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80 Cards in this Set

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hyperdontia


-distodens


-"fourth molar"

hyperdontia


peridens (premolar)


-most common in mandible


hyperdontia


-mesiodens


*most common single supernumerary tooth



(midline)

conditions associated with supernumerary teeth:


Gardner's

Syndromes associated with supernumerary teeth?

-Gardner's


-cleidocranial dysplasia


hypodontia


(missing 1/few teeth)



-retained decid. and missing premolar

hypodontia


(missing 1/few teeth)

oligodontia


-missing 6+ teeth

in a child

in a child

anodontia

Syndromes assoc. with missing teeth

-ectodermal dysplasia



also can see in:


-downs


-cleft lip/palate!


-hemifacial microsomia


-rad to jaws in kids

ectodermal dysplasia


-AD condition


-at least 2 ectodermal structures are missing

macrodontia M

Macrodontia may be associated with:

-vascular abnormalities


-hemihypertrophy of face


-pituitary gigantism



*could be confused with gemination/positioning errors

microdontia


Microdontia may be assoc. with:

-may be syndromic


-CHF, progeria, downs

impaction (canine)

impaction (molars)

Most common places for impaction?

canines and molars


-teeth encased in bone/soft tissue


-tooth "fails" to erupt

CBCT bony window


-impaction

transposition


-most common in permanent canine and first premolar


-teeth switch places

ankylosis

Anyklosis could be caused by:

Fusion to bone could be caused by:


-infection


-trauma


-abscence of permanent tooth

ectopia


gemination


-cleft/invagination of crown


-single pulp chamber


-normal number teeth


-more common in primary teeth


-common in insors and canines


gemination

twinning


-complete division of the tooth bud



don't confuse with fusion; count teeth!


(same number teeth)

fusion


fusion

How do you know you have a case of fusion?

-No pdl space between


-one fewer tooth in arch



2 pulp chambers; dentin fused together

concrescence


-teeth fused by cementum

concrescence


-no alv. bone or pdl between teeth

taurodontism


-long trunk, short root


-normal crown


What is associated with taurodontism?

-Downs


-Amelogenesis imperfecta

dilaceration


-b/l places roots look like bull's eye

dilaceration

dens in dente


-radicular



*folding of hertwig's


-line by cementum


-rare

dens in dente


-coronal



*folding inwar of enamel organ


-lined with epith

dens in dente


-invag.

enamel pearl

Dens in dente may result in?

-necrosis


-rarefying osteitis (aka granuloma or cyst)

Diff. dx of enamel pearl

-calculus


-pulp stone

talon cusp

amelogenesis imperfecta


-enamel hypoplasia due to incomplete defective formation of enamel matrix



-normal dentin

In amelogenesis imperfecta, enamel is...

-laminated, prismatic


-resistant to caries


dentinogenesis imperfecta



-sometimes assoc. with osteogenesis imperfecta


*with this, blue sclera, multiple fractures and scars (type 1)

dentinogenesis imperfecta type 2


-bulbous crown, constricted at CEJ

Talk about dentin dysplasia

Rare


-"rootless teeth"



type 1:


-radicular



type 2:


-coronal

Type 1: dentin dysplasia

-short roots, conical


-ROOTLESS TEETH


-W shape

Type 2: dentin dysplasia

-normal roots


-pulp chambers flame-shaped

dentin dysplasia type 1


-w roots

dentin dysplasia type 2


-flame pulp

dentin dysplasia type 2

regional odontodysplasia


-large pulp chambers


-thin enamel


-ghost teeth

Attrition clinical presentation

-physiological wearing


-wear facets


-dentin exposure



pathologic: bruxism

Attrition on Rx

-shortened height


-secondary dentin


-widened pdl


-sometimes hypercementosis

Abrasion clinically and Rx

-"v" shaped



rx = semi-circular shape with increasing r-opacity (white)

Erosion clinical and Rx

-chronic vomit/acid reflux


-lingual and palatal surfaces affected


-lesions look rounded on edges, smooth, glistening depressions on enamel

External resorption of tooth structure

-root surface, involves dentin and cementum


-smooth resorption, bone and lamina dura follow the resorbing root


floss abrasion


*appear as r-lucent grooves


*if deep, obliteration of pulp and 2 dentin formation

floss abrasion followed by 2 dentin formation


-2 dentin formed by odontoblasts

pulp stones; no tx

hypercementosis

Hypercementosis is assoc with?

-pagets


-hyperpituitarism (gigantism)


stafne bony defect (non-odontogenic)


-mn lingual surface


-usually below inf. alv. canal


-usually at angle of mn



-aka dev. salivary gland defect

stafne bony defect (non-odontogenic)


-mn lingual surface


-usually below inf. alv. canal


-usually at angle of mn

palatal tori/enostosis

mandibular tori/inostosis

condylar agenesis


(condyle gone)

condylar hyperplasia

bifid condyle

invasive canal cyst


-well circumscribed


-r-lucent


invasive canal cyst


-well circumscribed


-r-lucent

cleft palate


-can be unilat. or bilat.

cleft palate


-w/ cleft, could see supernumerary teeth

mx sinus agenesis

Things to know about cleidocranial dysplasia

1. delay in eruption of permanent teeth


2. SUPERNUMERARY TEETH


3. DENTIGEROUS CYSTS MAY DEVELOP

Cleidocranial dysplasia pts look:

-large head w/ frontal and parietal protuberance/bossing


-skull flat/missing clavicle


-high arche palate


-small sinus


-small maxilla

Craniofacial dysplasia pts look:

-beaten metal appearance


-cranial markings; look like digital impression


-early closure of sutures


craniofacial dysplasia

cleidocranial dysplasia