Quick Tips: Identifying Dental Diseases – Dental/Enamel Hypoplasia.

In our previous Quick Tip post on identifying dental diseases, we gave a basic overview on the different diseases that are observed. If you haven’t read it, you can find it by clicking here.

Dental hypoplasia is a condition that affects the enamel of a tooth. It is characterised by pits, grooves and transverse lines which are visible on the surface of tooth crowns. The lines, grooves and pits that are observed are defects in the enamels development. These defects occur when the enamel formation, also known as amelogenesis, is disturbed by a temporary stress to the organism which upsets the ameloblastic activity. Factors which can cause such stress and therefore disrupt the amelogenesis include; fever, malnutrition, and hypocalcemia.

Figure 1: An example of linear enamel hypoplasia.

Figure 1: An example of linear enamel hypoplasia.

It has been noted that enamel hypoplasia is more regularly seen on anterior teeth than on molars or premolars, and that the middle and cervical portions of enamel crowns tend to show more defects than the incisal third. This is due to the amelogenesis beginning at the occlusal apex of each tooth crown and proceeding rootward, towards where the crown then meets the root at the cervicoenamel line.

Figure 2: Anatomy of a tooth. Note the top third is known as either the occlusal third if in molars, or the incisal third when the tooth is an incisor or canine.

Figure 2: Anatomy of a tooth. Note the top third is known as either the occlusal third if in molars, or the incisal third when the tooth is an incisor or canine.

By studying these incidents of enamel hypoplasia within a population sample, we can be provided with valuable information regarding patterns of dietary stress and disease that may have occurred within the community.

References:

Lukacs, J.R. 1989. Dental paleopathology: methods for reconstructing dietary patterns. In M.Y. Iscan and K.A.R. Kennedy (eds), Reconstruction of life from the skeleton. New York, Alan Liss, pp. 261-86.

Ubelaker, D.H. 1989. Human Skeletal Remains: Excavation, Analysis, Interpretation (2nd Ed.). Washington, DC: Taraxacum.

White, T.D., Folkens, P.A. 2005. The Human Bone Manual. San Diego, CA: Academic Press. Pg 392-398.

This is the second post of the Quick Tips series on identifying dental diseases. The next post in this series will focus on how to identify dental caries and highlight the cause of this dental disease.

To read more Quick Tips in the meantime click here, or to learn about basic fracture types and their characteristics/origins click here!

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