X-Ray Photography of Unerupted Permanent Teeth in Congenital Syphilis
1961; BMJ; Volume: 37; Issue: 3 Linguagem: Inglês
10.1136/sti.37.3.190
ISSN1472-3263
Autores Tópico(s)Medical and Biological Sciences
ResumoChanges in the permanent upper central incisors (Hutchinsonian teeth) and in the permanent first molars (Moon, 1877(Moon, , 1884;;Pfluger, 1924) are two of the most important stigmata of late congenital syphilis.These stigmata are not seen until the second dentition, in the incisors after about 7 years of age and in the molars after the 6th year.In radiographs however, Stokes and Gardner (1923) demonstrated in a child aged 5 years the changes, described by Hutchinson, in unerupted permanent upper central incisors and Pincherle (1937) noted changes in the permanent first molars.Further reports of such observations have also been published (Quinlan, 1927;Pitts, 1927;Meyer-Buley, 1930; etc.), but a search of the literature revealed only one case (Sarnat, Schour, and Heupel, 1941) in which the x-ray find- ings had been checked after the second dentition; in this case the syphilitic changes were associated with enamel hypoplasia.The interpretation of x-ray findings in the case of unerupted teeth is frequently difficult, and for this reason our experience based on x-ray examination of the unerupted teeth of patients with congenital syphilis and on follow-up examinations after eruption of the teeth, may be of interest. Report of a Syphilitic FamilyA 35-year-old dairymaid and her three children were sent, in June, 1951, to the State Hospital for Venereal Diseases, Kumpulal because positive serological tests for syphilis (STS) had been found in her and the two younger children, aged respectively 4 years and 5 months and 3 years.In the eldest child, who was 6 years and 8 months old, the STS were negative.The mother was not aware of her disease until the blood test was taken, but she remembered that before the birth
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