Atlas · Plate VII · General and Oral Pathology · 09
Genetic and systemic conditions
Some conditions show up first in the mouth. Down syndrome brings early severe periodontitis, macroglossia and a fissured tongue; ectodermal dysplasia gives missing or cone-shaped teeth; amelogenesis imperfecta affects only enamel, while dentinogenesis imperfecta causes opalescent teeth with obliterated pulps. Addison disease adds oral pigmentation, Peutz-Jeghers syndrome perioral freckles, and Sjögren syndrome a dry mouth and dry eyes.
High-yield facts · 7
- Down syndrome (trisomy 21): early severe periodontitis, macroglossia, fissured tongue, delayed eruption, hypodontia, heart defects.T5
- Ectodermal dysplasia: missing or cone-shaped teeth, sparse hair, few sweat glands.T5
- Amelogenesis imperfecta affects enamel only; dentinogenesis imperfecta gives opalescent teeth and obliterated pulps.T5
- Cleidocranial dysplasia: missing or underdeveloped clavicles, many unerupted supernumerary teeth.T5
- Addison disease causes bronze skin and oral melanin pigmentation.T5
- Peutz-Jeghers syndrome: perioral freckles and intestinal polyps.T5
- Sjögren syndrome: autoimmune dry mouth and dry eyes, often with rheumatoid arthritis; raises lymphoma risk.T5
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