Microdont

Definition: A tooth that is significantly smaller than average for its type.

Radiographic Features:

  • Location: Most frequently affects:
    • Third molars
    • Supernumerary teeth
    • Maxillary lateral incisors (peg laterals)
  • Edge: Well-defined
  • Shape: Reduced tooth size, maintaining general tooth morphology
  • Internal structure:
    • Radiopaque: Enamel and dentin (smaller than normal)
    • Radiolucent: Pulp chamber and root canal
  • Number: May be single or multiple teeth affected

Key points:

  • More common than macrodontia
  • Can occur in primary or permanent dentition
  • Peg lateral: Specific term for microdontic maxillary lateral incisors

Clinical significance:

  • May cause spacing issues and aesthetic concerns
  • Can complicate occlusion and alignment
  • May require restorative or prosthodontic treatment for aesthetics and function
  • Often associated with hypodontia or other dental anomalies

Note: Consider genetic factors and potential systemic conditions when multiple microdontic teeth are present. Early diagnosis allows for better treatment planning and management.