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17 Anomalies

The document discusses various dental anomalies including developmental abnormalities such as additional, missing, abnormally sized, eruption issues and altered morphology of teeth. It also discusses acquired abnormalities such as attrition, abrasion, resorption, secondary dentin formation, pulp stones and sclerosis.

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Pakistan Dental Society
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49 views

17 Anomalies

The document discusses various dental anomalies including developmental abnormalities such as additional, missing, abnormally sized, eruption issues and altered morphology of teeth. It also discusses acquired abnormalities such as attrition, abrasion, resorption, secondary dentin formation, pulp stones and sclerosis.

Uploaded by

Pakistan Dental Society
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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( 16 )

DENTAL
ANOMALIES
LECTURE OBJECTIVES
By the end of this lecture you
should be able to know the
following :
• { I } Developmental
abnormalities
• { II } Acquired abnormalities
{ I } Developmental
abnormalities
( 1 ) Abnormalities in
number of the teeth
A ) Additional Teeth
• A paramolar blocking the path of
eruption of the third molar
Distomolar of fourth molars may be
seen in both maxillary quadrants
Supernumerary or supplemental premolars.

Note the presence of four mandibular left


premolars
Mesiodens
may retard
the eruption
or cause
impaction
of
permanent
teeth
B) Missing Teeth
• Developmental absence of all maxillary
premolars and both mandibular second
premolars
2 ) SIZE
OF TEETH
• The macrodont molar shows an increased
mesiodistal dimension
• The microdont
molar (the
maxillary third
molars),
showing
reduction in
both the size
and number of
cusps
• The microdont
incisor (the
maxillary
lateral incisor)
results in a
characteristic
peg-shaped
deformity
3 ) ERUPTION OF
TEETH
• A cropped panoramic image demonstrating bilateral
transposition of the maxillary canines and first
premolars
4 ) ALTERED
MORPHOLOGY
OF TEETH
• Fusion of the central and lateral incisors in
both the primary and the permanent dentition
• A, concrescence occurs when two teeth are joined
by a mass of cementum. B, Extraction of one tooth
may result in the unintended removal of the
second
• Taurodont, revealed in all permanent first molars,
A, in a primary first molar, B, and in a permanent
first molar, C.
A, Dilaceration of the crown.
B, radiograph of the specimen in A.
• If the roots
bend mesially
or distally, the
condition is
clearly
apparent on a
periapical
radiograph
• When the roots are bent buccally or
lingually, the dilacerated portion appears as
a rounded opaque area with a dark shadow
in its central region cast by the apical
foramen and root canal (Bull’s-eye
appearance).
• The periodontal ligament (PDL) space a
round this dilacerated portion may be seen
as a radiolucent halo.
• The apical
portion of
the root is
bent
buccally or
lingually
(note the
halo in the
apical
region
“arrow”)
• This
sectioned
canine with a
dens in
dente shows
enamel
(arrows)
folded into
the tooth’s
interior
( II ) Acquired
abnormalities
• Changes that are
initiated after
development of the tooth
Attrition
Abrasion (from excessive use of dental
floss )
Internal root resorption
External root resorption results in a loss
of tooth structure from the apex
Secondary dentin formation
PULP STONES
PULPAL SCLEROSIS
Hypercementosis (note the continuity of
the lamina dura and the PDL space)

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