Dental Germs and Anomalies

Germs and Tooth Expulsion

• Sometimes, there's an expulsion of a child's tooth. These are temporary teeth, and they will fall out.
• There's a strict rule: do not reimplant a temporary tooth.
• Reimplanting can affect the underlying permanent tooth germ, altering its shape or preventing its development.
• Trauma to the germ can affect tooth development.
• Intoxications from sweat or medications can also affect the germ.

Congenital Anomalies

• Congenital anomalies occur around the time of pregnancy.
• They can be unilateral (within the uterus).
• They can be hereditary or due to mutations.

Anomalies of Eruption

• Precocious eruption: teeth erupt earlier than expected.
• Soto's syndrome (cerebral gigantism):
  • Characterized by rapid growth.
  • Large head (macrocephaly), sometimes referred to as hydrocephaly when there's excessive fluid in the brain.
  • Hypertelorism (increased distance between the eyes).
  • Can lead to precocious eruptions.
• Syndromes:
  • Polydactyly: increased number of fingers or toes.
  • Syndrome of Strudge la Forme (likely a misspelling, should be Sturge-Weber Syndrome):
    • Angiomatosis: a vascular problem.

Sturge-Weber Syndrome

• Characterized by angiomatosis.
• Angioma: relating to blood vessels. Angiomatosis indicates a vascular issue.
• Typically congenital.