S. R. Prabhu

Handbook of Oral Pathology and Oral Medicine


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basement membrane.

       Hydropic (liquefaction) degeneration: basal cells become vacuolated, separated, and disorganized.

       Hyaline bodies: necrotic keratocytes; also termed colloid bodies, Civatte bodies, and apoptotic bodies.

      Standard Abbreviations for Prescribers

      ac(before meals)ad lib(as desired)ASAP(as soon as possible)bid(twice a day)btl(bottle)c(with)cap(capsule)crm(cream)disp(dispense on a prescription label)elix(elixir)g(gram)gtt(drop)h(hour)hs(at bedtime)iu(international units)IV(intravenous)l(litre)liq(liquid)loz(lozenge)mg(milligram)min(minute)ml(millilitre)NaF(sodium fluoride)prn(as needed)q(every)q2h(every 2 hours)q4h(every 4 hours)q6h(every 6 hours)q8h(every 8 hours)q12h(every 12 hours)qam(every morning)qd(every day)qhs(every bedtime)qid(four times a day)qod(every other day)qpm(every evening)qsad(add a sufficient quantity to equal)qwk(every week)Rx(prescription)s(without)sig(patient dosing instructions on prescription label)sol(solution)stat(Immediately)syr(syrup)tab(tablet)tbsp(ttablespoon)tid(three times a day)top(topical)tsp(teaspoon)oint(ointment)OTC(over the counter)oz(ounce)p(after)pc(after meals)PO(by mouth)U(unit)ut dict(as directed)visc(viscous)wk(week)yr(year)

Part I Pathology of Teeth and Supporting Structures

      CHAPTER MENU

      1  1.1 Anodontia, Hypodontia and Oligodontia

      2  1.2 Hyperdontia (Supernumerary Teeth)

      3  1.3 Microdontia and Macrodontia

      4  1.4 Gemination, Fusion and Concrescence

      5  1.5 Taurodontism and Dilaceration

      6  1.6 Amelogenesis Imperfecta

      7  1.7 Dentinogenesis Imperfecta

      8  1.8 Dentinal Dysplasia (Dentin Dysplasia)

      9  1.9 Regional Odontodysplasia (Ghost Teeth)

      10  1.10 Delayed Tooth Eruption

      11  1.11 Tooth Impaction (Impacted Teeth)

      12  1.12 Dens Invaginatus and Dens Evaginatus

      13  1.13 Fluorosis (Mottled Enamel)

      14  1.14 Tetracycline‐Induced Discolouration of Teeth: Key Features

      15  1.15 Enamel Pearl: Key Features

      16  1.16 Talon Cusp: Key Features

      17  1.17 Hutchinson's Incisors and Mulberry Molars: Key Features

      18  1.18 Tooth Ankylosis: Key Features

      19  1.19 Supernumerary Roots: Key Features

      1.1.1 Definition/Description

       Anodontia: All teeth are developmentally (congenitally) missing

       Hypodontia: one to six developmentally (congenitally) missing teeth except the third molars

       Oligodontia: more than six developmentally (congenitally) missing teeth

      1.1.2 Frequency

       Anodontia: extremely rare

       Hypodontia: incidence: 4.4–13.4%. The most common developmental anomaly

       Oligodontia: incidence: 0.25%

       Hypodontia of the deciduous teeth affects less than 1% of childrenFigure 1.1 Hypodontia: clinical photograph of missing maxillary lateral incisors(source: Bin im Garten, https://commons.wikimedia.org/wiki/File:Hypodontie_der_zweiten_oberen_Schneidz%C3%A4hne_IMG_1726.JPG. Licensed under CC BY‐SA 3.0).

      1.1.3 Aetiology/Risk Factors

       Anodontia: mutations in EDA, EDAR and EDARADD genes

       Hypodontia: mutations in MSX1, PAX9, IRF6, GREM2, AXIN2, LRP6, SMOC2, LTBP3, PITX2 and WNT10B. WNT10A genes

       Oligodontia: mutations in MSX1, PAX9, IRF6, GREM2, AXIN2, LRP6, SMOC2, LTBP3, PITX2 and WNT10B. WNT10A genes

       Environmental factors: hypodontia can result from trauma to the developing dental tissues such as chemotherapy or radiotherapy

      1.1.4 Clinical Features

       The most common missing multiple teeth (other than third molars) are:Maxillary lateral incisors (Figure 1.1). This is followed by the mandibular second premolars and maxillary second premolarsSkin/nails/hair/sweat glands may be affected in some cases of hypodontiaMorphology of teeth may be defective (microdontia/peg‐shaped