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Lobes:
4 lobes
3 facial
mesial: mesial marginal ridge and mesial part of labial surface
distal: distal marginal ridge and distal part of the labial surface
labial: labial ridge (not very prominent)
1 lingual
lingual: cingulum
Chronology:
Eruption of deciduous: 10 months
Eruption of permanent: 7-8 years
Calcification initiation: 3-4 months
Interproximal contacts: (And heights of contour)
mesial: incisal 1/3
distal: junction of incisal 1/3 and middle 1/3
All contacts are centered faciolingually.
Heights of contour:
Buccal / labial / facial: junction of incisal 1/3 and middle 1/3 (one source claims
Cervical 3rd)
lingual: cervical 1/3
Embrasures:
Embrasures between the two Max central incisors is smaller than between Max
central and laterals.
Root:
Single root; single pulp canal; root is longer than crown. Most likely tooth to
have 1 root
canal
Facial view: pulp chamber with 3 pulp horns; cone-shaped with blunt apex
pointing slightly distal
Outline is triangular.
appears wider than the mesial view
Distal aspect curves more lingually than the mesial to conform to occlusal arch
shape.
cervical line curvature is less than mesial (~ 1mm less)
A developmental groove may be present on the distal of crown extending down
root.
Incisal:
Outline is ovoid.
Contour is more convex because cingulum is so much bigger
Crest of the cingulum is slightly distal to the center of the tooth.
DL line angle is more rounded than ML angle
Both of these line angles more rounded than the max. central incisor
Mesial and distal contact areas are centered labiolingually
Incisal surface/edge is angled lingually
Mandibular Central Incisor (#24 And #25)
Chronology:
eruption of deciduous: 8 months
eruption of permanent: 6-7 years
calcification initiation: 3-4 months
Interproximal Contacts:
mesial-distal contact points are at same levels
mesial: incisal 1/3
distal: incisal 1/3
Heights of contour:
buccal: cervical 1/3
lingual: cervical 1/3
Root:
Single (very narrow mesiodistally); curves distally in some cases; (ovoid or round)
Root is longer than crown length
Usually 1 pulp canal (may have 2 - called Facial and Lingual pulp
canals)
Broader FL (than MD)
Root may have broad developmental depression along its length (deeper on
distal than on mesial)
Root tapers apically near the middle 3rd
General:
Only symmetrical tooth in mouth
1st succedaneous 2th to erupt.
Smallest adult tooth Smallest MD dimension of any crown.
Sets in jaw with root apices facial and crowns lingual
Wider FL than MD
Labial:
Outline is trapezoidal.
incisal outline is straight (mamelons present when first erupt)
crown approximately twice as long as wide
mesial and distal outlines are straight to the contact point and then taper
(narrow) to cervix
mesioincisal and distoincisal line angles are sharp (90)
no developmental depressions
labial surface is flat in incisal 1/3 and becomes more convex cervically
Lingual:
Outline is trapezoidal.
Slightly concave incisally but no distinct lingual fossa
Mesial and distal marginal ridges are only minor elevations
Cingulum is much less distinct than in the maxillary incisors
no developmental grooves
Mesial:
Outline is triangular.
Labial outline is convex, height of contour is cervical 3rd
Incisal edge lies lingual to line bisecting the root
Mesial CEJ curves incisally about 1 mm more than on the distal
Broader labiolingually than mesiodistally
Upon wearing of the tooth, the incisal edge will angle to the facial.
The cervical line extends 1mm more apically on the lingual (than the labial)
lower in the back
The crown may have a concavity below the middle 3rd above the cervical line.
Distal:
differs from mesial:
cervical lines curves incisally 1 mm less than on mesial;
developmental depression on distal of root is more marked than on mesial
Incisal:
Outline is ovoid.
symmetry of tooth is obvious (mesial and distal 1.2 are almost identical)
incisal edge is at right angles to a line bisecting the crown labiolingually (incisal
edge lies lingual to center of tooth)
tooth converges lingually the MD width of facial bigger than MD width of lingual
contact areas centered FL-ly
Mandibular Lateral Incisor (#23 And #26)
Chronology:
eruption of deciduous: 13 months
eruption of permanent: 7-8 years
calcification initiation: 3-4 months
Interproximal contact points:
mesial: incisal 1/3
distal: incisal 1/3 (more cervical)
Heights of contour:
buccal: cervical 1/3
lingual: cervical 1/3
Root:
(ovoid or round) 1 pulp canal
similar to mand. central incisor but slightly larger
depression on the distal is deeper than on the mand. central incisor
General:
Larger than central incisor (wider crown MD than the central incisor)
All extra width appears to be added to the distal aspect of
the tooth
Long axes are positioned with root apices facially and crowns lingually.
Larger than the mandibular central incisor
Most likely (along with mand central) of all incisors to have both mesial
and distal concavities.
Labial:
incisal edge slopes downward distally
distal crown height is often shorter than the mesial crown height
Mesioincisal angle is sharp (90)
Distoincisal angle is rounded
Lingual:
Lingual aspects match the lingual surface of the mandibular central
incisor.
Mesial and Distal:
Outline is triangular.
Mesial and distal aspects are quite similar
Distal developmental depression on the root is more marked than on the mesial
Incisal edge is lingual to a line bisecting the root
incisal edge slopes labially
more of facial surface of tooth is visible from the distal due to lingual twist of
the distal part of the crown
from the mesial, the distoincisal tip is visible
Incisal:
incisal edge lingual to the center of the tooth
tooth is not symmetrical: distal part of the crown appears to be curved lingually
as if the distal part is twisted on the root
DF line angle is positioned more lingual
Maxillary Canine (#6 And #11)
Chronology:
eruption of deciduous: 19 months
eruption of permanent: 11-12 years
calcification initiation: 4-5 months
Crown and root narrow lingually (Wedge shape, and much surface can be seen.)
Mesial:
Cervical 1/3 narrower (where is base of crown), incisal portion is thinner (MD),
labial is less curved than max. canine (cing etc)
Lingual outline is more concave than max. canine due to less prominent cingulum
Cusp tip is lingual to line bisecting root from proximal view (Duh)
Continuous convex facial surface from incisal to apical end, when viewed from
the proximal aspect
when viewed from the a proximal point, a line bisecting the root will pass buccal
to the cusp tip
Distal:
curvature of CEJ is less on distal than on mesial
distal developmental depression is deeper than on mesial
Incisal:
labial outline is less convex and facial ridge is less developed than maxillary
canine (does not bulge out as much)
mesial and distal marginal ridges are less developed than max. canine (Marginal
ridges are lingual structures)
Cusp tip is slightly lingual
Mesial cusp arm is inclined slightly lingual
Mandibular
Crown is smaller
Incisal margin = 1/5 crown length
Lingual Surface is flatter
Less prominent anatomical features
More symmetrical crown
Maxillary
Crown is larger
Marked convergence toward cervical area
Incisal margin = 1/3 of crown height
All anatomical features -ridges, fossae etc more prominent
Marked asymmetry when viewed from incisal
The cusp tip of the mandibular canine develops from the middle labial lobe.
Maxillary First Premolar (#5 And # 12)
Chronology:
eruption of deciduous: (Replaces max 1st molar eruption of permanent: 10-11 years
calcification initiation: 1.5 - 2.5 years
Interproximal contact points:
mesial: middle 1/3 (Interproximal contacts are offset buccal)
distal: middle 1/3 (Interproximal contacts are offset buccal) Located
just a bit more cervical than the mesial.
Heights of contour:
buccal: cervical 1/3
lingual: middle 1/3
Root:
single root (50%)
only premolar with bifurcated roots (50%---2 canals fused together) (Buccal and
lingual)
The root trunk is long, about 1/2 to 2/3 total length of root. (recall root trunk is
root between bifurcation and CEJ)
broad buccolingually, narrow mesiodistally
mesial developmental depression
buccolingual section: 2 pulp canals, 2 pulp horns (buccal is larger)
MD section resembles canine
transverse section: kidney-shaped (cervical CS) because of mesial concavity
Buccal:
Outline is roughly trapezoidal, and is generally convex.
only permanent tooth where mesial cusp arm is longer and straighter than distal
cusp arm (shorter and more curved)
mesial concavity below contact point
prominent buccal ridge associated with developmental depressions
The mesial and distal lobes are less developed
Lingual:
crown tapers lingually (lingual part narrower than buccal, and is smoothly
convex)
lingual cusp located mesially and is 1 mm shorter & more pointed than buccal
cusp, so the buccal cusp is visible from this aspect.
ML cusp arm is shorter than DL cusp arm, so it Points toward mesial
No developmental depressions visible on the lingual side.
Mesial:
Outline is trapezoidal.
Cusp tip is located within confines of root surfaces
mesial cusp ridge is longer than its distal cusp ridge - only tooth where
mesioincisal is longer than the distoincisal
Both cusps are visible, and the buccal cusp is 1 mm taller, straighter, & less
pointed than lingual cusp (more convex)
mesial concavity is below contact point (middle 1/3) allows easy distinguish from
distal
mesial developmental depression / concavity present, note maxillary second
premolars dont have this
mesial marginal ridge developmental groove is present. (This distinguish from
max. second premolar)
Distal:
few differences from mesial (absence of mesial concavity, mesial developmental
depression, marginal ridge developmental groove)
Less curvature of the cervical line (when compaed to mesial) is observed
Occlusal:
Outline is hexagonal.
BL dimension is greater than the MD
The buccal and lingual cusps are each composed of 4 ridges
crown wider on the buccal than on the lingual
Mesial and distal developmental pits and triangular fossa are present
mesiobuccal cusp ridge is longer than distobuccal cusp ridge
mesiolingual cusp ridge is shorter than distolingual cusp ridge
mesial and distal marginal ridges are present, central developmental groove is
present on occlusal surface
Mesial marginal developmental groove located on occlusal surface
buccal triangular ridge and lingual triangular ridge both end at central fossa, and
they are not angled straight
mesiobuccal cusp ridge & mesial marginal ridge form almost a 90 angle; distal:
acute angle (
When compared with the maxillary second premolar, the central groove is longer
with less supplemental grooves.
MB and DB supplemental developmental grooves are present.
Maxillary Second Premolar (#4 And #13)
Chronology:
eruption of deciduous: Deciduous 2nd maxillary molar replaces
eruption of permanent: 10-12 years
Distal:
similar to mesial. CEJ is more straight.
Occlusal:
Shape is rounded or oval
MB and DB line angles are more rounded
Less lingual convergence
The central groove is shorter (mesial and distal marginal ridges are wider)
Has more supplemental grooves than the 1st maxillary premolar (wrinkled
appearance)
Mandibular First Premolar (#21 And #28)
Chronology:
eruption of deciduous: NO DECIDUOUS
eruption of permanent: 10-12 years
calcification initiation: 1.5 2.5 years
Interproximal contact points:
mesial: middle 1/3
distal: middle 1/3 (broader than mesial)
Heights of contour:
buccal: junction of middle 1/3 and cervical 1/3
lingual: middle 1/3
Root:
Single root
rounded, curves distally grooved longitudinally (mesial groove more marked)
may be bifurcated, but rare
Buccal:
Shape is trapezoidal
prominent buccal ridge
well-developed middle buccal lobe
mesial cusp arm is shorter than distal cusp arm
mesial outline is straight/slightly concave
distal outline is slightly concave
cervix is much narrower mesiodistally than the crown width at the contact points
Lingual:
lingual cusp is small and may resemble canine cingulum
crown and root taper from buccal to lingual
Heights of contour:
buccal: junction of middle 1/3 and cervical 1/3
lingual: middle 1/3
Root:
Single root that curves distally
root apex is more blunt and longer than mandibular first premolar
General:
2 types of Mandibular 2nd premolar exist:
1)3 cusp type [1 facial & 2 lingual] (5 lobes) --- most common
buccal cusp > mesiolingual cusp > distolingual cusp
2)2 cusp type (4 lobes)
Buccal:
resembles mandibular first premolar
buccal cusp is shorter and less pointed than that of mand. first premolar
Lingual:
differs from crown of mand. first premolarlingual lobes are better developed
3 cusp type---2 lingual cusps (mesiolingual and distolingual cusps) are separated
by lingual groove
Mesial:
Shape is rhomboidal
differences from mand. first premolar
-crown and root are wider buccolingually than mand. first premolar
-buccal cusp tip is not as lingually placed
-lingual and buccal cusps are more equal in size
-mesial marginal ridge is at right angles to the long axis of the tooth
-no mesiolingual developmental groove
can only see 2 cusps from this view
Distal:
Similar to mesial except that distal marginal ridge is at a lower levelcan see all 3
cusps
Occlusal:
3 cusp type (most common, forming a Y-shape more common)
2 lingual cusps and 1 buccal
General Characteristics of
MAXILLARY LATERAL INCISOR
supplements the central incisor in function
varies in form more than any other tooth in the mouth except for 3rd molars
-peg-shaped laterals, dens in dente, twisted roots, etc.
most frequently congenitally absent anterior tooth
roughly same anatomy as maxillary central incisor except things more
pronounced
General Characteristics of
MANDIBULAR INCISORS
General Characteristics of
CANINES
single pointed cusp (cuspids)
designed to tear, pierce, and hold food
teeth with longest and thickest (faciolingually) roots---stable
teeth form cornerstone of arch
very important teeth from an esthetic and functional aspect
often last remaining tooth in arch
prominent ridge of bone on the labial aspect---canine eminence
help support facial musculature
loss of canine teeth changes shape of face in this area
guiding teeth: mandibular canine slide along lingual surface of maxillary canine
and guides mandible
long roots: good anchors or support for prostheses
develops from 4 lobes (3 labial and 2 lingual) [middle labial lobe is best
developed]
General Characteristics of
MAXILLARY PREMOLARS
4 in maxillary arch
occlusal surface
2 cusps: lingual (functional cusp) and facial (non-functional cusp)
do not refer to as bicuspids
succedaneous teeth (replace deciduous molars)
develop from 4 lobes (B, MB, and DB) and (1 lingual) [well developed middle
facial lobefacial cusp]
central developmental groove is demarcation between lingual and facial lobes
maxillary first premolar is bigger than maxillary second premolar
maxillary premolars are more similar than the mandibular premolars
General Characteristics of
MANDIBULAR PREMOLARS
succedaneous teeth (replace deciduous molars)
misleading to refer to them as bicuspids
mandibular first premolar develops from 4 lobes (3 facial and 1 lingual) 2 cusps
mandibular second molar develops from 4 or 5 lobes (3 facial and 1-2 lingual)23 cusps
mandibular second premolar is bigger than mandibular first premolar
lingual cusp(s) are less prominent than the buccal cusp
crowns are marked with lingual inclination
mandibular first premolar has one root
height of contour of lingual profile is closer to cusp tip
mandibular first premolar: mesiolingual developmental groove
2 cusp premolar
4 lobes
3 cusp premolar
5 lobes
1)lingual
1)mesiolingual
2)mesiofacial
2)distofacial
3)middlefacial
3)mesiofacial
4)distofacial
4)middlefacial
5)distofacial
General Characteristics of
MAXILLARY MOLARS
3 roots----2 buccal, 1 lingual (the largest)
4 cusps----3 major cusps, 1 smaller cusp (1st molar has 5th cusp)
ML cusp is the largest
ML, MB, and DB cusps form a triangle----trigon or primary cusp triangle
DB cusp is the smallest and decreases in size from the first to the third molar
crowns are broader BL than MD
DB cusp is connected to ML cusp by an oblique ridge
crown relatively short occluso-cervically
General Characteristics of
MANDIBULAR MOLARS
largest mandibular teeth
variations in numbers of cusps
-generally 5 cusps in 1st, 4 cusps in 2nd
teeth broader mesiodistally than buccolingually
1st molar has 5 lobes and 5 cusps
2nd molar has 4 lobes and 4 cusps
TEETH TID-BITS
All teeth are trapezoidal in shape from the buccal aspect
In most teeth, the distal contact point is positioned more cervically than mesial
contact point (even if it is located in the same 1/3 of tooth)
All teeth are broad on facial and narrow on lingual
All teeth have a greater buccolingual dimension than mesiodistal
dimensionEXCEPT:
mandibular molars
maxillary incisors (central and lateral)
All teeth are shorter as you go anterior to posterior because distal marginal ridge
is usually shorter than mesial marginal ridge EXCEPT: mandibular first premolar
Mesial marginal ridge is usually perpendicular for most
teeth EXCEPT: mandibular first premolar (slopes cervically from buccal to
lingual)
ALL maxillary molars (permanent 1-3 and primary 1-2) have oblique ridges
max.: 2 - 3 years
3rd molars: 7-10 years
max.: 7-9 years
mand.: 2 - 3 years
mand.: 8 10 years
ML and DL cusps separated by lingual groove (ends in the middle of the lingual
surface)
ML cusp = 3/5 mesiodistal width of tooth
-ML broader and the longest and the largest
-ML cusp has Cusp of Carabelli
Distal:
crown constricts toward distal (buccal aspect is visible from distal)
3 roots visible
bifurcation is about 5 mm apical to CEJ
distal root smoothly rounded
DB concavity around the cervical area
-DL is spheroidal
Mesial:
Shape is trapezoidal.
tooth converges occlusally (maximum BL width is at cervix)
only MB and ML cusp are visible
cervically to contact area, shallow concavity which extends to the mesial area of
the root trunk
mesiobuccal and lingual roots visible
-MB root is broad BL, hides DB root
-lingual root is narrow BL (banana-shaped) 50% curves buccally
-level of bifurcation = 3 mm apical to CEJ
Occlusal:
Shape is rhomboidal.
acute angles = MB and DL
obtuse angles = ML and DB
crown wider buccolingually than mesiodistally
mesial aspect > distal
only tooth which broadens toward the lingual
ML cusp largest > MB > DB > DL > fifth cusp of Cusp of Carabelli
ML, MB, and DB cusps are from the primary molar triangle (trigon)
oblique ridge = distolingual cusp ridge of the ML cusp and the triangular ridge of
the DB cusp
-oblique ridge is the same level in center as the marginal ridges
2 major fossae
-central fossa lies in the center of the trigon mesial to the oblique
ridge, roughly triangular
-distal fossa distal to oblique ridge, roughly linear
2 minor fossa
no Cusp of Carabelli
Mesial:
similar to max. 1st molar but shorter crown height
same BL width as the max. 1st
roots do not diverge as much----confined within crown width
Distal:
crown converges towards the distal
DB and DL cusps are smaller and much of the occlusal surface and ML cusp
visible
all 3 roots visible
Occlusal:
Shape is more rhomboidal.
MB, ML cusps are well-developed
BL dimension similar to 1st, MD smaller
DB and DL cusps less developed ---tooth constricts towards the distal
crown converges towards the lingual
more variable pit and groove anatomy
some have no DL cusp---heart-shaped
Lingual:
Similar to buccal
Mesial:
root shorter and more tapered
Distal:
similar to mesial but narrower
Occlusal:
more rounded