9Ectopic Eruption Abnormal pattern of tooth eruption Teeth are delayed in eruption or erupt in the wrong locationMost common for permanent lower incisors, permanent upper canines and permanent first molars
10Syndromes with Dental Manifestations Dentinogenesis ImperfectaAmelogenesis ImperfectaCleidocranial DysostosisEctodermal Dysplasia
11Common Causes of Malocclusion Non-nutritive sucking behaviorsMay cause anterior open bites or crossbites in children who use pacifiers and digitsMost children will stop oral behaviors by age 2. For older children, consider using rewards, gloves, replacement itemsCaries or trauma with premature loss of teeth and loss of space
12Common Oral Lesions in the Primary Care Office Lip lesionsAngioedemaHerpes LabialisMucoceleAngular cheilitisLingual LesionsHairy TongueGeographic Tongue
13Common Oral Lesions in the Primary Care Office Oral conditions of infants and childrenNatal teethEpstein’s pearlsEruption cystsThrushTooth ConditionsTooth StainingErosions
14Common Oral Lesions in the Primary Care Office White lesionsCandidaOral LeukoplakiaMorsicatio BuccarumVesiculobullous LesionsPrimary herpes gingivostomatitisRecurrent herpesHerpanginaHand-foot-and-Mouth Disease
15Common Oral Lesions in the Primary Care Office UlcersAphthous UlcersBehcet’s Syndrome
16CariesCariesCaries are an infectious, communicable disease resulting in the destruction of tooth structure by the acid produced by the metabolism of sugar by bacteria found in dental plaquePlaque is a dense bacterial aggregate containing about 10% bacteria per milligram that accumulates on tooth surfaces.
17Dental Caries Process Host Bacteria Substrate TEETH FRUCTOSE SUCROSE MUTANSTREPTOCOCCILACTOBACILLITEETHHostBacteriaDENTALCARIESSubstrateFRUCTOSESUCROSE
18Dental Caries StagesThe acid created by the caries bacteria’s metabolism of sugar leads to demineralization. Demineralization is the loss of calcium, phosphate and carbonate from the enamel
19Dental Caries StagesIncipient Lesion(caries not more than halfway into enamel)Lesion has reached the dentinoenamel junction (DEJ)Lesion is progressing laterally and towards the pulpLesion extended into the pulpIf demineralization is allowed to continue, the tooth will eventually be eroded enough for a cavity to form.
20Oral Screening Examination Tips from a practicing clinicianGet in the habit of performing a brief oral examination in all patients presenting to your office for general wellness exams and use that time to discuss with patients their dental habits and risk factors for oral diseasePerform more detailed evaluations in patients when indicated by history any review of systemsIn kids always lift the lip
21Important Landmarks of the Oral Cavity LipsLabial and Buccal MucosaFloor of mouthHard and soft palateParotid papillaOropharynx and tonsilar pillars