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Split down the middle of mouth top to bottom; mid line is where labial teeth line up for top and bottom |
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Primary Dentition Period: Deciduous (shed); 20 teeth, 5/ quadrant, 10/ arch; 6 months-6 years
Mixed Dentition: First secondary teeth (molars); 6- 12 years
Permanent Dentition: 32 permanent teeth, 8 per quadrant; 16 per arch; Erupt between 6-21 years |
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permanent teeth that do not replace primary teeth |
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Anterior- Incisors and Canines Posterior Teeth- Premolars and Molars
Incisors- Incise or cut Canines- Grasp or hold Premolars- Hold and crush Molars- Grind and mix |
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Maxillary central and mandibular canine |
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Incisal- Occlusal- chewing surface Facial- Labial(anterior teeth; side touching lips), Buccal (posterior teeth; side touching cheeks) Lingual- Side of tooth facing in toward the mouth Proximal- Mesial (side adjacent to the more anterior tooth), Distal (side adjacent to the more posterior tooth) *Adjacent tooth *Contralateral tooth |
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Manner in which mandibular teeth contact maxillary teeth |
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Process of biting or chewing food |
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Primary Dentition Formula Permanent Dentition Formula |
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I2/2,C1/1,M2/2=10
I2/2,C1/1,P2/2, M3/3=16 |
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http://online.vitalsource.com/books/9781451145335/id/F1-4
Primary Dentition = A-T |
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Hard: Enamel, Cementum, Dentin Soft: Pulp |
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- white, protective external surface covering dentin of anatomic crown - highly mineralized, hardest substance in body - 95% Calcium hydroxyapatite (calcified & inorganic) - 1% organic matter (enamel matrix) - 4% Water |
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-hard yellowish tissue forming main bulk of inner portion of tooth - surrounds pulp cavity, covered by enamel in anatomical crown and cementum in anatomical root - 70% Calcium hydroxyapatite - 18% Organic matter (collagen fibers) - 12% Water - harder than cementum, softer than enamel |
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-dull yellowish layer of hard, bonelike tissue covering dentin of anatomical anatomic root - 65% Calcium hydroxyapatite - 23% organic matter (collagen fibers) - 12% water |
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part of tooth that has enamel surface, coronal to cervical line; never changes |
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part of tooth that has cementum surface |
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part of tooth visible in oral cavity; can be longer or shorter from what you see |
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part of tooth under gingiva, not exposed to oral cavity |
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Dentinoenamel Cementodentinal Cementoenamel |
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separates enamel of crown from cementum of anatomic root |
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root length divided by crown length |
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1 apex, usually anterior teeth & some premolars |
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bifurcation or trifurcation dividing root portion into branches - molars & some premolars |
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portion of jaw which serves as support for tooth |
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contains pulp tissue- Outline corresponds to external outline of tooth |
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pointed projections @ occlusal & incisal portion of chamber; corresponds to cusps |
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apical limit of pulp, cavity through which nutrients enter & exit pulp |
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Formation of dentin by odontoblasts Primary dentin- forming initial shape of tooth Secondary dentin- produced throughout life of tooth Defense & Protection Reparative dentin- response to moderate irritation by formation of dentin Sensation Nerve endings in pulp conduct impulses of pain Nutrition Supplies nutrients and moisture to dentin through blood vascular supply |
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Area on a proximal surface of the crown that touches the adjacent tooth in the same arch Stabilizes position of teeth within arch Prevents food impaction |
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triangularly shaped spaces surrounding contact area spillways directing food away from gingival-part of self cleaning process of teeth 4 embrasures- - Facial, Lingual, (viewed from occlusal) - Occlusal, Gingival (Interproximal Space) (viewed from facial or lingual *Lingual embrasure usually larger than facial |
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bisects root in cervical area |
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Height of Contour or Crest of Curvature |
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Highest point of curve or bulge farthest from root axis line As with embrasure form, aids in proper protection & stimulation of gingival tissue |
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pointed peak located on occlusal surfaces of molars and premolars and incisal edges of canines |
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has 4 Cusp Ridges (linear prominences) of enamel converging toward it |
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Mesial and Distal Cusp Ridges |
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Ant. teeth- M & D border of L surface, converging toward cingulum - Post. teeth- on M & D borders of occlusal surfaces |
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located on each major cusp of posterior teeth; descend from cusp tips toward central part of occlusal surfaces |
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when B,L triangular ridges join transversely |
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only on maxillary molars; triangular ridges connecting diagonally |
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line formed during tooth development, between lobes or primary parts of tooth |
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less distinct, does not mark junction of primary parts |
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valley between ridges and cusps, developmental groove at junction of its inclines |
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narrow crevice at depth of groove, caused by incomplete fusion of enamel during tooth development; defective |
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small depression found between marginal ridges on lingual surfaces of anterior teeth & occlusal surfaces of all posterior teeth; not defective |
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pinpoint depression; occurs at depth of fossa where 2 or more grooves join Pits and fissures are enamel defects where dental decay may begin. |
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3 small scallops, each formed from 1 of 3 facial developmental lobes on incisal edges of newly erupted incisors |
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lingual lobe of anterior tooth; bulk of cervical 1/3 on lingual; convex M-D |
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What do tooth crowns develop from? |
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Lobes or primary growth centers (cusps, mamelons)
Incisors, canines, most premolars develop from 4 lobes Each molar cusp forms from 1 lobe |
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Crown can be divided into: |
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incisal or occlusal third, middle third and cervical third
Crown can be divided into thirds in three directions- occluso-gingivally, mesiodistally and buccolingually. |
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Root can be divided into: |
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cervical third, middle third and an apical third |
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Height of contour or crest of curvature on facial and lingual surfaces of crowns: |
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- highest point of a curve or greatest convezity or bulge farthest from root axis line - Aids in proper protection and stimulation of gingival tissue |
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Area on proximal surface of crown that touches adjacent tooth in same arch Stabilizes position of teeth within arch Prevents food impaction |
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Triangularly shaped spaces surrounding contact area Spillways directing food away from gingiva - part of self-cleansing process of teeth
4 Embrasures- Facial, Lingual, Occlusal ,Gingival (Interproximal Space) |
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Maxillary Central Incisors |
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Function of Maxillary Central Incisors |
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Cut food- act as shovels Articulate speech Support the lip and maintain an esthetic appearance Guides the mandible during the final phase of closing |
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Three lobes on labial. : Mesiel lobe, depressions, distal lobe
One lobe on palatal. (Cingulum) |
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bumps on the incisal surface (bottom) |
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Perikymata- little ridges of enamel that go from top to bottom; created when the tooth is formed |
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Longest and widest of all crowns (does not include roots (canines)) Longer than wide. Narrowest at cervical third |
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where the tooth touches adjacent teeth
Widest Point
Mesial incisal angle – 90 degrees; sharpest angle Distal incisal angle- most rounded |
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part of the tooth covered by enamel |
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the part you see in the mouth (same as anatomic when gingiva has not receded yet); root can be exposed |
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The root slightly longer than crown. The average root to crown ratio is 1.16:1 Root is short and cone-shaped – blunt apex; rounded apex Convexity is on the distal surface; mesial is flat |
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Labial View Contact Areas |
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Mesial contact area - in the incisal third near the incisal edge. Distal contact area - near the junction of the incisal and middle thirds |
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Cingulum – position; skewed toward distal Marginal ridges- mesial (longer b/c cingulum is toward the distal) and distal marginal ridge
Lingual Fossa- between marginal ridges, below cingulum |
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Mesil- flat Distal- Root contour convex in cervical 1/3 and tapers becoming narrower at the apex Tapers toward the lingual- wider on the facial, thinner on lingual Cross-section at cervix- triangular shaped |
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Mesial cervical line: CEJ dips down ¼ height of anatomic crown Distal cervical line Height of contour- take an egg and look down on it, it is the widest part; may not be cimetrical all the way around Height of contour in cervical third; where the cingulum is Incisal edge - labial to the root axis line or on the root axis line. Mesial incisal angle
Distal incisal angle- twisted distally; incisal edge is not straight, its curved Mesial root surface- flat or longitudinal depression in the middle 1/3. Distal surface- convex & no depression |
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Mesial to distal is wider than facial to lingual See more lingual than labial Shape roughly triangular Cingulum slightly off center to the distal Mesial marginal ridge is longer Incisal ridge slightly curved from mesial to distal Slight disto-lingual twist to incisal ridge Labial is broadly convex or sometimes nearly flat in center portion |
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Comparison of Maxillary Central and Lateral Incisors |
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Maxillary Lateral Incisor Crown Shape |
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• Formed from four lobes: 3 facial, 1 lingual (cingulum) • Morphologic variation: Most variation other than 3rd molar • May be asymmetrical • May be a “peg” lateral • May even be missing |
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Maxillary Lateral Incisor Crown Labial View |
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• More convex or less flat mesiodistally than central • Narrower mesiodistally • Root slightly longer • Mamelons and labial depressions –less • Mesioincisal angle more acute than distoincisal angle • Contacts- Mesial- incisal third or junction incisal/middle Distal- middle third |
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Lateral Incisor Root Labial View |
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• Root tapers evenly toward a rounded apex • Commonly bent toward the distal |
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Lateral Incisor Lingual View |
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• Cingulum is narrower and almost centered • Mesial marginal ridge is longer and straighter • Lingual pit- common for decay • Fossa
Palatal- gingival groove/ disto-lingual groove: distinguishing feature |
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Lateral Incisor Crown Proximal View |
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• Incisal edge just labial to root axis or on the root axis line • Curvature of cervical line greater on mesial than distal • Height of contour- (from incisal view) labial and lingual in cervical third |
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Lateral Incisor Root Proximal View |
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• Mesial root surface flat or depression • Tapers more evenly throughout root toward blunt end |
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Lateral Incisor Incisal View |
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• Outline round or oval • Cingulum nearly centered mesiodistally • Incisal edge straighter mesiodistally |
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How to distinguish the right maxillary lateral incisor from the left… |
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- mesial crown outline flatter; distal more rounded - mesioincisal angle more acute than distoincisal - distal contact more cervical than mesial |
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longer and straighter mesial marginal ridge |
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- larger cervical line curvature on mesial vs. distal - flatter mesial root surface contour than distal contour |
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distal crown outline more rounded |
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Comparing Maxillary Central and Lateral Incisors: Labial View |
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Central Larger; wider cervically • M.I. line angle almost right angle • D.I. line angle round and obtuse
• Mesial. contact in incisal third • Dist. Contact junction of incisal and middle 1/3
Lateral: • Smaller; narrower cervically • M.I. angle rounder & more acute • D.I.angle more rounded and more obtuse • Mesial contact in incisal third/or junction • Distal contact middle 1/3 |
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Comparing Maxillary Central and Lateral Incisors: Libial View Root |
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Central: • Incisal edge more horizontal • Mesial outline flatter • Less root tip bend to distal • Root-crown ratio 1.16 to 1
Lateral: • Incisal edge slopes cervically to distal • Distal outline more convex • Root tip often bends to distal • Root-crown ratio 1.36-1 • Slender look-crown is narrower, root longer |
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Comparing Maxillary Central and Lateral Incisors: Lingual View |
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• Central Incisor • Larger shallow lingual fossa • Cingulum distally positioned • Less frequent lingual pits
• Lateral Incisor • Deep but small fossa • Cingulum centered • More common lingual pits |
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Comparing Maxillary Central and Lateral Incisors: Incisal View |
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Central Incisor • Crown noticeably wider mes-dist than lab-ling • Outline roughly triangular • Cingulum off center to distal • Incisal edge curves mesio-distally • Labial outline more flat
Lateral Incisor
• Crown wider mes-dist than lab-ling but less so than central • Outline more round or oval • Cingulum centered • Incisal edge straighter mesio-distally • Labial outline more rounded (convex) |
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Comparing Maxillary Central and Lateral Incisors: Proximal View |
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Lateral • Mesial curvature of the cervical line less • Root tapers more evenly toward a blunt apex
Central: • Mesial curvature of the cervical line greater • Root is wide labio-lingually at cervix and tapers to a rounded apex • Distolingual twist of incisal edge |
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Mandibular Central Incisor: Labial View |
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• Smallest tooth in the mouth • Incisal edge is straight • Nearly bilateral, symmetrical with fairly straight mes. and dist. outline. • Mes. and dist. line angles same length tapering slightly - becoming narrower towards the convex cervical. • Mesial Incisal (MI) and Distal Incisal (DI) angles are similar, nearly right angles. • Distal may be slightly more rounded. • Contact=incisal 3rd • Labial contour of the crown in the incisal half appears nearly flat • Half may have two shallow developmental depressions in the incisal third resulting from the three lobes. • Mesial and Distal Contact- are at the same level; Incisal third-almost level with incisal edge |
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Mandibular Central Incisor: Proximal View |
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• From the mesial or distal, the crown appears wedge shaped and leans lingually. • Incisal edge as in all mandibular incisors is normally located on or lingual to the midroot axis • Height of contour is in the cervical third on the labial and on the cingulum on the lingual surface • Incisal half almost flat • Labial to lingual wider than mesial distal |
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Mandibular Central Incisor: Lingual View |
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Definition
• There are faint marginal ridges mesial and distal and are the same length • Very shallow fossa,(slightly concave) barely visible at the middle third and straightening out in the incisal third • There is a lingual convergence of this crown, a small cingulum that is centered. |
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Mandibular Central Incisor: Root |
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Definition
• From the proximal views, the root is nearly straight from the cervical line to the middle third, then tapers towards the apex. • The curvature of the cervical line is greater on the mesial than on the distal, towards the incisal, also is lower on the lingual than the labial. • Slight longitudinal depression in middle third on M and D • Distal depression is deeper • The apical end may curve slightly to the distal, in some incisors in the apical third. • Wider labial- lingual than mesial- distal |
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Mandibular Lateral Incisor: Labial View |
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Labial View • Not as symmetrical as the central • Crown tips slightly to distal relative to the root • Distal-lingual twist of the incisal edge • Mesial incisal angle is sharp and the distal-incisal angle is more rounded Labial View • Mesial side is slightly longer than the distal due to the cingulum being off center to the distal • Distal side bulge (convex) on crown • Larger than central in same mouth • Viewed from incisal edge-you can see the distal-lingual twist • Both contacts are in the incisal third of the tooth fairly near the incisal ridge • Mesial contact is more incisal than the distal • There is a lingual convergence of this crown to a cingulum that is slightly off center towards the distal,smooth and narrow with convex outline |
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Mandibular Lateral Incisor: Proximal View |
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• Incisal edge is on or lingual to root axis line • From the mesial or distal the crown is wedge shaped and leans lingually(triangular outline) • Distal portion of the ridge is more lingual (distal-lingual twist) • Height of contour similar to central incisor in the cervical third on the labial and on the cingulum on the lingual |
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Mandibular Lateral Incisor: Lingual View |
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• Cingulum distal to center • Mesial marginal ridge longer than the distal (are scarcely discernible) • Fossa barely visible, slightly concave in the middle and incisal thirds • Cervical line is lower on the lingual than on the labial (same as the central) |
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Mandibular Lateral Incisor: Root |
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Definition
• Wider faciolingually than mesiodistally • From the labial view, root is long narrow and tapers on both sides towards the apex, where it may curve slightly toward the distal. • Tapers towards the lingual, where it is slightly narrower and convex. • The cervical curvature is greater on the mesial than the distal towards the incisal • Proximal, root is nearly straight from the cervical line to the middle third then tapers towards the apex. • Slight longitudinal depression in middle third on M and D • Distal depression deeper • The apical end may be curved toward the distal |
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TRAITS TO DIFFERENTIATE MANDIBULAR CENTRAL FROM LATERAL INCISORS |
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Definition
• Lateral has a less symmetrical crown and tips to the distal on the root • Distal crown outline bulges more on the lateral and has a distolingual twist on the incisal edge • On the lateral the cingulum is off centered to the distal • The lateral has longer mesial marginal ridge than the distal on both the labial and lingual |
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Support: lip & facial muscles Cut, pierce & shear food morsels Guide posts in occlusion: Canine protected occlusion Good anchor teeth (abutments) - large roots |
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Third teeth from midline One in each quadrant Cornerstone -Turning point of dental arches Stability- well anchored in bone often last teeth lost Cosmetic value- prominent in smile - Canine eminence Longest teeth in mouth Max. 26.3mm /Mand. 25.9mm Roots longer than other teeth Single cusp No mammelons - notch on either cusp slope |
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Distinguishing Feature in Canines |
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Definition
Labial surface convex Vertical labial ridge (Premolars- buccal ridge) |
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Universal Numbering System #6 & # 11 Longest tooth in mouth Crown -nearly as long as maxillary central - root much longer -Mesial- broadly convex in middle third -flat cervical third -Distal- forms shallow S shape, convex in middle third -concave cervical third
Short & wide (compared to mand.) Mesial bulge of crown beyond root Crown- wider labiolingually than mesiodistally Labial - formed from 3 lobes (lingual, cingulum from 4th lobe) Middle lobe on facial forms pronounced labial ridge - runs C-I near center of crown in middle & incisal thirds |
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Maxillary Canines: Labial View |
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Definition
Pentagonal Incisal edge divided into 2 inclines by cusp; Mesial slope shorter than distal Crown tapers from contact areas to cervix Mesial crown outline less curved than distal |
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