Presentation Transcript

1. Mulberry molars and Hutchinson’s incisor Milana Abayev D218

2. 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.

3. 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

4. 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

5. 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

6. Mulberry molars

7. 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.

8. Hutchinson’s incisor

9. 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

10. 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.