Development and Anatomy of Primary Dentition (Lecture 5) Flashcards

1
Q

What is the primary dentition?
§ Dentition before the eruption of _____ 
§ What else are the primary teeth called?
§ _____ (comes from a Latin word “deciduus” which means fall off) teeth
§ Baby teeth
§ _____ teeth

§ When do primary teeth emerge in the mouth?
§ Between the ages of _____

A

permanent teeth
deciduous
milk
6 months and 2 years

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2
Q

Humans are _______

A

diphyodont, have two sets of teeth

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3
Q

Although replaced by the succedaneous teeth, primary teeth play a very important role for the proper _______ and _______ of the permanent teeth

A

position

occlusion

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4
Q
How many are the primary teeth?
§ Twenty (20)
§10 maxillary and 10mandibular teeth
§ In each arch: 
§ \_\_\_\_\_\_\_ incisors
§ \_\_\_\_\_\_\_ cuspids (canines)
§ \_\_\_\_\_\_\_ molars
A

4
2
4

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5
Q

Primary Dentition

§ No _______
§ Primary molars are replaced by _______
§ Permanent molars have no _______ and erupt _______ to primary molars

A

primary premolars
premolars
predecessors
distal

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6
Q

Palmer vs. Federation Dentaire International Numbering System

A

L shaped dictates location for palmer

quadrants dictate dentaire (1-4 for permanent, 5-7 for primary, then 51 etc.)

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7
Q

When does the development of primary teeth start?
_______ weeks in ____

When does calcification of the primary teeth start?
____ in utero

How much of the crown of primary teeth has formed at birth?
____ (approximately)

By when the enamel formation has been completed for all primary teeth?
By ____ of age

A

6-8 weeks, utero
14-20th week
1/2-5/6
12 months

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8
Q
Stages of development (eruption) of the dentition
Birth - 6 months: \_\_\_
6 months - 2.5 years: \_\_\_
2.5 years - 6 years: \_\_\_\_
6 - 12 years: \_\_\_\_\_
> 12 years: \_\_\_\_\_
A
edentulous arches
eruption of primary teeth
full primary dentition
mixed dentition
permanent dentition
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9
Q

Birth -6 months of age
___ usually visible at birth
What is an exception?
___ or ___ teeth

A

no teeth
natal -> present at birth
neonatal -> erupt 30 days of birth

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10
Q
Natal and Neonatal Teeth
q  Natal teeth
q  \_\_\_ at birth
q  Neonatal teeth
q  Erupt within \_\_\_ after birth
q  May be \_\_\_ teeth
q  More likely early eruption of \_\_\_
q  Unknown why they occur; superficial position of the tooth germ, associated with a \_\_\_
A
present
30days
extra
primary teeth (85%)
hereditary factor
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11
Q

When does the eruption of the primary teeth start? Which is the first primary teeth to erupt?Does eruption of primary teeth happen earlier in boys or girls?

§ ___ of age -> First primary tooth erupts
§ ___
§ Boys and girls have similar eruption times for ___ (in contrast to ___ teeth: girls do erupt their permanent teeth ___ than boys)

A
6-10 months
mandibular central incisor
primary
permanent
earlier
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12
Q

Calcification of roots normally is completed by age ___- Active eruption occurs when ___ of the root is formed - Usually erupt in ___

A

3-4 years
2/3
erupts

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13
Q

7+4

Explain

A
7 months is starting point
11 months = 4 erupted teeth
15 months = 8 erupted
19 months = 12 erupted
23 months = 16 erupted
27 months = 20 erupted
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14
Q

Sequence of Eruption of Primary Teeth
___ before maxillary
§ ___ to back except ___ before canine

A

mandibular
front
1st primary molar

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15
Q

3 years

§ Primary teeth in ___

A

occlusion

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16
Q

3 1⁄2 years

§ All primary teeth in ___ and ___ completed

A

occlusion

roots

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17
Q

Spacing in primary dentition
§ ___ spacing
§ interdental spacing mostly in the ___ area of the mouth

§ Primate spacing
§ Distal to the ___
§ Distal to upper ___
§ ___ (than the rest of interdental) spaces

A

generalized
anterior

lower primary canine
primary lateral incisor
wider

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18
Q

Primate Spaces
• Naturally occurring spaces in the primary dentition
• Maxillary: between the ___ and ___
• Mandibular: between the ___ and ___

A

lateral
canine
canine
molar

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19
Q

§ SPACED
§ ___ of primary dentitions: spaced
§ ___ of primary dentition: non spaced
§ Once established, arches ___ spaced or non- spaced over the course of primary dentition

A

2/3
1/3
remain

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20
Q
Does primary spacing affects crowding outcome into the permanent dentition?
Spacing >= 6mm = \_\_\_
Spacing 3-6 mm = \_\_\_
Spacing < 3 mm = \_\_\_
No spacing = \_\_\_
Crowded primary = \_\_\_
A
no crowding
20% crowding
50% crowding
66% crowding
100% with incisor crowding
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21
Q
Molar relationship
§ Defined by the mesiodistal relation between the \_\_\_ surfaces of the upper and lower \_\_\_ (terminal plane)
§ 3 types
§ \_\_\_ terminal plane 
§ \_\_\_ step terminal plane 
§ \_\_\_ step terminal plane
A
distal
second primary molars
flush
mesial
distal
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22
Q

Flush terminal plane

§ The upper and lower distal surface of the second primary molars are in the ___ plane

A

same vertical

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23
Q

Mesial step terminal place
§ Distal surface of the lower second primary molar is more ___ to the ___ surface of the upper second primary molar
Step is defined by ___

A

mesial
distal
mandibular primary molar

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24
Q

Distal step terminal plane

§ Distal surface of the lower second primary molar is more ___ to the ___ surface of the upper second primary molar

A

distal

distal

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25
Q

Canine (cuspid) Relationship
§ Mesial stepà___
§ Distal stepà___
§ Excessive mesial stepà___

§ Class I: the tip of the max primary canine is in the ___ as the distal surface of the mandibular primary canine
§ Class II: the tip of the max. primary canine is ___ to distal surface of the mandibular primary canine
§ Class III: the tip of the max. primary canine is ___ to the distal surface of the mandidbular primary canine

A
class I
class II
class III
same plane
mesial
distal
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26
Q
Overjet and Overbite
§ Ideal
§ Overjet: \_\_\_ 
§ Overbite: \_\_\_
§ \_\_\_ in primary dentition
§ may indicate \_\_\_ 
§ \_\_\_ or open bite
§ may be evidence for a habit i.e., \_\_\_
A
0-4mm
10-40%
excessive overbite
skeletal malocclusion
excessive overjet
thumbsucking
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27
Q

Can we predict the size of the permanent dentition from the size of the primary teeth?
§ Correlation coefficient (r) values between size of the primary and permanent teeth range from r= ___
§ There is little if any about primary dentition size that predicts ___
§ Correlation coefficients of r= ___ or higherare required to make predictions for theindividual patient at chairside

A

0.2-0.6
permanent dentition size
0.8

28
Q

Primary Dentition vs. Perm Dentition

Crowns of ___ teeth
u ___ width is close to, or greater than, the ___ length dimension
n Roots of primary anterior teeth are ___ and ___ in relation to their crowns

A
primary anterior
mesiodistal (MD)
incisalgingival (IG)
narrower
longer
29
Q

§ Roots of primary molars are relatively ___, more ___ and flare ___ than the permanent counter parts
§ Why are the roots of the primary molars more flare than those of the permanent teeth?

A

longer
slender
more
make room for the growing permanent tooth bud

30
Q

Cervical ridges (___) of the primary anterior teeth and posterior teeth are more ___ than those of the permanent

A

buccally

prominent

31
Q

___ and ___ surfaces of primary molars are flatter in the ___ and ___ and have narrower occlusal surfaces

A

buccal
lingual
middle
occlusal 1/3rds

32
Q

Primary teeth are usually are ____

A

whiter

33
Q

C, The pulpal horns are higher in ____, especially the ____ horns, and pulp chambers are proportionately ____E,
The enamel rods at the cervix slope ____ instead of gingivally as in the ____
F, The primary molars have a markedly ____ compared with the permanent molars

A

primary molars
mesial
larger

occlusally
permanent teeth
constricted neck

34
Q

Primary Maxillary Central Incisor
q The crown
q is ____ mesiodistally (MD) than it incisocervically
q The only incisor with ____ > crown height
q The ____ edge is more rounded than the mesio-incisal edge
q is convex in the ____ dimension
q Lingually, has mesial and distal marginal ridges, a ____ and a cingulum
q The root is ____

A
wider
MD breadth
distoincisal
mesiodistal
lingual fossa
conical-shaped
35
Q

Primary Maxillary Central Incisor

§ The ____ width of the facial of the maxillary central incisor is greater than the ____ length

A

mesiodistal

inciso-cervical

36
Q

Primary Maxillary Lateral Incisor
q In relation to the primary maxillary central incisor the crown of the primary maxillary lateral incisor:
q is much ____ both mesio-distally and incisocervically
q has a greater dimension ____ than mesio-distally
q the ____ is more rounded
q lingually the marginal ridges are moreprominent, making the lingual fossa ____
q The root of the primary maxillary lateral incisor is ____ than the root of the maxillary central incisor

A
smaller
incisocervically
distal incisal angle
deeper
longer
37
Q

Maxillary Primary Lateral Incisor

§ The maxillary lateral is not as wide ____ as the maxillary central

A

mesiodistally

38
Q

Primary Mandibular Central Incisor
§ The crown of the primary mandibular central incisor is
§ ____ than the primary maxillary central incisor
§ Has ____ mesial- incisal and distal-incisal angles
§ Incisal edge is ____
§ The lingual surface is smooth making the ____ and ____ indistinct and the lingual fossa shallow.
§ The root is ____, slender and long

A
smaller
90 degree
horizontal
marginal ridges
cingulum
single
39
Q

Primary Mandibular Central Incisor

§ The mandibular central incisor is ____ in relationship to the maxillary central incisor

A

smaller

40
Q

Primary Mandibular Lateral Incisor
§ The crown of the primary mandibular lateral incisor is ____ than that of the primary mandibular central incisor
§ in both the ____ dimension and in the ____ dimensions
§ The ____ angle is more rounded than that of the mandibular central incisor
§ Lingually, the marginal ridges are more convex, making the lingual fossa ____
§ The root is ____ and ____ than that of the mandibular central incisor

A
larger
incisor-cervical
mesio-distal
disto-incisal
deeper
longer
thicker
41
Q

Primary Mandibular Lateral Incisor
§ The crown of the mandibular lateral incisor (2) has a longer ____ length than that of he primary mandibular central incisor (1)
§ The crown of the primary mandibular lateral incisor (2) is ____ mesio-distally than that of the the primary mandibular central incisor (1)

A

inciso-cervical

wider

42
Q

Primary Mandibular Lateral Incisor
§ The mandibular lateral incisor (2) has a ____ root than the mandibular central incisor (1)
§ The disto-incisal angle of the mandibular lateral incisor (2) is more ____ than that of the mandibular central incisor (1)

A

longer

rounded

43
Q

Primary Maxillary Canine
§ The crown of the primary maxillary canine is larger ____ than mesio-distally
§ The mesio-incisal cusp ridge has a greater slope than the disto- incisal, that is, the cusp tip is ____ located
§ The tooth is ____ facial- lingually than the incisors
§ Lingually, there is a ____lingual cingulum and lingual ridge. Mesio-lingual and disto- lingual fossa are present
§ The root is similar to the ____, except longer

A
inciso-cervically
distally
thicker
prominent
maxillary incisors
44
Q

Primary Maxillary Canine
§ The cusp tip of the canine divides the incisal edge into the ____ cusp ridge and the ____ cusp ridge. The mesial cusp ridge is ____

A

mesial
distal
longer

45
Q

Primary Maxillary Canine

§ The root of the maxillary canine is ____ than the root of the ____ and ____.

A

longer
maxillary lateral
central

46
Q

Primary Mandibular Canine
§ The ____ of the crown of the primary mandibular canine is ____ than the mesio-incisal–the opposite of the primary maxillary canine
§ The primary mandibular canine is ____ mesio-distally than the primary maxillary canine
§ The lingual features are ____ on the mandibular versus the maxillary
§ The root of the primary mandibular canine is more ____ than that of the primary maxillary canine

A
disto-incisal edge
longer
narrower
less distinct
tapered
47
Q

Primary Mandibular Canine
§ The mandibular canine has essentially the same features and characteristics as the ____ (1), except on the mandibular canine the distal incisal edge is ____ than the mesial–the opposite of the maxillary

A

maxillary canine

longer

48
Q

Primary Maxillary First Molar
§ Intermediate between a premolar and a molar
§ ____ primary molar
§ The ____ is greater than the occluso-cervical height
§ Usually three cusps are present, mesio-facial, disto-facial, and ____
§ The lingual surface is ____ than the facial
§ There is an ____ on the occlusal
§ There are ____ roots–largest to smallest: ____, mesio-facial, disto-facial
§ Of the three pulp horns, the mesio-facial is the ____

A
smallest
mesio-distal dimension
lingual
narrower
oblique ridge
three
lingual
largest
49
Q

Primary Maxillary First Molar
§ The maxillary first molar is triangular in shape; with the facial mesio-distal dimension being ____ than the lingual
§ There is a prominent ____ connecting the mesio-buccal and lingual cusps.

A

larger

oblique ridge

50
Q

Maxillary First Molar

§ The three roots are the ____ (C), ____ (A), and the ____ (B).

A

mesio-facial
disto-facial
lingual

51
Q

Primary Maxillary Second Molar
§ This tooth resembles the ____
§ There are ____ cusps present: mesio-facial, disto-facial, mesio-lingual, distal-lingual, and ____
§ An ____ extends from the disto- facial to the mesio-lingual cusp
§ It has the same groove and fossa pattern as the ____
§ There is a ____
§ There are ____ roots, from largest to smallest: lingual, mesio-facial, and disto- facial
§ There are usually three root canals, with the ____ being the most prominent

A
maxillary first permanent molar
five
cusp of carabelli
oblique ridge
first permanent molar
lingual groove
three
mesio-facial pulp horn
52
Q

Primary Maxillary Second Molar
§ The maxillary second molar is ____ in appearance. Note the the facial-lingual dimension is ____ than the mesial-distal one.

A

rhomboid

greater

53
Q

Primary Maxillary Second Molar
§ The maxillary second molar (1) is ____ than the maxillary first molar (2).
§ Note the ____ shape to the second molar in comparison to the ____ shape of the first.

A

larger
rhomboid
triangular

54
Q
Primary Maxillary Second Molar
§ The second molar has five cusps:
§ A: \_\_\_\_
§ B: \_\_\_\_ 
§ C: \_\_\_\_ 
§ D: \_\_\_\_
§ E: \_\_\_\_

§ There are three pits in the occlusal surface:
§ ____
§ ____
§ ____

A
mesio-facial
mesio-lingual
cusp of carabelli
disto-lingual
disto-facial

mesial pit
central pit
distal pit

55
Q

Primary Maxillary Second Molar
§ Similar to all maxillary molars, both primary and permanent, the maxillary second primary molar has three roots: ____, ____, and ____

A

mesio-facial
disto-facial
lingual

56
Q

Primary Maxillary Second Molar
§ The maxillary second molar has one ____ that corresponds to each cusp, and one ____ that corresponds to each root; Therefore it has ____ pulp horns and ____ root canals.
§ The longest pulp horn is the ____

A
pulp horn
root canal
five
three
mesio-facial
57
Q

Primary Mandibular First MolarThis tooth doesn’t resemble ____-It is ____ unto itself-There is a pronounced, ____ buccally at the ____

A

any other tooth
unique
bulbous enamel bulge
mesial

58
Q

Primary Mandibular First Molar
§ The crown is larger ____ than ____
§ The ____ cusps are the mesio-facial, disto- facial, mesio-lingual, and distal-lingual; with the ____ cusps being the largest
§ A transverse ridge exists between the ____ and ____ cusps
§ There are three pits: the ____, the ____ and the ____
§ The ____ is distinctive
§ Two roots, the mesial and distal, which arewider ____ than mesio-distally
§ The number of pulp horns correspond to the number of cusps (____), with the ____ being the largest
§ There may be two root canals in the ____ root

A
mesio-distally
facial-lingually
four
mesial
mesio-facial
mesio-lingual
mesial, distal, central
mesial
facial-lingually
four
mesio-facial
mesial
59
Q

Primary Mandibular First Molar
§ Because of the extreme occlusal convergence of the ____ surface, the occlusal table of the mandibular first molar is narrow ____

A

facial

facial-lingually

60
Q

Primary Mandibular First Molar
§ In cross section the mandibular first molar presents a very prominent ____ at the cervical (A); a characteristic unique to this tooth.

A

facial bulge

61
Q

Primary Mandibular First Molar
§ The tooth has four cusps:
§ ____§ ____§ ____§ ____§
The mesial aspect of the tooth is marked by a distinct ____, which runs across the tooth between the ____ and ____ cusps.
§ The tooth has three pits: § ____§ ____§ ____

A
mesio-facial
mesio-lingual
disto-facial
disto-lingual
transverse ridge
mesio-facial, mesio-lingual
mesial
central
distal
62
Q

Primary Mandibular First Molar
§ Similar to ____ the mandibular first primary molar has two roots; a ____ and a ____.
§ The mesial and distal roots of the tooth are narrow and convex in the ____ directions (1), but broad ____ (2).

A
permanent molars
mesial
distal
mesio-distal
facio-lingual
63
Q

Primary Mandibular First Molar
§ Corresponding the to number of cusps, the pulp chamber has ____ pulp horns
§ While the tooth has two roots, the ____ root (the larger of the two roots) has two root canals, which correspond to the two largest cusps the ____ and the ____.

A

four
mesial
mesio-facial
mesio-lingual

64
Q

Primary Mandibular Second Molar
§ The primary second primary molar closely resembles the ____
§ Five cusps are present: ____, ____, ____, ____, and ____
§ The ____ roots (mesial and distal) are ____ than those of the mandibular first primary molar
§ There are ____ pulp horns, and commonly ____ (sometimes four) root canals: mesio-facial, mesio- lingual and distal

A
permanent mandibular first molar
mesio-facial, disto-facial, mesio-lingual, disto-lingual, distal
two
larger
five
three
65
Q

Primary Mandibular Second Molar
§ Five cusps:§ A: ____§ B: ____§ C: ____§ D: ____§ E: ____
§ Three pits: § ____ § ____§ ____

A

mesio-facial
distal-facial
distalmesio-lingual
distal-lingual

mesial pit
central pit
distal pit

66
Q

Primary Mandibular Second Molar
§ ____ roots, a mesial and a distal
§ The roots are ____ to accommodate the developing succedaneous permanent tooth

A

two

flared

67
Q

Primary Mandibular Second Molar
§ Corresponding to the cusps, the pulp chamber has five ____
§ The tooth has either ____ or ____ root canals. The mesial root has ____ canals
§ The distal root may have ____ or ____ canals

A
pulp horns
three
four
two
one
two