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NOMENCLATURE OR DENTITION

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 TOOTH IDENTIFICATION SYSTEMS:
UNIVERSAL

ZSIGMONDY PALMER

FEDERATION DENTAIRE INTERNATIONALE

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 Objectives

Use the Universal Numbering System to

identify permanent and primary teeth.

Recognize the Palmer and International Tooth

Numbering Systems and translate them to
the Universal System.

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 Why do we need tooth identification
systems ?
Which teeth is lost ?

Maxillary left first premolar

( 4 words, or 26 letters) 5
 Universal: 12
Palmer: I4
International: 24

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 Universal Numbering System
History
How to number

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 permanent dentition

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 primary dentition

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 Palmer Notation System

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 Name the following teeth with palmer notation
system

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 International Tooth Numbering System
First digit
Denotes the quadrant, arch, dentition
1=Permanent dentition, maxillary, right side
2= Permanent dentition, maxillary, left side
3=Permanent dentition, mandibular, right side
4=Permanent dentition, mandibular, left side
5=primary dentition, maxillary, right side
6=primary dentition, maxillary, left side
7=primary dentition, mandibular, right side
8=primary dentition, mandibular, left side 20
 Second digit
Tooth position relative to the midline
Permanent 1,2,3,4,5,6,7,8
Primary 1,2,3,4,5

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46 43
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SUPERNUMERARY TEETH

Paramolar It is a supernumerary molar usually

small and rudimentary, situated buccally or
palatally to one of the maxillary molars, or in
the interproximal space buccal to the
second and third molars.

Distomolar A supernumerary tooth located

behind the third molar, and if third molar is
missing, there is evidence of a distomolar to
the distal aspect of the distalmost permanent tooth
of the arch.

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Fused teeth Two teeth united during development
by union of their tooth germs; the teeth may be
joined by the enamel of their crowns, by their root
dentin, or by both.

Gemination: It is the formation of two teeth from the same follicle, and there is
one common pulp chamber, which results in the embryological persistence of
dental lamina. In gemination, the normal number of teeth is usually present for a
given dental age, but one is geminated.

Mesiodens A mesiodens is the most common supernumerary (extra) tooth. It is

located in the maxilla in the midline (hence the special name, which means
middle tooth). They can be wellformed or maybe just little clumps of tooth like
stuff

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How the codes are constructed
Quadrant codes
Upper right permanent arch
Upper left permanent arch
Lower left permanent arch
Lower right permanent arch
Upper right deciduous arch
Upper left deciduous arch
Lower left deciduous arch
Lower right deciduous arch
Tooth codes
1 Central incisors (permanent teeth)/(deciduous teeth)
2 Lateral incisors (permanent teeth)/(deciduous teeth)
3 Canines (permanent teeth)/(deciduous teeth)
4 1st Premolars (permanent teeth)/1st molar (deciduous teeth)
5 2nd Premolars (permanent teeth)/2nd molar (deciduous
teeth)
6 1st Molars (permanent teeth)
7 2nd Molars (permanent teeth)
8 3rd Molars (permanent teeth)
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Note: When the supernumerary tooth is in between two
adjacent teeth in that arch, the position of the supernumerary
tooth shall be coordinated with the tooth, which is medial to
the tooth and not the distal tooth. This rule is not applicable to
mesiodens or the supernumerary tooth in the midline of the
arch wherein both teeth at the midline have to be recorded for
notations. To further clarify, in notating a fused tooth, the
normal tooth to which there is a fusion will be taken into
consideration.
p Para molar
dm Distomolar
f Fused teeth
g Gemination
M Mesiodens.
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ADVANTAGES

It fulfills the following basic requirements:

Provides a cognitive, visual sense, and computer sense.
Easy to record on a computer.
Convenience of use in the present days of instant distant
communication such as medical transcription.
Identification, interaction, and communication regarding the dentition
other than the normal dentition in the oral cavity.
Simple to teach and understand.
Adaptation and modification to the Universal system, FDI, and other
two digit systems in use at present for better patient management and
dental care.
Easily adaptable to standard charts used in general practice.
Readily communicable in print and by telephone.
Easy to describe in conversation and dictation

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