Exam 2 review Flashcards
What is the primary dentition?
1) Lettered #A-#T beginning with the Primary MAXILLARY RIGHT SECOND MOLAR
What is Positive and Negative Anatomy?
What is formed and constructed first?
1) All teeth have combinations of RAISED or CONVEX areas (POSITIVE ANATOMY) and
DEPRESSED or CONCAVE areas (NEGATIVE ANATOMY) .
***The positive anatomy is formed or constructed FIRST, which THEN properly displays the negative anatomy.
What are Triangular Ridges?
- Each posterior tooth cusp has how many triangular ridges?
- Where are triangular ridges wider at?
1) These RIDGES DESCEND from the tips of the CUPS of ONLY POSTERIOR teeth & travel TOWARD the CENTRAL part of the OCCLUSAL SURFACE
**EACH posterior tooth cusp has ONLY ONE triangular ridge. THEY are WIDER at the BASE than at the cusp tip
Notable Calcification Schedule Points regarding Primary Teeth:
- When does calcification commence?
- What is the sequence of first evidence of calcification?
- When have all primary teeth initiated calcification?
1) At about 13-16 weeks in utero, calcification commences
2) At 18-20 weeks in utero, ALL PRIMARY TEETH have INITIATED CALCIFICATION
**First evidence of calcification follows:
First = Incisor
Last= 2nd MOLAR
(incisor> 1st molar> lateral> canine> 2nd molar)
Formation of the DECIDUOUS DENTITION:
- Where do primary anterior teeth form from?
- What is not present and evident?
1) PRIMARY ANTERIOR TEETH form ONLY a SINGLE CENTER of calcification.
2) NO MAMELONS are PRESENT
3) NO DEVELOPMENTAL DEPRESSIONS are “evident “
Calcification Chronology Permanent Teeth:
-Which teeth are initiating calcification from birth to one year of age?
-Which teeth are initiating calcification from 2 to 4 years of age?
Which teeth have begun calcification by 9 years of age?
1) From BIRTH to ONE YEAR of age, the following permeant teeth are initiating calcification:
1. 1st MOLAR 2. Central incisor 3. Canine 4. Lateral incisor
2) From 2 to 4 YEARS of age, these teeth are initiating calcifications:
1. Premolars 2. Second Molars
3) The 3RD MOLARS have BEGUN CALCIFICATION by 9 YEARS OF AGE
Mammalian Phylogenetic Development: Classification of Cusp Forms
- What is Haplodont?
- Triconodont?
- Tritubercular Molar?
- Quadritubercular Molar?
1) Haplodont: Single cone structure
2) Triconodont: 3 CUPS in a STRAIGHT LINE
3) Tritubercular Molar: 3 CUSPS in a PRIMARY TRIANGLE
4) Quadritubercular Molar: 4 CUSPS in a RECTANGULAR or RHOMBOID FORM
Occlusal Antagonists in the Opposing Arch:
- What do teeth primarily contact?
- What are the two exceptions ( which 2 only have one antagonist in the opposing arch?)
1) Teeth primary contact their namesakes in the opposing arch
2) MOST TEETH contact ONE additional tooth in the OPPOSING ARCH
* **The MAXILLARY 3RD MOLARS & MANDIBULAR CENTRAL INCISORS have ONLY ONE ANTAGONIST in the opposing arch
Measurement of the “Height of Curvature of the Cervical Line” (Mandibular Arch)
- Which way do the cervical line curve?
- What is the measurement of the cervical line to the highest point in the middle of the proximal surface?
- Which teeth have most measurable curvature?
- Where is the curve the greatest?
- What is the measurement of the mesial and distal of the mandibular central?
1) The cervical line CURVES in a CORONAL direction on the proximal surface
2) The measurement is from the LOWEST point at the cervical line to the HIGHEST point in the middle of the proximal surface
3) The ANTERIOR teeth have the most MEASURABLE curvature
4) The molars have little or NO CURVATURE
5) On an individual tooth, the curvature is ALWAYS GREATEST on the mesial
6) The mesial of the MANDIBULAR CENTRAL is 3.0 mm (LARGEST)
7) The Distal of the MANDIBULAR CENTRAL is 2.0 mm
Circular (Circumferential) Periodontal Fibers:
- Where are they located?
- What does it influence?
1) Located at the CERVICAL THIRD of the CROWN & ROOT of a tooth
2) Influences the ROTATION of the tooth within an alveolus
Embrasures: Facial Viewpoint-Maxillary Posterior Teeth
- Where is the largest and smallest embrasure in the maxilla?
- Where are gingival and incisal/occlusal embrasures evident from?
- Anterior and posterior teeth?
1) Gingival and incisal/occlusal embrasures are evident from a facial viewpoint
2) Above (occlusal to) the contact area:
3) Anterior Teeth: Incisal Embrasure
4) Posterior Teeth: Occlusal Embrasure
5) **Largest= Between Canine & 1st Premolar
6) **Smallest= at the MIDLINE
Tooth Form Generalizations:
-Which potions are generally more developed?
-Which cusps are larger?
-Mesial Marginal ridges are ________ than distal marginal ridges? (What is the exception?)
-Molars taper _____________?
-All teeth taper ____________?
(Except which 2?)
1) MESIAL portions of crowns are generally MORE DEVELOPED than the Distal
2) The Mesial cusps are LARGER than distal cups
3) Mesial Marginal RIDGES are USUALLY TALLER than distal marginal ridges (EXCEPTION: Mandibular 1st PREMOLAR)
4) Molars TAPER MESIODISTALLY
5) ALL TEETH taper FACIOLINGUALLY EXCEPT the
a) MAXILLARY FIRST MOLAR & the Y-grooved
b) MANDIBULAR SECOND PREMOLAR
Root Positionings & Angulations:
-Describe the Molar roots of primary teeth
-Primary roots are _____________ when compared to crown width and length?
1) Molar roots of primary Teeth FLARE markedly & THIN OUT rapidly as the apices are approached
2) Primary roots are NARROW & LONG when compared to crown width and length
“Primary” Mandibular Canines
Facial View
- How does Mandibular canines compare with maxillary?
- Crown and root may be how much shorter?
- Cusp tip is ___________ providing a _____________ distal cuspal ridge than me sail cuspal ridge.
- Root tip is usually what?
- Mesial outline of the crown is?
1) Similar to form & size of maxillary canine (EXCEPT that the specific anatomy is LESS DEVELOPED)
2) Crown may be 0.5 mm SHORTER and the root 2.0 mms SHORTER than the MAXILLARY CaNINE
3) The CUSP TIP is MESIAL of center, providing a LONGER DISTAL CUSPAL RIDGE than Mesial cuspal ridge (this is opposite of the maxillary canine
4) The ROOT tip usually DOES NOT DISPLAY any CURVATURE
5) The MESIAL outline of the crown is STRAIGHT, while the DISTAL outline is CONVEX
“Primary” Mandibular 1ST Molar
Occlusal View*
- Crown outline shape is?
- Mesiofacial line is ?
- Cusp sizes from largest to smallest?
- Development grooves include?
- Major Fossae are?
- Crown converges to?
- Does it resemble any other primary or permanent teeth?
1) Crown outline = RHOMBOIDAL
2) WIDER MESIODISTALLY than Faciolingually
3) MESIOFACIAL LINE angle is quite PROMINENT
4) CUSP SIZES: (L–>S)
MESIOFACIAL, MESIOLINGUAL, DISTOFACIAL, DISTOLINGUAL
5) Developmental grooves include a LONG CENTRAL developmental GROOVE, a SHORT FACIAL developmental GROOVE, & SHORT LINGUAL developmental GROOVE
6) MAJOR FOSSAE (on surface): *CENTRAL, *MESIAL TRIANGULAR FOSSA, DISTAL TRIANGULAR FOSSA
7) CROWN CONVERGES to the LINGUAL
8) CROWN CONVERGES to the DISTAL
9) It DOES NOT RESEMBLE ANY OTHER PRIMARY OR PERMANENT tooth in the human dentition.
“Primary” Mandibular 2ND Molar
Facial View*
- Crown from resembles what?
- Proximal contact areas are?
- All 5 cusps are visible from?
- All 3 facial cusps are ?
- What are 2 facial developmental grooves?
- The cervical line has a ?
- What are the 2 roots on the tooth?
- Mesial root is ?
- both roots are?
1) CROWN form RESEMBLES the PERMANENT MANDIBULAR 1ST MOLAR
2) PROXIMAL CONTACT AREAS are within the MIDDLE THIRD of the crown
3) ALL 5 CUSPS are visible from the FACIAL VIEW
4) ALL 3 FACIAL CUSPS ( MF, DF, and DISTAL) are all close in SAME SIZE
5) There are 2 FACIAL developmental GROOVES (MESIOFACIAL and DISTOFACIAL)
6) The CERVICAL LINE has an apical dip in the area of BIFURCATION
7) THERE are 2 ROOTS on the tooth: MESIAL & DISTAL
8) MESIAL ROOT is LONGER than that the distal root
9) BOTH ROOTS are NARROW MESIODISTALLY & WIDE FACIOLINGUALLY
10) ROOTS are LONG & SLENDER w/ a flare
11) PRIMARY MANDIBULAR 2ND MOLAR is LARGER than the 1ST MOLAR
12) TOOTH is LARGER than its PERMANENT REPLACEMENT (mand. 2nd premolar)
Tetracycline staining of the Teeth:
-Known as what? What does it involve?
- Structure of teeth is not what?
- What is it usually caused by?
- What can be done to eliminate stains?
- What has little success in eliminating stains?
1) KNOWN as INTRINSIC or INTERNAL STAINING of the Teeth, involves primarily DENTIN
2) STRUCTURE of teeth is NOT COMPROMISED by the INTRINSIC STAIN
3) Usually CAUSED by ANTIBIOTIC THERAPY administered during the FORMATIVE STAGES of TOOTH DEVELOPMENT
4) Dental BLEACHING MATERIAL & PROCEDURES have LITTLE SUCCES in eliminating these deep, internal stains
5) MOST often, these patents will have VENEERS or FULL CROWN porcelain restoration to overcome the esthetic problems
Dens-In-Dente
* Maxillary LATERAL Incisor *
- What is it? What does it involve?
- How is the enamel affected?
1) AKA DENS INVAGINATUS found in PERMANENT TEETH ONLY
- Outer enamel folded inward & Tissue wrapped like a croissant
2) CORONAL & RADICULAR forms EXIST
3) Considered a MALFORMATION of teeth probably resulting from an INFOLDING of the dental papilla during TOOTH DEVELOPMENT
* **PERMANENT MAXILLARY LATERAL INCISORS display this
PERMANENT MAXILLARY CENTRAL Incisor
LINGUAL ASPECT
- Cervical outline of crown is?
- Lingual fossa in the incisal crown is described as?
- lingual fossa is bound by ?
- lingual fossa is what shape?
- Cingulum is what? what does it impinge on?
- The greatest curvature lingually is of the cingulum and crest of the cervical line gingivally will be ?
1) CERVICAL outline of crown = MORE APICALLY POSITIONED (away from incisal) than what is seen on the facial aspect (not semicircle as seen on facial surface)
2) LINGUAL FOSSA in the INCISAL 1/2 of the crown surface is DESCRIBED as WIDE, SHALLOW, “DISH-SHAPED” Depression
3) LINGUAL FOSSA is bound by the LINGUO-INCISAL RIDGE, the MESIAL & DISTAL MARGINAL RIDGES & CINGULUM
4) LINGUAL FOSSA = TRAPEZOIDAL in SHAPE
5) CINGULUM is WELL-DEVELOPED in the CERVICAL 1/2 of CROWN & OFTEN has 2 ridge projections that impinge on the LINGUAL FOSSA in the MIDDLE THIRD
6) GREATEST CURVATURE LINGUALLY of the CINGULUM & CREST of the CERVICAL LINE GINGIVALLY will be slightly DISTAL to the Mesiodistal Long Axis Bisector of CROWN
Incisal Aspect Measurements, INcisal Edge & Line AnglesL Permanent Maxillary Central Incisor
- What is the mesiodistal width?
- Interproximal areas(greatest curvature medially and distally) are centered?
- Incisal edge is relatively what?
- Incisal edge is positioned how?
- Mesiofacial line angle is more?
1) MESIODISTAL WIDTH (8.5mm) is GREATER than the FACIOLINGUAL DIAMETER (7.0mm)
2) INTERPROXIMAL contact areas (GREATEST CURVATURE MESIALLY & DISTALLY) are centered faciolingually
3) INCISAL EDGE (RIDGE) is relatively STRAIGHT & PERPENDICULAR (@ 90 DEGREE ANGLE) to the mesiodistal bisecting plane
4) INCISAL EDGE is POSITIONED PARALLEL to the Faciolingual Bisecting Plane
5) MESIOFACIAL LINE ANGLE is MORE DEVELOPLED than the DISTOFACIAL line angle