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Periapical periodontitis of some form is a very common condition. The prevalence of periapical periodontitis is generally reported to vary according to age group, e.g. 33% in those aged 20–30, 40% in 30- to 40-year-olds, 48% in 40- to 50-year-olds, 57% in 50- to 60-year-olds and 62% in those over the age of 60. [13]
Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. [5] In its early stage, called gingivitis, the gums become swollen and red and may bleed. [5] It is considered the main cause of tooth loss for adults worldwide.
However, the teeth are not more susceptible to dental caries than normal ones. Periodontal disease, or gum disease, is a common finding amongst individuals with dentinogenesis imperfecta despite no clinical findings of tooth decay (dental caries). The reason for this is currently not well understood. [3]
The first written reference to the disease was by a dentist, Dr. Theodor Blum, in 1924, who described an unusual mandibular osteomyelitis in a dial painter, naming it "radium jaw". [5] Symptoms were present in the mouth due to use of the lips and tongue to keep the radium-paint paintbrushes properly shaped.
Males tend to have larger teeth than females, [1] and tooth size also varies by race. [1] Abnormal tooth size is defined by some as when the dimensions are more than 2 standard deviations from the average. [1] Microdontia is when the teeth are abnormally small, and macrodontia is when the teeth are abnormally large.
The prognosis for the second molar is good following the wisdom teeth removal with the likelihood of bone loss after surgery increased when the extractions are completed in people who are 25 years of age or older. A treatment controversy exists about the need for and timing of the removal of disease-free impacted wisdom teeth.
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The formation of teeth begins during embryonic development and is a process that is highly regulated by various signaling pathways, which, if disrupted as a result of genetic mutations or environmental factors, can lead to developmental anomalies, including hyperdontia. Tooth development begins with the formation of tooth buds in the jaw.