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β Under the supervision of:
Dr. Noha Elwassefy
Dr. Nessma Sultan
Size: 4.91 MB
Language: en
Added: Jul 27, 2024
Slides: 30 pages
Slide Content
DENTAL ANOMALIES
Dental Surgery Students
Faculty of Dentistry
Supervised by : Dr.Nessma Sultan
Dental Anomalies Definition
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Anomaly defined as something that is noticeably
different or deviates from the norm
caused by complex multifactorial interactions
between genetic, epigenetic, and environmental
factors during the long process of dental
development
Most common missing permanent teeth are
1. Third molars 2. Maxillary lateral incisors
3. Mandibular second premolar
Least likely permanent tooth to be missing is
The canines
Classification of Dental Anomalies
Developmental Aquired
SHAPE / FORM
NUMBER
SIZE
DEFECTS
OF CROWN
(ENAMEL) OF ROOT
EROSION
ABRASION
ATTRITION
RESORBTION
HYPER
CEMENTOSIS
INTERNAL
EXTERNAL
Developmental
Factors
Developemental
1. Size
MacrodontiaMicrodontia
Microdontia
Generalized Microdontia1.
All teeth are smaller than normal
Developemental
Localized Microdontia2.
Affects most often maxillary
lateral incisior + 3rd molar
these 2 teeth are most often
congenitally missing
( Peg Lateral )
Developemental
1. Size
MacrodontiaMicrodontia
Macrodontia
Generalized Macrodontia1.
All teeth are larger than normal
Developemental
2. Number
HypodontiaHyperdontia
Supplemental teeth
Anodontia
Hyperdontia
Many are impacted
cleidocranial dysostosis ,
gardner syndrome
lack of development of one
or more teeth Permanent
Developemental
2. Number
HypodontiaHyperdontia Anodontia
Hypodontia
Developemental
2. Number
HypodontiaHyperdontia
when all teeth are missing
Anodontia
Anodontia
ectodermal dysplasia
Developemental
2. Number
HypodontiaHyperdontia Anodontia
Developemental
3. Shape / Form
GeminationDens in Dente Fusion
Dens in Dente
The outer surface of the tooth crown
invaginates or turns itself inward
before mineralization
Fusion
Developemental
3. Shape/ Form
GeminationDens in Dente
Gemination
Abnormally shaped crown that is
extra wide due to the development
of two crowns from one tooth germ
Developemental
3. Shape / Form
GeminationDens in Dente Fusion
An abnormally shaped tooth that
may appear as an extra wide crown,
a normal crown with an extra root,
or other combinations resulting from
the union of two adjacent tooth
germs by dentin during development
Fusion
Root (Dilaceration)
Developemental
4. Defects
Crown(Enamel Hypoplasia)
Enamel Hypoplasia
Genetic
Illness or Vitamin Deficiency
_
Local infection or Trauma
_
Developemental
Angulation or a sharp bend or curve
in root or crown of a formed tooth
Dilaceration
Root (Dilaceration)
4. Defects
Crown(Enamel Hypoplasia)
Trauma to a developing tooth can cause
root to form at an angle to normal
Acquired
Factors
Acquired
1. Attrition
is the loss of tooth structure or tissue
caused by tooth-on-tooth contact
Cause : bruxism
Lead to :
If the attrition is severe
the enamel can be completely worn
away leaving underlying dentin exposed
Flat facets
Acquired
Using too much pressure
when you brush your teeth
2. Abrasion
Biting on your fingernails
is the loss of tooh structure caused by
food or foreign body contact
Cause :
Lead to : the enamel can be worn away
chemicals and acids
in food and medicine
Acquired
3. Erosion
is the loss of tooth enamel caused
by acid attack
Cause :
Lead to :
it can lead to the loss of
tooth structure
Acquired
External
Acquired
4. Resorbtion
Acute trauma - direct and indirect pulp
cap - enamel invagination
Internal
Internal
Cause :
Acquired
Tooth root Unerupted tooth crown
External
4. Resorbtion
Internal
External
Cause :
Reimplantation - local inflammation -
too much mechanical forces
Features :
Shortening Flattening
External
Acquired
4. Resorbtion
Internal
Super eruption
acromegaly
Inflammation
Acquired
5. Hypercementosis
Cause :
(lead to) :
Too much occ forces
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Letβs answer questions
This Case is :
A. Macrodontia
B. Abrasion
C. Microdontia
D. Erosion
Answer : A
This Case is :
A. Hyperdontia
B. Abrasion
C. Hypodontia
D. Erosion
Answer : C