Paeds Anomalies

Question 1

Least likely teeth to be missing as a result of hypodontia

Answer 1

6s
U1s

Question 2

Conditions associated with hypodontia

Answer 2

Ectodermal dysplasia
Down Syndrome
Cleft palate
Hurler’s syndrome
Incontinentia pigmentii

Question 3

What’s a problem that can arise when upper lateral incisors are missing

Answer 3

over-eruption of lower canines

Question 4

Order of dental management of paeds hypodontia

Answer 4

Diagnosis
Removable pros
Ortho
Composite build ups
Porcelain veneers
Crowns and bridges
Preventative tx

Question 5

How to treat abnormal shape/form of tooth due to hypodontia

Answer 5

overdenture

Question 6

how to treat spacing due to hypodontia

Answer 6

partial denture

Question 7

how to treat submergence due to hypodontia

Answer 7

composite

Question 8

how to treat deep overbite due to hypodontia

Answer 8

porcelain veneers

Question 9

how to treat reduced LFH due to hypodontia

Answer 9

fixed prostheses

Question 10

risk factors of supernumary

Answer 10

Male 2:1
Japanese
maxilla
cleidocranial dysplasia

Question 11

Root anomalies

Answer 11

short root
radiotherapy
dentine dysplasias
accessory roots

Question 12

Types of amelogenesis imperfecta

Answer 12

hypoplastic
hypocalcified
hypomaturational
mixed with taurodontism

Question 13

cause of environmental enamel hypoplasia

Answer 13

systemic
nutritional
metabolic e.g. Rhesus incompatibility, liver disease
infection e.g. measles

Question 14

cause of localised enamel hypoplasia

Answer 14

trauma
infection of primary tooth

Question 15

How to treat fluorosis

Answer 15

Microabrasion
Vital bleaching
veneers

Question 16

prenatal causes of generalized enamel defects

Answer 16

congenital syphilis/cardiac and kidney disease
Fluoride
Thalidomide

Question 17

neonatal causes of generalized environmental enamel defects

Answer 17

prematurity
meningitis

Question 18

postnatal causes of generalized enamel defects

Answer 18

chickenpox
measles
otitis media
pneumonia

Question 19

How to diagnose amelogensis imperfecta

Answer 19

FH
generally affects both dentitions/all teeth
tooth size, structure, colour
radiographs

Question 20

Gene mutations in amelogenesis imperfecta

Answer 20

enamel extracellular matrix molecules amelogenin, enamelin, kallikrein 4

Question 21

what is hypoplastic amelogenesis imperfecta

Answer 21

enamel crystals do not grow to correct length

Question 22

what is hypomineralised/calcified AI

Answer 22

crystallites fail to grow in thickness and width

Question 23

What is hypomaturational AI

Answer 23

enamel crystals grow incompletely in thickness or width but to normal length with incomplete mineralisation

Question 24

Problems with AI

Answer 24

anterior open bite
caries
delayed eruption
poor aesthetic/OH
sensitivity

Question 25

AI Tx

Answer 25

composite veneers/comp wash fissure sealants metal onlays ortho preventative therapy SS crowns

Question 26

3 types of dentinogenesis imperfecta

Answer 26

1- osteogenesis imperfecta 2- autosomal dominant 3- brandywine

Question 27

what is dentine dysplasia

Answer 27

normal crown morphology amber radiolucency pulpal obliteration short constricted roots

Question 28

what is odontodysplasia

Answer 28

localised arrest in tooth development thin layers of enamel and dentine large pulp chambers ghost teeth

Question 29

How to diagnose DI

Answer 29

appearance associated osteogenesis imperfecta both dentitions affected enamel loss FH radiography: bulbous crown, pulp obliteration

Question 30

DI problems

Answer 30

aesthetics caries spontaneous abscess

Question 31

DI solutions

Answer 31

comp veneers overdentures prevention removable pros SS crowns

Question 32

hereditary dentine defects limited to dentine only

Answer 32

DI type 2 dentine dysplasia type 1+2 fibrous dysplasia of dentine

Question 33

hereditary dentine defects associated with general disorder

Answer 33

brachio-skeletal genital syndrome ehlers-danlos syndrome hypophosphatasia osteogenesis imperfecta rickets

Question 34

Overview of dental management of tooth defects

Answer 34

continuous dental care management of growth and development removable pros crowns and bridges interceptive ortho

Question 35

cementum anomalies: what is cleidocranial dysplasia

Answer 35

hypoplasia of cellular component of cementum

Question 36

cementum anomalies: what is hypophophatasia

Answer 36

hypoplasia or aplasia of cementum early loss of primary teeth

Question 37

Eruption anomalies- premature eruption aetiology

Answer 37

High birth weight Early puberty Natal/neonatal teeth

Question 38

Eruption anomalies- delayed eruption aetiology

Answer 38

Low birth weight Malnutrition Downs syndrome Gingival hyperplasia

Question 39

Eruption anonalies- premature exfoliation aetiology

Answer 39

Trauma Following pulpotomy Hypophosphatasia Immune deficiency

Question 40

Eruption anomalies- delayed exfoliation aetiology

Answer 40

Infra-occlusion Hypodontia Ectopic successors Post-trauma Supernumaries Early loss/retained primary Crowding/dilacerated tooth

Question 41

MIH- pre-natal aetiology

Answer 41

Mother’s general health in 3rd trimester Ask if pre-eclampsia/gestational diabetes

Question 42

MIH post-natal aetiology

Answer 42

Childhood infection-chickenpox,measles,rubella Prolonged breast feeding/SES/medications

Question 43

MIH problems

Answer 43

Secondaries caries Aesthetics/sensitivity Toothwear Discolouration

Question 44

MIH management of molars

Answer 44

Restorations Consider XLA SSC

Question 45

MIH- management of incisors

Answer 45

Microabrasion Resin infiltration Composite buildup Composite veneers

Question 46

Why is MIH sensitive

Answer 46

Increased nerve and increased vascularity and increased immune cells

Question 47

What is MIH

Answer 47

Enamel hypomineralisation of systemic origin of first permanent molars, and frequently associated with incisors

Question 48

When can u extract 1st permanent molar

Answer 48

Pt between 8-10 Bifurcation of 7s Calcification of 8s