Pathology · patient case question

Hutchinson incisors and mulberry molars are features of which condition?

Patient case: Fluoride, preparation design, syphilis and patient communication

Scenario: Five short items.

  1. Fetal alcohol syndrome
  2. Congenital syphilis
  3. Regional odontodysplasia
  4. Congenital rubella
Show answer and explanation

Correct answer: B. Congenital syphilis

  • A. Fetal alcohol syndrome gives midface hypoplasia, a smooth philtrum and thin upper lip, together with developmental delay.
  • B. Correct. Screwdriver-shaped, notched incisors and multicusped mulberry molars form the dental component of the Hutchinson triad, alongside interstitial keratitis and eighth-nerve deafness.
  • C. Regional odontodysplasia is a localised, non-hereditary defect producing 'ghost teeth' in one quadrant.
  • D. Congenital rubella causes cataracts, cardiac defects and deafness, with enamel hypoplasia but not this specific morphology.

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