developmental disturbance

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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.

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    Disturbances in size

    microdontia Macrodontia

    generalized localized generalized localized

    true relative Ex: peg lateral:

    since max.

    Lateral incisor istaper , it's

    smaller than

    normal one.3rd molar

    especially max. 3rd

    molar could be

    seen rounded,

    small and conical,

    so they may be

    very small

    compared to

    adjacent molars .

    supernumerary:

    true relative Ex:

    Hemifacial

    hypertrophy:condition in

    which half of

    the

    teeth will be

    increased in

    the size, so

    there will be

    increasing in

    the size of

    half of the

    face.

    when the

    dimension

    of the

    teeth is

    less than

    the

    normal

    sizes of

    normal

    teeth

    if the teeth

    are.

    normal in

    size but

    the jaw is

    abnormally

    big.

    if teeth

    size is

    more

    than

    normal

    sizes of

    normal

    teeth (it

    could be

    occurreddue to

    hormone

    change).

    If the

    jaw is

    small

    and the

    teeth

    are

    normal.

    singleone

    extra

    tooth

    multiplemore than

    one extra

    tooth

    -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.

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    -Anodontia: complete absence of teeth.

    -Hypodontia: decreasing in teeth number (less thannormal).

    -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.

    hypohydrotic dysplasia

    definition Features causes

    subtype of the

    syndromein

    which sweet

    glands are alsodefective so the

    patients Will be

    abnormal by

    missing normal

    sweating so

    they won't

    tolerate high

    temperature.

    abnormal hair- very

    thin hair- , protruded

    upper lip, bulging in

    frontal bone, noeyedraw, very thin

    eyelashes and there

    will be defective sweat

    glands and anodontia

    and hypodontia.

    the defect in this

    syndrome is

    transmembrane

    protein inkeratinocytes

    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.

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    -For the deciduous teeth: maxillary laterals are the most

    common congenitally absent teeth.

    Supernumerary teeth

    In maxilla In mandible In deciduous supplementalteeth

    The shape

    1-Mesiodense:supernumerary

    tooth that erupt

    in the midline

    of maxilla

    (mesio; it erupted

    mesially to bothcentral incisors).

    2-Paramolar :extra molar

    (fourth molar)

    which.

    erupts distally to

    the last molar.

    3- Maxillary

    lateral incisor

    Premolars(most

    common) ,fourth

    molars and incisors.

    Maxillary

    lateral incisor

    may have

    supernumerary

    teeth

    supernumerous

    teeth which

    morphologically

    .resemble those

    of normal series

    conical

    (indicates

    microdontia

    )or

    normal.

    Supernumerary teeth maybeErupted or impacted

    .