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OPT Teeth
Term | Definition |
---|---|
1. matrix formation 2. mineralization 3. maturation | 3 stages of enamel development |
environmental enamel hypoplasia | abnormal formation of matrix deposition; forms pits, grooves and missing enamel |
environmental enamel opacity | damage to enamel during maturation; normal enamel thickness but is discolored and opaque |
diffuse opacities | ill-defined areas of white enamel |
demarcated opacities | circumscribed areas of white, create yellow or brown |
Turner hypoplasia | white/yellow/brown hypo maturation of permanent tooth due to trauma to overlying primary tooth |
Turner tooth | altered permanent tooth from primary tooth trauma |
dilaceration | bend of crown or root of tooth |
molar incisor hypomineralization | idiopathic developmental abnormality of enamel defects in first molars |
cheese molars | another name for molar incisor hypo mineralization; due to soft and porous enamel |
dental fluorosis | ingestion of excess fluoride causing enamel defects; opaque white and areas of yellow to brown {mottling} |
syphilitic hypoplasia | includes Hutchinson incisors and mulberry molars |
tooth wear | loss of tooth structure, normal physiologic process in aging |
attrition | caused by tooth to tooth contact while chewing |
abrasion | secondary to action of external agent |
demastication | tooth wear from chewing abrasive substance; combination of attrition and abrasion |
erosion | caused by acidic chemical reaction, internal and external |
periomolysis | erosion from gastric secretion |
abfraction | caused by repeated flexure from occlusal stresses |
internal resorption | caused by cells in dental pulp |
inflammatory resorption | internal resorption where dentin is replaced by inflammatory granulation tissue |
pink tooth of Mummery | pink coronal discoloration when inflammatory resorption in coronal pulp chamber |
replacement (metaplastic) resorption | dentinal wall is resorbed and replaced with bone-like cementum |
external resorption | arises from cells in PDL |
invasive cervical resorption | when external resorption begins at cervical and spreads to adjacent teeth and roots |
multiple idiopathic root resorption | when multiple teeth are affected by invasive cervical resorption |
eruption | movement of tooth from development to functional position |
emergence | when first part of the crown is visible |
impacted teeth | when a tooth ceases to erupt before emergence |
ankylosis | cessation of eruption after emergence, fusion of tooth and bone; aka {infra occlusion, secondary retention, reimpaction} |
hypodontia | lack of development of one or more teeth due to problems with dental lamina |
anodontia | total lack of tooth development; seen in ectodermal dysplasia |
oligodontia | missing 6 or more teeth |
hyperdontia | increased number of teeth; extra teeth called {supernumerary} |
mesiodens | supernumerary teeth in anterior maxilla |
distomolar/distodens | supernumerary teeth distal to third molars |
paramolar | supernumerary teeth lingual or buccal to a molar |
natal teeth | teeth present shortly after birth, usually lower incisors |
dental transposition | normal teeth in inappropriate locations |
microdontia | unusually small teeth, upper lateral and 3rd molars are most likely |
macrodontia | unusually large teeth |
gemination/fusion | double tooth where the tooth count is normal/off by one; joined by dentin |
concrescence | two formed teeth joined by cementum |
cusp of Carabelli | accessory cusp on mesiolingual of maxillary first molars in permanent and primary teeth |
protostylid | analogous to cusp of Carabelli on lower molars |
talon cusp | additional cusp on lingual of anterior tooth that projects over 1/2 the distance from CEJ to incisal edge |
dens evaginatus | cusp-like elevation of enamel on central groove or lingual ridge |
shovel-shaped incisors | associated with dens evaginates; prominent lateral margins on lingual of incisors |
coronal dens invaginatus | maxillary predominance, usually in laterals; aka {dens in dente} |
dilated odontome | invagination that distorts the shape of the developing tooth |
radicular dens invaginatus | rare; ectopic radicular enamel that forms invagination |
taurodontism | enlargement of tooth body and pulp chamber |
hypercementosis | non-neoplastic deposition of excess cementum continuous with normal cementum; seen in Paget disease |
globodontia | cuspids and molars with enlarged and bulbous crowns; occlusal surface looks like a tied end of a sausage |
otodental syndrome | combination of globodontia and sensorineural hearing loss |
lobodontia | autosomal dominant disorder where teeth look like carnivorous fangs |
amelogenesis imperfecta (AI) | group of 14 hereditary disorders of alteration in enamel development in any stage of enamel development |
hypoplastic AI | problem during enamel matrix formation but has appropriate mineralization |
hypomaturation AI | problem during enamel maturation of crystal structure |
hypocalcified AI | lack of mineralization of enamel matrix; yellow/brown/orange teeth, widespread calculus |
generalized pitted AI | hypoplastic AI, scattered pits across all surfaces |
localized pitted AI | horizontal rows of pits or linear depression; can affect only scattered teeth and only the primary teeth |
diffuse hypoplastic AI | both dentitions little or no enamel that can be {smooth} or {rough} |
enamel agenesis | total lack of enamel formation; type of diffuse hypoplastic AI |
generalized thin hypoplstic AI | includes all diffuse hypoplastic types of AI |
hypomaturation | normally formed matrix but defective maturation of crystal structure; looks like fluorosis |
pigmented | type of hypomature AI; mottled, agar brown enamel; requires full crown coverage |
snow-capped | type of hypo mature AI; zone of white opaque enamel on occlusal third |
hypomineralization amelogenesis imperfecta | groups hypo maturation and hypo calcified variants of AI |
autosomal dominant AI with taurodontism | joins both variants due to phenotypic variation in families |
tricho-dento-osseous syndrome | autosomal dominant disorder with AI with taurodontism, kinky hair and bone issues |
dentinogenesis imperfecta | autosomal dominant disorder of translucent teeth and premature closure of pulp canals |
shell teeth | normal thickness enamel with thin dentin and large pulps |
Brandywine isolate | dentinogenesis imperfect with enamel hypoplasia and pulp enlargement |
dentin dysplasia, type II | autosomal dominant disorder like DI; normal root length, blue/brown primary teeth and large pulp chambers, pulp stones in permanent dentition |
dentin dysplasia, type I | rootless teeth from autosomal dominant disorder; normal crowns with crescent pulp chambers |
regional odontodysplasia | idiopathic disorder of teeth with thin enamel and dentin with large radiolucent pulps {ghost teeth} |
ghost teeth | teeth with thin enamel and dentin and large radiolucent pulps; seen in regional odontodysplasia |