in 3 supernumerary teeth will erupt.

A

True

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10
Q

Which syndrome is described:
- multiple supernumerary teeth
- autosomal dominant condition
- aplasia/hypoplasia of clavicles
- frontal and parietal bossing.
- delayed closure of anterior fontanelle
- delayed/failed permanent tooth eruption.

A

Cleidocranial Dysplasia

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11
Q

Describe the management of hyperdontia.

A
  1. Diagnose - delayed eruption, diastema.
  2. Investigate - palpate, take parallax radiographs.
  3. Treat - mesiodens erupt palatally; XLA and monitor incisor eruption.
  4. Refer - if continued failure of incisors to erupt.
  5. GDP - prevention & support.

aim to optimise treatment planning from an early age

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12
Q

True or False - Macrodontia is most likely to be generalised.

A

False - more likely to be localised.

Most commonly found in upper 1s and lower 5s.
Associated with fusion and germination.

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13
Q

What anomaly is associated with pituitary gigantism, unilateral facial hyperplasia and hereditary gingival fibromatosis?

A

Macrodontia

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14
Q

Describe germination.

A

1 tooth germ forming 2 teeth (normal tooth number)

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15
Q

What is hypercementosis?

A

Excessive buildup of cementum on the roots of 1 or more teeth.
Gives the tooth an enlarged appearance.

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16
Q

Chemotherapy, irradiation, orthodontic treatment can all potentially result in what abnormality?

A

Short Roots

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17
Q

Which anomaly do these characteristics describe?

A

Dens Invaginatus

(also called odontome or dens in denote)

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18
Q

What stage of tooth development is associated with dens invaginatus?

A

Morphodifferentiation

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19
Q

True or False - there is a risk of rapid caries progression in invagination, followed by pulpal pathology.

A

True

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20
Q

What anomaly is being described:

  • impacts morphodifferentiation
  • enlarged tooth body vertically
  • shorter roots
  • apically displaced furcation
  • late/failed invagination of hertwig’s root sheath
  • 6% mandibular permanent molars
  • associated with trisomy 21, ectodermal dysplasia and amelogenesis imperfecta
A

Taurodontism

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21
Q

The most common microdont tooth.

A

Upper Lateral Incisor

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22
Q

True or False - amelogenesis imperfecta affects only the permanent dentition.

A

False - affects all teeth in the permanent and primary dentition.

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23
Q

Amelogenesis Imperfecta is inherited by which pattern of inheritance?

a. X-Linked
b. Sporadic
c. Autosomal Recessive
d. All of the above
e. Autosomal Dominant

A

D - although AI is typically characterised by the phenotype.

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24
Q

Dentinogenesis Imperfecta is inherited by which pattern of inheritance?

A

Autosomal Dominant - one parent is most likely affected.

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25
Describe dentinogenesis imperfecta.
Pts present with opalescent grey/brown teeth which may have bulbous crowns. Enamel may chip away leaving exposed dentine. Pulp may show to be obliterated radiographically.
26
What is the prevalence of hypodontia in the permanent dentition?
6.4%
27
What is the cause of Taurodontism?
Late or failed invagination of **Hertwigs Root Sheath**
28
3 conditions associated with **Taurodontism**
Trisomy 21 (down’s syndrome) Ectodermal Dysplasia Amelogenesis Imperfecta
29
Name 2 potential common causes of **localised** enamel defects.
1. Trauma 2. infection
30
Which gene is mutated in **X Linked** Amelogenesis Imperfecta?
AMLEX (amelogenin)
31
Which gene is mutated when dentinogenesis imperfecta occurs by itself?
DSPP
32
Which gene is mutated when dentinogenesis imperfecta occurs **alongside osteogenesis imperfecta**?
Type 1 Collagen
33
Which condition causes Mulberry Molars and Hutchinson’s Incisors?
Congenital Syphilis
34
What is Dens Invaginitis?
Invagination of the crown lined with enamel.
35
What is the difference between type 1 and 2 dentinogenesis imperfecta?
**type 1** - associated with osteogenesis imperfects, defective **type 1** collagen. **type 2** - occurs by itself, defective DSPP.
36
Which condition causes early exfoliation of teeth?
**hyperphosphatasia** - the condition with BLUE SCLERA. (excess of alkaline phosphate in the blood)
37
Between what weeks of development does Cleft Lip and Palate occur?
Weeks 6-12
38
During which week does the dental lamina form?
Week 6
39
Where does a cusp of carabelli form?
On the mesiopalatal cusp of upper 6s
40
What is the name for an accessory cusp on premolars?
dens evaginatus
41
Which tooth do talon cusps form on?
incisors
42
What is the term given to a tooth in which the enamel epithelium has invaginated into the dental papilla during morphodifferentiation?
Dens invaginatus (dens-in-dente)
43
What treatment should be given to dens invaginatus to help prevent caries formation?
fissure sealant on eruption
44
Describe taurodontism.
When the roots are shorter and the crown is longer. (like bulls have short legs and fat bodies)
45
What is taurodontism caused by?
late / failed invagination of hertwig’s root sheath.
46
A patient presents with peg shaped incisors with notches on the incisal edge and multiple rounded rudimentary cusps on the permanent first molars. **What congenital condition do you think they have and what are the terms for these anomalies?**
Congenital Syphilis - hutchinson’s incisors and moons molars.
47
What is the difference between enamel hypoplasia and hypomineralisation?
**hypoplasia** - less enamel matrix formed causing it to be thinner. **hypomineralisation** - normal amount of matrix but of a poorer quality (discoloured and softer).
48
Which intolerance can cause chronological enamel hypoplasia?
**Coeliac Disease -** causes delayed eruption as well as enamel hypoplasia.
49
What is Amelogenesis Imperfecta?
enamel deficinecy due to a lack of ameloblasts (yellow)
50
What is dentinogenesis imperfecta?
Incomplete or improper development of dentine. (brown/grey)
51
Patient presents with multiple abscesses as well as similar phenotypes to dentinogenesis imperfecta. Can sometimes present with rootless teeth. **What is this condition?**
Dentine Dysplasia
52
**Which condition is being described?** Cementum defect which may present with spontaneous abscesses. This condition can also lead to premature loss of teeth.
Hypophosphatasia
53
What can be seen radiographically in someone with dentinogenesis imperfecta?
pulp canal obliteration
54
Which metabolic bone disease is linked to hypercementosis?
Paget’s
55
Which dental anomaly can show a PA radiolucency without presence of caries?
Dens invaginatus
56
What is the best way to restore hypoplastic **primary** molars?
PMC
57
What may a blue tint of the sclera be indicative of?
Osteogenesis imperfecta (brittle bone disease) - linked with dentinogenesis imperfecta dental anomaly.
58
Which type of dentinogenesis imperfecta is present with osteogenesis imperfecta?
Type 1
59
Which nutritional deficiency during pregnancy can lead to development al defects in enamel?
Vitamin D
60
What is a turner’s tooth?
enamel hypoplasia only affecting **1 tooth** in the mouth.
61
**Which systemic condition is being described?** Autosomal recessive disorder characterised by hyperkeratosis. Involves hypodontia of deciduous and permanent teeth as well as rapid periodontal destruction.
**Papillon-Lefevre Syndrome** early onset perio, dry scaly patches on palms and soles.
62
A patient with hypodontia presents with a posterior lump. A sectional OPT shows a well defined radiolucency that isn’t associated with a tooth - they have missing 8s. **What is the name of the lesion?**
keratocyst
63
Number of teeth missing to be classed as mild, moderate or severe hypodontia:
**mild** - 1-2 missing **moderate** - 3-5 **severe** - 6+
64
What does Ohlers Classification describe?
dens invaginatus
65
What are the different classifications for Ohlers (dens invaginatus)?
1 - in crown above the CEJ 2 - in crown, below CEJ 3 - into root, PDL laterally 4 - into root, PDL apically