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((Developmental disturbances))

What does developmental disturbance mean?? It means the changes due to development without specific cause; without infection, neoplasia, tumor, reactive changes or soft tissue tumor.

Disturbances in size microdontia


generalized true relative localized Ex: peg lateral: when the if the teeth since max. Lateral incisor is dimension are. of the normal in taper , it's smaller than teeth is size but normal one. less than the jaw is 3rd molar the abnormally especially max. 3rd normal big. molar could be sizes of seen rounded, small and conical, normal so they may be teeth
very small compared to adjacent molars . single
one extra tooth

Macrodontia
generalized true localized

supernumerary:
multiple
more than one extra tooth

relative Ex: Hemifacial if teeth If the hypertrophy: size is jaw is condition in more small than and the which half of the normal teeth teeth will be sizes of are normal normal. increased in the size, so teeth (it there will be could be increasing in occurred the size of due to half of the hormone face. change).

-Radiculomegaly: when size of the root of the tooth is


increased and this usually occurred in mand. Canine . So there roots will be bigger than normal ones.

-Anodontia: complete absence of teeth. -Hypodontia: decreasing in teeth number (less than
normal). -ectodermal dysplasia: Syndrome in which there are no teeth (anodontia), and its abnormality in epithelium in some components of the body especially which are related to teeth.

definition
subtype of the syndrome in which sweet glands are also defective so the patients Will be abnormal by missing normal sweating so they won't tolerate high temperature.

hypohydrotic dysplasia Features causes


abnormal hair- very thin hair- , protruded upper lip, bulging in frontal bone, no eyedraw, very thin eyelashes and there will be defective sweat glands and anodontia and hypodontia. the defect in this syndrome is transmembrane protein in keratinocytes affecting .teeth, sweat glands and hair follicles.

Note: if the parent congenitally missing teeth some of the children will also have congenitally missing it -For the permanent teeth: lateral incisor, 3rd molar, second premolar especially upper.

-For the deciduous teeth: maxillary laterals are the most common congenitally absent teeth. Supernumerary teeth
In maxilla In mandible
In deciduous supplemental teeth supernumerous teeth which morphologically .resemble those of normal series

The shape
conical (indicates microdontia )or normal.

1- Mesiodense: supernumerary Premolars(most tooth that erupt common) ,fourth in the midline molars and incisors. of maxilla (mesio; it erupted mesially to both central incisors). 2- Paramolar : extra molar (fourth molar) which. erupts distally to the last molar. 3- Maxillary lateral incisor

Maxillary lateral incisor may have supernumerary teeth

Supernumerary teeth maybe Erupted or impacted