ANOMALIES OF

DENTITION
DEVELOPING
 DEFINITION

tooth tissues, which can occur

during embryonic
development (genetic) or
(environmental).
the
development
of acquired
teeth

They are malformations of the

Throughout the dental process, they
are very susceptible to the action of
genetic, environmental, hormonal,
infectious agents or systemic
diseases that can determine
alterations in their correct
development; such as number, size,
shape, color, texture and position.
CLASSIFICATION OF ALTERATIONS IN TOOTH DEVELOPMENT

Other alterations
 GROWTH
Initiation and proliferation
Lack of development
Congenital absence of teeth
Synonyms: oligodontia (more than 6 teeth), hypodontia (less than 4 teeth),
anodontia (missing teeth), total agenesis (absence of tooth)
Due to excess development
a)Supernumerary teeth: more common in men than in women
Synonyms: hyperodontia, mesiodens, distodens, peridens
b) Post-permanent dentition: Appearance of supernumerary teeth after the loss of
the permanent one.
Impacted supernumerary teeth can prevent the emergence of neighboring
teeth and cause dental malpositions or crowding.
Initiation and proliferation
• Lack of development

Oligodontic Hypodonti Agenesis

s a
• Overdevelopment

Mesiodens Peridens
 Histodifferentiation
Lack of development
a) Amelogenesis imperfecta.- Hypoplastic, hypomineralized, hypomature
Synonyms: enamel aplasia, enamel dysplasia, brown enamel hypoplasia brown teeth
b)Dentinogenesis imperfecta
Synonyms: hereditary opalescent dentin, hereditary hypoplastic dentin, esm
transparent, Capdepont teeth
c) Dentin dysplasia
D)Regional odontoplasia
Synonyms: odontogenesis imperfecta (rare)
r overdevelopment
Ontomes: complex (mass of mineralized dentin and enamel tissue in an orphan manner) and
compound (dental structures that grow in the same place and remain agreed. Requires
surgical removal.
 Histodifferentiation
• Lack of development

Amelogenesis imperfecta Dentinogenesis imperfecta

• Over development

compound odontoma
 Morphodifferentiation
(size and shape
alterations)
1 .- Lack of development
a) Microdontia: peg-shaped teeth
b) Hutchinson's teeth: produced by congenital syphilis-
incisors
c) Blackberry-shaped molars
d)Microrhizomes: root dwarfism
2 .- Due to excess development a)Macrodontia
b)Enamel beads: enameloma

b
c) Accessory or supernumerary cusps
d) Dens evaginatus
e) Dens invaginatus
f) Shovel-shaped incisors
g)Hypercementosis
h)Gemination
i)Gemine j)Concrescence

k)Supernumerary roots
3 .- Other shape alterations
a) Fusion
b) Root dislacerations c)Taurodontism
 Appositio
n
Due to lack of development
a) Enamel hypoplasia
b)Hypoplasia and aplasia of the
cement
c)Odontoclasia
d)Hypoplasia due to tetracycline
e) Cementicles
f)Denticles
Mineralization

Development default
a)Hypomineralization
 b)Interglobular dentin
c) Dental fluorosis
Due to excess development
a) Mineralization of the papilla
dental
b)Secondary dentin
c)Sclerotic dentin
d) Reparative dentin
e) Dead tract
 Teeth coming out
Due to developmental deficiency
a) Delayed departure
Primary dentition.- It is not common, although it
can delay the emergence of one, several or all of
the teeth. Caused by certain diseases: rickets,
congenital hyperthyroidism, drugs
(anticonvulsants)
Permanent dentition.- a)Ankylosis
B)Impacted teeth c)Impacted teeth d)Reimpacted
teeth
Due to excess
development
a) Primary appearance of primary teeth: natal
teeth (present at birth), neonatal teeth (emerge
within 30 days after birth)
b) Early emergence of primary and permanent
teeth
c)Ectopia
d)Transmigration e)180 degree rotation
 Alterations due to use
Abnormal
wear:
a)
Attraction
b) Erosion
c) Abfraction d) Abrasion Stains
a)Extrinsic.- Color alterations acquired after the teeth appear in the mouth.
•Green spots
•Orange spots
•Black spots
•Tobacco stains
•Metallic stains •Coffee
stains b) Intrinsic.- They are the result of the incorporation of pigments during tooth formation. Caused by: ^Blood
type incompatibility (yellowish tones)
•Medicines (gray to brown in the case of tetracycline)
•Pulp hemorrhage (orange, brown, gray, black as time passes)
•Neonatal hepatitis (yellowish-brown color)
•Pulp necrosis (dark coloration in the gray range)
•Dentinogenesis and odontogenesis imperfecta (color between
blue and gray)