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Published byDeirdre Webster Modified over 9 years ago
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Human Dentition Introduction Dental Anatomy Includes:
1- Nomenclature & terminology. 2- The external morphology and internal composition of individual teeth. 3-How tooth form serves its function. 4- The relationship of teeth to each other and to the jaw bones.
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Dental Anatomy Nomenclature
The Jaws & Dental Arches
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The Jaws and Dental Arches
A. The maxilla is two bones forming the upper jaw; they are rigidly attached to the skull. B. The mandible is a horse-shoe shaped bone which articulates with the skull by way of the temporo-mandibular joint the TMJ.
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Quadrants: right & left quadrants
Maxillary right and left. Mandibular right 4 Quadrants Right Left
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Functions of Teeth 1- Mastication: Incisors Canine Premolars Molars
teeth are designed to perform this function. Incisors Canine Premolars Molars Chisel like Cutting or incising At least two projections (cusps). Tearing and grinding Wedge like Cutting and tearing Multiple projections (cusps) Grinding
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2- Appearance: 3- Speech: 4- Growth of jaws:
- Well arranged clean teeth with proper alignment give nice appearance to the face. – Teeth give support to the facial expressions. 3- Speech: for clear pronunciation and production of sound. 4- Growth of jaws: The teeth play a role in the growth of the jaws in some periods of life.
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Types of Teeth
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Types of Teeth Anterior Teeth Posterior Teeth for
cutting & tearing food Posterior Teeth
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Anterior Teeth- Upper Canine lateral Central Incisors
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Anterior Teeth- Lower lateral - Central Incisors Canine
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Premolars: (in permanent only)
Upper First premolar & Second premolar Lower
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Molars: Upper Lower First & second Wisdom tooth =
Third permanent molar
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Types of Dentitions: Primary & Permanent Dentition
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Types of Dentitions: I-Primary Dentition Deciduous ,baby, milk teeth:
a. Twenty ( 20) primary teeth. b. 10 in each arch c in each quadrant In function: 2 years 12 years
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I-Primary Dentition
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Mixed Dentition Period
6 years 12 years Eruption of first permanent molar Shedding of last primary molar
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6 years eruption of first permanent molar
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12 years Shedding of last primary molar
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II-Permanent Dentition
In function: 12 years through out life
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Permanent Teeth
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Tooth Identification Systems Numbering or Coding Systems
Palmer Notation System Universal System International FDI System (two digit system)
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1-Palmer Notation System
for Permanent Teeth Right Left 1 - 8 1 1 8 - 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 8 7 8 - 1 6 1 - 8 5 4 3 1 2
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The permanent teeth are numbered
It represents the four quadrants of the dentition as if you are facing the patient. In upper right In upper left In lower right In lower left Horizontal and vertical lines = symbol for the quadrant The permanent teeth are numbered from 1-8 on each side from the midline. Upper right Upper left Lower right Lower left
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Palmer Notation System
for Primary Teeth A B C E-A A-E D E A-E E-A
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The deciduous teeth are lettered
from A-E on each side from the midline Upper right Upper left E D C B A A B C D E Lower right Lower left
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Palmer Notation System
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2-The International Numbering System “FDI” Federation Dentaire International (the two digit system)
The teeth are designated by using two-digits: The first digit of the code is located at the left side of the number and indicates the quadrant: In permanent dentition In deciduous dentition U.R U.L U.R U.L L.R L. L L.R L.L.
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2-International System (Two Digit System) “FDI” Federation Dentaire International
For permanent Teeth 11 21 12 22 13 23 14 24 15 25 16 26 17 27 18 28 First Digit = quadrant 38 48 1 2 37 47 36 46 4 3 45 35 44 34 43 33 42 41 32 31
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Permanent teeth Second Digit = Tooth number in the quadrant
b- The second digit is located at the right side of the number and indicates the number of the tooth in the quadrant. The two digits should be pronounced separately. Permanent teeth
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2-International System (Two Digit System) “FDI” Federation Dentaire International
For Primary Teeth 51 61 52 62 53 63 54 64 First Digit = quadrant 55 5 6 65 First Digit = quadrant 8 7 85 5 6 75 84 8 7 74 83 73 82 72 81 71
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Primary Teeth For Primary Teeth 5 6 First Digit = quadrant 8 7
Second Digit = Tooth number in the quadrant Primary Teeth
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Universal system for Permanent Teeth
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Universal System for Primary Teeth
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Macro & Micro-anatomy of Teeth
crown neck root
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Surrounding Bone: Crypt developing tooth Socket erupted tooth root
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Anatomical Crown & Clinical Crown
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Single-rooted Multi-rooted
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Micro-anatomy of Teeth
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Pulp Cavity 1-Coronal pulp: Pulp chamber Pulp horns 2-Radicular pulp:
Root canal Apical foramen
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Pulp Cavity in Root 2-Radicular pulp: Root canal Apical foramen
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Surfaces of Teeth
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Surfaces of teeth are identified by the relationship to surrounding orofacial structures
Each tooth has Five surfaces: Facial Lingual, Mesial, and Distal (proximal) Functioning surf. (Incisal) occlusal,
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FACIAL SURFACE any surface on the outside (towards the face)
LABIAL is facial surface of the anterior teeth (green), 2. BUCCAL is the facial surface of the posterior teeth (blue).
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Surfaces in between two teeth:
Inter-proximal surfaces: Surfaces in between two teeth: Facing towards the midline: MESIAL. Facing away from the midline: DISTAL
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LINGUAL The surfaces facing the tongue
palatal PALATAL on the maxilla.
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Functioning Surfaces: chewing/biting surfaces of teeth :
OCCLUSAL: chewing surfaces of posterior teeth INCISAL: the anteriors’ biting surface
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Line and Point Angles Division into Thirds
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Line and Point Angles Line angle: Point angle:
It is formed by the junction of two surfaces and its name is derived from both surfaces Point angle: It is formed by the junction of three surfaces and its name is derived from these surfaces.
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Line Angles of Anterior Teeth
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Line Angles of Posterior Teeth
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Point Angles Meeting of 3 surfaces
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Division into Thirds
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Anatomical Landmarks of the Crown
Developmental data: Lobe: It is one of the primary centers of calcification and growth formed during the crown development. Each tooth begins to develop from four lobes or more. The pulp chamber has pulp horns corresponding to these lobes.
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Anterior teeth premolars
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Maxillary molars Mandibular molars
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A- Crown Elevations: 3-Cusps 1-Mamelons 2-Cingulum
They are three small rounded projections of enamel present in the incisal third of newly erupted incisors It is the bulge on the cervical third of lingual surface of the crown in anterior teeth They are pyramidal projections on the incisal portion of the canine and on the occlusal surfaces of the premolars and molars
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4-Tubercle It is a small elevation produced by excessive formation of enamel. Tubercle is noticed at : the palatal surface of E & 6 sometimes at the lingual surface of incisors over the cingulum. N.B. Tubercle differs from cusp , it is formed of enamel only while cusp is formed of pulp horn covered by dentin and enamel.
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5-Ridges Marginal Linear Triangular Linear ridges:
Ridge or elevation of enamel forming the margin of the surface of a tooth; on mesial /distal margins of lingual surfaces anterior teeth. mesial & distal margins of occlusal surfaces posterior teeth Linear ridges: Elevated portions of tooth run in a line named for their location Cervical Incisal Labial Buccal Lingual Transverse Ridge Oblique Ridge
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B-Crown Depressions Linear Depressions Irregular Depressions 1-Fossa
1-Developmental grooves: Shallow grooves that separate cusps or primary parts of teeth 1-Fossa Depression or concavity 2- Supplemental grooves: Lingual fossa Small , irregularly placed auxiliary grooves. Branches from developmental grooves. They do not denote union of primary lobes. The third molars followed by second permanent molars are characterized by high number of supplemental grooves. triangular fossae Central fossa
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Irregular Depressions
Linear Depressions Irregular Depressions 3- Fissures 2- PITS: Found in the bottom of developmental grooves. Result from incomplete union of the primary lobes. Represent a fault in enamel. b- FAULTY PIT: Develop as a result of incomplete formation of enamel. It is located at the end of the buccal developmental grooves of the lower molars or palatal developmental grooves of the upper molars.
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