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DENTAL ANATOMY

AND MASTICATORY
DYNAMICS

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From Apprentice

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George Washington’s ‘Teeth’

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20th century dentures

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From apprentice
to
professional

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Restorative Dentistry
on typodont
Procedures executed by
2nd year Dental Student
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Start
notes Masticatory /
from here Gnathological System

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Masticatory /
Gnathological system
 Masticatory:
 Pertaining to chewing
 Gnathology
 Science that deals with
anatomy, histology,
physiology, pathology of the
jaws and masticatory system
as a whole, including the
applicable diagnostic,
therapeutic and
rehabilitative procedures Frontal view

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Sagittal view of skull:
Jaws:
Maxilla – non-movable
Mandible - movable

Temporomandibular jt

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Mixed Dentition:
Primary /Deciduous and Permanent

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Determination of age from teeth present

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6 year molar

LI + CI
8 yr 7 yr

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Permanent Teeth

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Maxillary
ANTERIOR

Mandibular
ANTERIOR

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Anterior Teeth

 Maxillary
 Central Incisor (2 – right and left)
 Lateral Incisor (2 – right and left)
 Canine (2 – right and left)
 Mandibular
 Central Incisor (2 – right and left)
 Lateral Incisor (2 – right and left)
 Canine (2 – right and left)

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Maxillary
PreMolars

Mandibular
PreMolars

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Posterior Teeth - PreMolars

 Maxillary
 1st Premolar (2 – right and left)
 2nd Premolar (2 – right and left)
 Mandibular
 1st Premolar (2 – right and left)
 2nd Premolar (2 – right and left)

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Maxillary
Molars

Mandibular
Molars

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Posterior Teeth - Molars

 Maxillary
 1st Molar (2 – right and left)
 2nd Molar (2 – right and left)
 3rd Molar (Wisdom tooth) (2 – right and left)
 Mandibular
 1st Molar(2 – right and left)
 2nd Molar (2 – right and left)
 3rd Molar (Wisdom tooth) (2 – right and left)

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Division
 Arches
 Maxillary Mandibular

 Quadrants
 Maxillary Arch Mandibular Arch
 Right quadrant Right quadrant
 Left quadrant Left quadrant

 Sextants
 Maxillary Arch Mandibular Arch
 Right posterior sextant Right posterior sextant
 Anterior sextant Anterior sextant
 Left posterior sextant Left posterior sextant

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Maxillary Arch

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RIGHT

LEFT

Left

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Maxillary Arch
Max Right
quadrant

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Maxillary Arch Max Left
quadrant

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Maxillary Arch
Max Right Max Left
Posterior Posterior
sextant sextant

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CROWN
coronal
Cervical line

ROOT
radicular

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Incisal (ant)
Occlusal (post)

CROWN
coronal
Cervical line

ROOT
radicular

APEX
apical

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Right Midline Left

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Right Midline Left

Mesial – towards midine

Distal
Away from midline

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Right Midline Left

M
D

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Right 8 9 Left

UNIVERSAL 7 10
SYSTEM 6 11

5
4

3 14

2 15

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missing 16 34
Mandible numbering system
32 missing missing 17

31 18

30 19

29
28 20
21
27 22
26
25/24 23

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Name / number the teeth
Using Universal # System

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Name / number the teeth
Using Universal # System!

45 6 7 8 9 10 11

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8 9

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More terminology
FACIAL
View

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More terminology

 Views / aspects of teeth


 Facial
 Lingual
 Mesial (a proximal surface)
 Distal ( a proximal surface)
 Occlusal (posterior) / Incisal (anterior)

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#8 midline
DISTAL
MESIAL
INCISAL
Facial
View

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Apical
Facial View

Mesial Distal

Incisal
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Apical

APICAL

MIDDLE

CERVICAL

CERVICAL

Mesial Distal
MIDDLE

INCISAL
Incisal
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Apical

Mesial Middle Distal


middle

Mesial Middle Distal


Incisal
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Proximal
View
Apical

Facial Middle Lingual

Cervical

Cervical

Facial Middle Lingual

Incisal
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Proximal Facial
Trapezoid
Triangle

Incisors

PM Molars

Rhomboid
PM Molars
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Facial of all teeth -
trapezoidal

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Contact areas
 Area on proximal surface of a tooth – either M
or D – when teeth are in good alignment –
which touches adjacent tooth

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Contact areas
 Area on proximal surface of a tooth – either M
or D – when teeth are in good alignment –
which touches adjacent tooth

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Variations yet
characteristics for
identification

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Maxillary Incisors

Purpose
Along with mandibular incisors

 Esthetics
 Phonetics - speech
 Incising / cutting

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Information* and Photos with black background – Tooth Atlas

* Information with asterisk from Tooth Atlas CD


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Maxillary Central Incisor

Development*
 The initiation of calcification is between 3 and
4 months.
 The completion of enamel formation is 4 to 5
years.
 The eruption is between 7 to 8 years.
 Root development complete at 10 years.

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Why DA ?

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5 views of teeth

 Facial
 Labial (anterior)
 Buccal (posteriors)
 Lingual
 Mesial
 Distal
 Incisal / Occlusal
 Ant / posterior

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Maxillary Central - #8 -
Facial view
 Crown:Root - 11mm: 13 mm

 M-Inc Corner - 90 degrees

 D-Inc Corner - rounded

 M contact - Incisal
 D contact - Junction
(Incisal/Middle)

D M www.rxdentistry.net 59
Maxillary Central - #8 -
Facial view
 Size
 MD widest ANT tooth
 Inc-Cerv longest Crown

 M outline straight

 D outline sltly rounded

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Maxillary Central - #8 -
Facial view
 Size
 MD widest ANT tooth
 Inc-Cerv longest Crown

 M outline straight

 D outline sltly rounded

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Maxillary Central - #8 -
Lingual view

 Marginal ridges (MR)


 MMR > DMR
 Moderately pronounced

 Cingulum
 Moderately pronounced
 D located

 Fossa
 Moderate depth

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Maxillary Central - #8 -
Lingual view

 Marginal ridges (MR)


 MMR > DMR
 Moderately pronounced

 Cingulum
 Moderately pronounced
 D located

 Fossa
 Moderate depth

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Maxillary Central - #8 -
Mesial view
 Incisal Edge sltly F to .
root axis

 Facial surface flat

 CEJ (cervical line) deeper on M

 Root:
 M surface – flat w/ depression
 (D surface – convex w/ no depression)

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Maxillary Central - #8 -
Distal view

 Incisal Edge sltly F to .


root axis

 Facial surface flat

 CEJ (cervical line) deeper on M

 Root:
 M surface – flat w/ depression
 (D surface – convex w/ no depression)

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Maxillary Central - #8 -
Incisal view

 Geometric
 Triangular
 MD > FL

 Facial
 flat

 Cingulum
 Distal location

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Maxillary Lateral Incisor
Most variable ANTERIOR tooth

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Maxillary Lateral - #7 -
Facial view

 Crown:Root - 10mm: 13 mm

 M-Inc Corner - rounded

 D-Inc Corner - v. rounded

 M contact - Junction*
 D contact - Middle

*(Incisal/Middle)

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Maxillary Lateral - #7 -
Facial view

 Crown:Root - 10mm: 13 mm

 M-Inc Corner - rounded

 D-Inc Corner - v. rounded

 M contact - Junction*
 D contact - Middle

*(Incisal/Middle)

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Maxillary Lateral - #7 -
Facial view

 Size
 MD smaller than CI
 Inc-Cerv shorter CI

 M outline rounded

 D outline v. rounded

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Maxillary Lateral - #7 -
Facial view

 Size
 MD smaller than CI
 Inc-Cerv shorter CI

 M outline rounded

 D outline v. rounded

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Maxillary Lateral and Central - #7
- #8 -
Facial view

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Maxillary Lateral - #7 -
Lingual view

 Marginal ridges (MR)


 MMR > DMR
 Moderately pronounced
 More than CI

 Cingulum
 More pronounced than CI
 Centered

 Fossa
 Moderate depth
 Pits / groove variation

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Maxillary Lateral - #7 -
Lingual view

 Marginal ridges (MR)


 MMR > DMR
 Moderately pronounced
 More than CI

 Cingulum
 More pronounced than CI
 Centered

 Fossa
 Moderate depth
 Pits / groove variation

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Maxillary Lateral - #7 -
Mesial view

 Incisal Edge sltly F to .


root axis

 Facial surface more rnd

 CEJ (cervical line) deeper on M

 Root:
 M surface – flat w/ depression
 (D surface – flat / no depression)

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Maxillary Lateral - #7 -
Distal view

 Incisal Edge sltly F to .


root axis

 Facial surface more rnd

 CEJ (cervical line) deeper on M

 Root:
 M surface – flat w/ depression
 (D surface – flat / no depression)

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Maxillary Lateral - #7 -
Incisal view

 Geometric
 Rnded
 MD > FL

 Facial
 rnd

 Cingulum
 Centered

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Thanx

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