Mulberry Molar (मुलबेरी मोलर) एक dental anomaly है, जो Congenital Syphilis (जन्मजात सिफलिस) के कारण विकसित होती है।
- यह condition primary teeth (baby teeth) में सबसे आम दिखाई देती है।
- Name “Mulberry Molar” इसलिए पड़ा क्योंकि affected molar teeth की occlusal surface irregular, nodular और mulberry जैसी दिखती है।
- Commonly first molars को affect करती है।
- Associated dental anomalies में Hutchinson’s teeth भी शामिल हैं।
Mulberry Molar क्या है (What is Mulberry Molar)
- First molar teeth का malformed occlusal surface
- Multiple small enamel nodules present
- Congenital Syphilis के कारण ameloblast disruption during tooth development
- Leads to impaired chewing, aesthetic concerns, and sometimes malocclusion
Mulberry Molar कारण (Causes of Mulberry Molar)
1. Congenital Syphilis
- Primary cause
- Caused by Treponema pallidum infection in utero
- Maternal infection transmitted to fetus
2. Disruption of Tooth Development
- Infection during tooth morphogenesis stage
- Abnormal enamel formation → nodular appearance
3. Other Rare Causes
- Genetic enamel hypoplasia (rare)
- Severe malnutrition or systemic illness during pregnancy
Mulberry Molar लक्षण (Symptoms of Mulberry Molar)
- Irregular occlusal surface resembling mulberry
- Small nodules of enamel on molars
- First molars affected (rarely second molars)
- Difficulty in chewing or food impaction
- Cosmetic concerns due to abnormal shape
- May be associated with other dental anomalies (Hutchinson teeth, peg-shaped incisors)
Early recognition important for dental care planning।
Mulberry Molar कैसे पहचाने (Diagnosis of Mulberry Molar)
- Clinical Examination – visual inspection of irregular molar surface
- Dental History – check for maternal syphilis or congenital infections
- Radiographs / X-ray – to assess tooth structure and root formation
- Serological Testing – confirm history of congenital syphilis (VDRL, RPR)
- Dental Anomaly Assessment – check for associated Hutchinson teeth or enamel hypoplasia
Diagnosis mostly clinical with supporting history।
Mulberry Molar इलाज (Treatment of Mulberry Molar)
1. Dental Restoration / Crowns
- For occlusal correction and functional improvement
- Stainless steel crowns in primary teeth
- Composite restorations for aesthetics
2. Orthodontic / Prosthetic Care
- If malocclusion develops
- Corrective treatment in permanent dentition if needed
3. Preventive Dental Care
- Maintain oral hygiene to prevent caries
- Regular dental check-ups
4. Treat Underlying Condition
- Screen for and manage congenital syphilis in other teeth or family members
- Antibiotic therapy in neonates if infection detected
Early dental care improves function, aesthetics, and oral health।
रोकथाम (Prevention)
- Screen and treat syphilis in pregnant women
- Prenatal care with blood tests (VDRL, RPR)
- Early neonatal evaluation if maternal syphilis positive
- Maintain overall maternal health and nutrition
सावधानियाँ (Precautions)
- Avoid neglecting dental anomalies
- Maintain oral hygiene
- Regular dental follow-up for primary and permanent teeth
- Early treatment of congenital infections to prevent systemic complications
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. Mulberry Molar किस age में दिखती है?
Usually in primary first molars, around 6–12 months of age।
Q2. क्या यह contagious है?
नहीं, tooth anomaly contagious नहीं होती, लेकिन cause (congenital syphilis) in utero infection से जुड़ा है।
Q3. क्या permanent teeth affected होंगे?
Mostly primary teeth affected, but careful dental monitoring जरूरी है।
Q4. क्या cosmetic treatment possible है?
हाँ, dental restoration और crowns से function और aesthetics सुधारे जा सकते हैं।
निष्कर्ष (Conclusion)
Mulberry Molar (मुलबेरी मोलर) एक congenital dental anomaly है, जो congenital syphilis के कारण होती है।
Early dental evaluation, restoration, preventive care और maternal screening से functional और aesthetic outcomes बेहतर होते हैं।
अगर किसी बच्चे के first molars irregular, nodular और chewing difficult हों, तो तुरंत pediatric dentist या dental specialist से consultation करना चाहिए।