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.