ANOMALIAS Y DISPLASIAS DENTARIAS DE ORIGEN GENÉTICO HEREDITARIODescripción completa
oclusiónDescripción completa
Trastornos del Desarrollo Dentario
Ricardo Carvajal Nelty Castro Juan Estay 1
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Trastornos del Desarrollo Dentario Cada etapa morfológica del desarrollo dentario está vinculado a un determinado proceso fisiológico, cuyas características particulares nos ayudan a comprender cómo y cuando se pueden generar anomalías en la odontogénesis
Histología y Embriología del Sistema Estomatognático, M.A: Montenegro, C. Mey A., A.Aguirre. Ed. Fac. Odontología U de Chile, 1997
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Clasificación > Anomalías de Número > Anomalías de Tamaño > Anomalías de Forma
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1.- Anomalías
de Número
> Son comunes y fuertemente genéticos. (autosómicas dominantes, recesivas, recesivas, ligadas al sexo) > Se han asociado a numerosos sindromes. > Patogénesis: Hiperdoncia:
desarrollo excesivo de la lámina dentaria. Hipodoncia: ausencia de lámina dental apropiada
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> Raro > No hay dientes temporales ni permanentes > Asociado a Displasia Displasia Ectodérmica muy severa (Tejidos provenientes del ectodermo).
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Agenesia Dentaria -
Hipodoncia
> Uno o más dientes. > Oligodoncia: falta de 6 o + dientes. > Falta congénita más frecuente: terceros molares, incisivos laterales segundos premolares inferiores > Temporales: incisivo lateral superior. > Tendencia familiar, si falta el
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Síndromes
que pueden presentar Hipodoncia:
> Displasia Ectodérmica > Labio leporino y paladar hendido (hereditario)
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Hiperdoncia o Supernumerarios > Predilección por sitios 90% Maxilar Superio Supe riorr ± 10% Mand Mandibula ibula > Maxilar: + Frecuente Mesiodens, seguido por cuartos molares (paramolares) e incisivos laterales.
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Síndromes
que pueden presentar Supernumerarios:
Síndrome de Apert > Disostosis Cleidocraneal
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Síndromes
que pueden presentar
Hiper
o
Hipodoncia:
> Aquí por un lado hay piezas supernumerarias y por otro lado hay piezas ausentes, en el mismo paciente y tenemos:
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2.- Alteraciones
de Tamaño
> Se producen en la fase de Morfodiferenciación > El tamaño dentario dentario es variable entre razas y sexos.
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