Transcript Mulberry molars - City Tech OpenLab

Mulberry molars and
Hutchinson’s incisor
Milana Abayev
D218
WHAT IS SYPHILIS?
• Syphilis is an STD that caused by a
bacteria called Treponema pallidum
• It usually transmitted by sexual contact
• If a women is pregnant the bacteria also
will affects the fetus development.
how syphilis can affect fetus?
• When a mother is pregnant the bacteria
Treponema pallidum travels to fetus via
placenta
• It affect fetus brain, eyes, heart, bones
and teeth
At what point in the development
process abnormality in teeth
occurs?
• It occurs in utero
• Usually by 6 weeks of pregnancy the
fetus’s teeth begin to form
• By 18 weeks hard tissue formation occurs
And at that point it causes two abnormalities
1. Mulberry molars
2. Hutchinson’s incisors
Mulberry molars
• When the bacteria is in the fetus it causes
localized enamel hypoplasia
(underdeveloped)
• It creates an abnormal molars in kids and
in future as an adult
• It’s characterized by a dome shaped
crown, on cups of the teeth
Mulberry molars
Hutchinson’s incisors
• The Hutchinson’s incisors have a crown
with a screwdriver shape that is wide
cervically and narrow incisally with a
notched incisal edge.
Hutchinson’s incisor
How this abnormality may impact
patient?
• The patient might have low self-esteem
• He might be shy to talk, laugh, smile and
eat
• It can affect his social life, work, and
relationships
The role of dental hygiene
• Are job as dental hygiene is to explain the
•
•
patient and/or parents that the abnormality is
not their fault and that it happened during
pregnancy.
Don’t ever accuse the patient's parent of having
syphilis
Offer options of treatment such as straightening
of incisors or putting crown, implants, or
veneers.