Definition: The developmental absence of multiple teeth (typically six or more, excluding third molars).
Radiographic Features:
- Location: Can affect any area of maxilla or mandible
- Appearance: Absence of tooth/teeth in expected locations
- Number: Multiple missing teeth (usually 6 or more)
Key points:
- Most commonly affected teeth (in order):
- Third molars
- Second premolars
- Maxillary lateral incisors
- Mandibular central incisors
- Differentiate from:
- Anodontia (complete absence of teeth)
- Hypodontia (absence of 1-5 teeth)
Clinical significance:
- May require prosthodontic or orthodontic intervention
- Can be associated with certain syndromes
- Early diagnosis allows for better treatment planning
Note: Confirm diagnosis by considering patient age and normal eruption timelines to rule out delayed tooth development.