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School of



Developmental Abnormalities
        of Teeth



        INDIAN DENTAL ACADEMY
     Leader in Continuing Dental Education
        www.indiandentalacademy.com



      www.indiandentalacademy.co
School of


          Classification

Anomalies of Number

Anomalies of Size

Anomalies of Shape

Anomalies of Structure

Anomalies of Color
        www.indiandentalacademy.co
School of


      Anomalies of Number

1. Anodontia: a complete absence of
    one or both dentition.
2. Hypodontia (partial anodontia):
   a deficiency in tooth number.
3. Hyperdontia (Supernumerary Teeth):
   an excess in tooth number.
    a. Mesiodens      b. Distomolar

        www.indiandentalacademy.co
School of




     Mesiodens


www.indiandentalacademy.co
School of


       Anomalies of Size

1. Microdontia

2. Macrodontia




       www.indiandentalacademy.co
School of


         Anomalies of Shape

1. Gemination
2. Fusion
3. Concrescence
4. Dilaceration
5. Enamel Pearl (enameloma)
6. Talon Cusp
7. Taurodontism
8. Dens in Dente (dens invaginatus)
9. Dens Evaginatus
10.Supernumerary Roots
          www.indiandentalacademy.co
11.Hypercementosis
School of


              Gemination

The partial development of two teeth
 from a single tooth bud following
incomplete division.

  An incomplete division of a single
tooth bud resulting in a bifid crown
with a single pulp chamber.

           www.indiandentalacademy.co
School of




        Gemination


www.indiandentalacademy.co
School of


                 Fusion

The dentinal union of two embryologically
developing teeth.

Fused teeth can contain two separate
 pulp chamber, may appear as large bifid
crowns with one chamber.



           www.indiandentalacademy.co
School of




         Fusion




www.indiandentalacademy.co
School of


              Concrescence


An acquired disorder in which the roots of
one or more teeth are united by cementun
alone after formation of the crowns.




           www.indiandentalacademy.co
School of




        Concrescence

www.indiandentalacademy.co
School of




GEMINATION       FUSION       CONCRESCENCE

 One bud        Two buds            Two buds
 One tooth      Two teeth           Two teeth
 One canal      Dentin union        Cementum union




           www.indiandentalacademy.co
School of


        Dens Invaginatus

An extra cusp, usually in the central
groove or ridge of a posterior tooth
and lateral incisor.




       www.indiandentalacademy.co
School of


            Dens in Dente

  A condition resulting from the
invagination of the inner enamel
epithelium producing the appearance
of a tooth within a tooth.




         www.indiandentalacademy.co
School of




  Dens in Dente
(dens invaginatus)


                www.indiandentalacademy.co
School of


               Taurodont

Taurodont teeth are characterized by
having a significantly elongated pulp
chamber with short stunted roots,
resulting from the failure of the proper
level of horizontal invagination of
Hertwig’s epithelial root sheath..


          www.indiandentalacademy.co
School of




 Taurodontism-bull like tooth
www.indiandentalacademy.co
School of


              Dilaceration

 Dilaceration refers to an abnormal
bend of the root during its development
and is thought to result from a traumatic
Episode.




          www.indiandentalacademy.co
School of




www.indiandentalacademy.co
School of


           Anomalies of Structure

1. Enamel hypoplasia caused by
      amelogenesis imperfecta (genetic)
2. Enamel Hypoplasia caused by
      febrile Illness or Vitamin Deficiency
3. Enamel hypoplasia resulting from
      local infection or Trauma
       a. Turner's Tooth
4. Enamel hypoplasia resulting from
     fluoride Ingestion (dental fluorosis)
     a. Mottling
             www.indiandentalacademy.co
School of


          Anomalies of Structure

5. Enamel hypoplasia resulting from
      congenital syphilis (Treponema pallidum)
   a. Hutchinson's incisors     b. Mulberry molars
6. Enamel hypoplasia resulting from birth injury,
      premature birth or idiopathic factors
7. Enamel hypocalcification
8. Dentinogenesis imperfecta
9. Dentin dysplasia
10. Regional Odontodysplasia (Ghost teeth)

             www.indiandentalacademy.co
School of


       Amelogenesis Imperfecta

Classification of AI
Type I: hypoplastic
TypeII: hypomaturation
TypeIII: hypocalcified
TypeIV: hypomaturation-hypoplastic
         with taurodontism



          www.indiandentalacademy.co
School of




                    Amelogenesis imperfecta



www.indiandentalacademy.co
School of




enamel hypoplasia




               www.indiandentalacademy.co
School of




    enamel hypoplasia



www.indiandentalacademy.co
School of




       Turner Tooth



www.indiandentalacademy.co
School of




       Dental fluorosis



www.indiandentalacademy.co
School of




     Hutchinson teeth



www.indiandentalacademy.co
School of


       Dentinogenesis Imperfecta

Classification of DI
Type I: occures with osteogenesis
           imperfecta
TypeII: hereditary opalescent dentin
TypeIII: Brandywine type
          a shell-like appearance and
          multipe pulp exposures.


           www.indiandentalacademy.co
School of




  Dentinogenesis imperfecta



www.indiandentalacademy.co
School of




www.indiandentalacademy.co
School of


              Anomalies of Color
      — Discoloration of teeth
   Etiology
 Surface deposits (Extrinsic stains)
 Changes in structure or thickness of dental tissues
 Diffusion of pigments into dental tissues
 Pigments incorporated during formation of dental tissues.



               www.indiandentalacademy.co
School of


          Extrinsic stains

 Substances in the diet
 Habitual chewing, betel nut, tobacco
 Tobacco smoking
 Medicaments
 Chromogenic bacteria



       www.indiandentalacademy.co
School of


         Changes in structure

 Enamel hypoplasias, fluorosis
 Amelogenesis imperfecta, hypocalcified,
   hypomaturation, and hypoplastic types
 Enamel opacities
 Enamel caries
 Dentinogenesis imperfecta
 age changes in dental tissues


         www.indiandentalacademy.co
School of


      Diffusion of pigments


 Extrinsic stains
 Endodontic materials
 Products of pulp necrosis




       www.indiandentalacademy.co
School of


    Pigments incorporation

 Bile pigments
 Porphyrins
 Tetracycline




     www.indiandentalacademy.co
School of




Tetracycline stained teeth
             www.indiandentalacademy.co
School of




www.indiandentalacademy.co
School of




www.indiandentalacademy.co
School of




 Composite resin restoration



www.indiandentalacademy.co
School of




www.indiandentalacademy.co
School of




Other disorders of teeth




    www.indiandentalacademy.co
School of


     Attrition




www.indiandentalacademy.co
School of


      Erosion




www.indiandentalacademy.co
School of


Toothbrush abrasion




  www.indiandentalacademy.co
School of




   Thank you for watching

www.indiandentalacademy.com



      www.indiandentalacademy.co

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Developmental abnormalities of teeth /certified fixed orthodontic courses by Indian dental academy

  • 1. School of Developmental Abnormalities of Teeth INDIAN DENTAL ACADEMY Leader in Continuing Dental Education www.indiandentalacademy.com www.indiandentalacademy.co
  • 2. School of Classification Anomalies of Number Anomalies of Size Anomalies of Shape Anomalies of Structure Anomalies of Color www.indiandentalacademy.co
  • 3. School of Anomalies of Number 1. Anodontia: a complete absence of one or both dentition. 2. Hypodontia (partial anodontia): a deficiency in tooth number. 3. Hyperdontia (Supernumerary Teeth): an excess in tooth number. a. Mesiodens b. Distomolar www.indiandentalacademy.co
  • 4. School of Mesiodens www.indiandentalacademy.co
  • 5. School of Anomalies of Size 1. Microdontia 2. Macrodontia www.indiandentalacademy.co
  • 6. School of Anomalies of Shape 1. Gemination 2. Fusion 3. Concrescence 4. Dilaceration 5. Enamel Pearl (enameloma) 6. Talon Cusp 7. Taurodontism 8. Dens in Dente (dens invaginatus) 9. Dens Evaginatus 10.Supernumerary Roots www.indiandentalacademy.co 11.Hypercementosis
  • 7. School of Gemination The partial development of two teeth from a single tooth bud following incomplete division. An incomplete division of a single tooth bud resulting in a bifid crown with a single pulp chamber. www.indiandentalacademy.co
  • 8. School of Gemination www.indiandentalacademy.co
  • 9. School of Fusion The dentinal union of two embryologically developing teeth. Fused teeth can contain two separate pulp chamber, may appear as large bifid crowns with one chamber. www.indiandentalacademy.co
  • 10. School of Fusion www.indiandentalacademy.co
  • 11. School of Concrescence An acquired disorder in which the roots of one or more teeth are united by cementun alone after formation of the crowns. www.indiandentalacademy.co
  • 12. School of Concrescence www.indiandentalacademy.co
  • 13. School of GEMINATION FUSION CONCRESCENCE One bud Two buds Two buds One tooth Two teeth Two teeth One canal Dentin union Cementum union www.indiandentalacademy.co
  • 14. School of Dens Invaginatus An extra cusp, usually in the central groove or ridge of a posterior tooth and lateral incisor. www.indiandentalacademy.co
  • 15. School of Dens in Dente A condition resulting from the invagination of the inner enamel epithelium producing the appearance of a tooth within a tooth. www.indiandentalacademy.co
  • 16. School of Dens in Dente (dens invaginatus) www.indiandentalacademy.co
  • 17. School of Taurodont Taurodont teeth are characterized by having a significantly elongated pulp chamber with short stunted roots, resulting from the failure of the proper level of horizontal invagination of Hertwig’s epithelial root sheath.. www.indiandentalacademy.co
  • 18. School of Taurodontism-bull like tooth www.indiandentalacademy.co
  • 19. School of Dilaceration Dilaceration refers to an abnormal bend of the root during its development and is thought to result from a traumatic Episode. www.indiandentalacademy.co
  • 21. School of Anomalies of Structure 1. Enamel hypoplasia caused by amelogenesis imperfecta (genetic) 2. Enamel Hypoplasia caused by febrile Illness or Vitamin Deficiency 3. Enamel hypoplasia resulting from local infection or Trauma a. Turner's Tooth 4. Enamel hypoplasia resulting from fluoride Ingestion (dental fluorosis) a. Mottling www.indiandentalacademy.co
  • 22. School of Anomalies of Structure 5. Enamel hypoplasia resulting from congenital syphilis (Treponema pallidum) a. Hutchinson's incisors b. Mulberry molars 6. Enamel hypoplasia resulting from birth injury, premature birth or idiopathic factors 7. Enamel hypocalcification 8. Dentinogenesis imperfecta 9. Dentin dysplasia 10. Regional Odontodysplasia (Ghost teeth) www.indiandentalacademy.co
  • 23. School of Amelogenesis Imperfecta Classification of AI Type I: hypoplastic TypeII: hypomaturation TypeIII: hypocalcified TypeIV: hypomaturation-hypoplastic with taurodontism www.indiandentalacademy.co
  • 24. School of Amelogenesis imperfecta www.indiandentalacademy.co
  • 25. School of enamel hypoplasia www.indiandentalacademy.co
  • 26. School of enamel hypoplasia www.indiandentalacademy.co
  • 27. School of Turner Tooth www.indiandentalacademy.co
  • 28. School of Dental fluorosis www.indiandentalacademy.co
  • 29. School of Hutchinson teeth www.indiandentalacademy.co
  • 30. School of Dentinogenesis Imperfecta Classification of DI Type I: occures with osteogenesis imperfecta TypeII: hereditary opalescent dentin TypeIII: Brandywine type a shell-like appearance and multipe pulp exposures. www.indiandentalacademy.co
  • 31. School of Dentinogenesis imperfecta www.indiandentalacademy.co
  • 33. School of Anomalies of Color — Discoloration of teeth Etiology  Surface deposits (Extrinsic stains)  Changes in structure or thickness of dental tissues  Diffusion of pigments into dental tissues  Pigments incorporated during formation of dental tissues. www.indiandentalacademy.co
  • 34. School of Extrinsic stains  Substances in the diet  Habitual chewing, betel nut, tobacco  Tobacco smoking  Medicaments  Chromogenic bacteria www.indiandentalacademy.co
  • 35. School of Changes in structure  Enamel hypoplasias, fluorosis  Amelogenesis imperfecta, hypocalcified, hypomaturation, and hypoplastic types  Enamel opacities  Enamel caries  Dentinogenesis imperfecta  age changes in dental tissues www.indiandentalacademy.co
  • 36. School of Diffusion of pigments  Extrinsic stains  Endodontic materials  Products of pulp necrosis www.indiandentalacademy.co
  • 37. School of Pigments incorporation  Bile pigments  Porphyrins  Tetracycline www.indiandentalacademy.co
  • 38. School of Tetracycline stained teeth www.indiandentalacademy.co
  • 41. School of Composite resin restoration www.indiandentalacademy.co
  • 43. School of Other disorders of teeth www.indiandentalacademy.co
  • 44. School of Attrition www.indiandentalacademy.co
  • 45. School of Erosion www.indiandentalacademy.co
  • 46. School of Toothbrush abrasion www.indiandentalacademy.co
  • 47. School of Thank you for watching www.indiandentalacademy.com www.indiandentalacademy.co

Notas del editor

  1. Anadontia: a complete absence of one or both dentition. Hypodontia: one or several teeth are missing. Hyperdontia: There are teeth additional to those of the the normal series.
  2. The dental chamber has a greater apico-occlusal height than in normal teeth, with no constriction at the level of the amelocemental junction with the result that the chamber extends apically well beyond the cervix.
  3. A deformity in which the crown of the tooth is displaced from its normal alignment with the root, so that the tooth is severely bent along its long axis. Dilaceration is usually the result of acute mechanical trauma and most frequently involves the maxillary incisor.