Head, Neck, And Dental Anatomy Flashcards
Which anterior tooth has the longest root?
maxillary canine
Which teeth have the most prominent lingual aspect?
maxillary incisors
How many mamelons are on teeth?
3
How many fossae in maxillary canine?
2
T/F there is a cingulum on all teeth
F All anterior teeth
What is the function of incisors?
Cutting/biting
What # is the maxillary left lateral incisor?
10
On a mandibular canine, the root tip is ______ to the root axis.
lingual
The mandibular canines are much greater ___ than maxillary canines.
F-L than M-D
Cervical lines typically curve ______
mesially
This anterior tooth may have two roots and two root canals.
mandibular canine
When is the root completed on the maxillary centrals?
10 yrs
How many cusps does a canine have?
1
Height of contour on anterior teeth?
cervical third
Which anterior teeth vary the most in the mouth?
maxillary lateral incisors
Smallest teeth in the mouth
mandibular central incisors
Most prominent teeth in the mouth M-D
maxillary centrals
4 lobes contribute to
cingulum and mamelons
Which tooths cusp is centered lingually?
mandibular canine
has a lingual ridge
maxillary canine
Which tooth had the most prominent labial ridge?
maxillary canine
Enamel is __% mineralized and __% organic material
96; 4
The most organic part of the enamel is the ___ ______.
rod sheath
This occurs as a result of rhythmic recurrent deposit of enamel
Striae of Retzius
Dentinal tubules that extend across the DEJ into the enamel
Dentinal spindles; the terminal end of the spindle would be an enamel spindle
Ridges usually seen in the cervical third of enamel
Imbrication lines (perikymata are grooves)
What % is dentin mineralized?
70
What dentin forms the bulk of crowns
mantle/ primary
Where is enamel the thickest?
occlusal/incisal edge
Which dentin protects the pulp, and is also referred to as osteodentin?
tertiary/reparative dentin
The band of newly formed unmineralized matrix of dentin; present at the pulpal border
predentin
Dentin material deposited incrementally almost daily
lines of von ebner/incremental lines
A line that reflects the abrupt change in the environment at or near birth
neonatal line
The less calcified area at the DCJ beneath cementum
Tomes granular layer
This dentin doesnt start forming until the root is completed; forms after apical foramen is completed
secondary dentin
Dentinal fluid crystallizes and fills in the tubule
sclerotic dentin
What cells are found in the pulp?
fibroblasts, odontoblasts, nerve cells, and blood cells
Odontoblasts in mature cells are found where?
Line the perimeter of the pulp (outer pulp wall)
Cold water is used to stimulate dentinal tubules causing pressure on nerve endings. (Refers to what people commonly believe causes tooth sensitivity)
hydrodynamic theory
What changes occur in the pulp with aging?
pulpal cells DECREASE in number
Calcified masses appearing in either canal or coronal portions of the pulp organ
denticles (pulp stones)
Name the tissues in the periodontium
Alveolar bone
Cementum is formed by?
cementoblasts (originate from PDL fibroblasts that come from sheath cells)
Unlike bone, cementum lacks what?
blood vessels
Why is cementum not sensitive to pain?
it lacks nerves
Intermediate cementum comes from what?
epithelial cells of the root sheath
Where is cellular cementum found?
apical 1/3
Most abrasive to least abrasive….
Enamel, dentin, cementum
Where do pulp and dentin come from?
dental papilla
What is the most common CEJ pattern?
overlap
What are the parts of the PDL that are inserted into the cementum on one end and bone on the other?
Sharpeys fibers
Elastic-like fibers that support the blood vessel walls and collagen bundles.
oxytalin fibers
Originate from the cervical region of each crown and extends into similar locations on adjacent teeth
transeptal/interdental fibers
Oblique fibers resist what forces?
Intrusive masticatory
Occur only in single root teeth
Apical fiber group
What are epithelial rests of Malassez?
Remnants of the rooth sheath
What are the functions of the PDL?
Support
Radiographically, lamina dura is
radiopaque
The principle fibers that remain the longest are
interseptal/transseptal
Alveolar bone proper is also known as
cribiform plate, lamina dura, bundle bone
Because it is regularly penetrated by collagen fiber bundles, alveolar bone proper is also known as…
bundle bone
Interdental bone septum is rounded on the _____ and flat on the ______.
anterior; posterior (molar area)
Loss of bone near root apices
fenestration
Bone loss in the cervical area of the root
dehiscense
Which material is the least stable of the periodontal tissue?
alveolar bone
Which organelle functions as protein factories
Ribosomes
What is the function of the Golgi apparatus
Package Proteins
Which vesicles are produced by the golgi apparatus
lysosomes
which organelles do the cells energy come from
mitochondria
in which phase of mitosis do the chromosomes seperate into chromatids
anaphase
in which phase does the cell actually divide
telophase
what is between the epithelium and the connective tissue
basement membrane
most common type of cell in connective tissue is..
fibroblast
which part of the bone has the blood vessels
periosteum
how does the mandible develope
intramembranous
b-cells are mature in
bone marrow
what is involved in the direct defense mechanism of the body
neutrophil
what neural tissue conducts nerve impluses away from the nerve cell body
axon
which does not hace submucosa
hard palate
what are epithelial extensions into the connective tissue
rete pegs
the stippled texture is a result of..
rete pegs
A cell to cell attachment is a
desmosome
papillae involved with hairy tongue
filiform
papillae that have no taste buds
filiform
salivary glands of circumvallate papillae
Ebners Gland
Dry mouth
Xerostomia
attached gingiva is: keratinized or nonkeratinized
keratinized
highest rate of cell turnover
junctional epithelium
valley like depression
Col
The articular disk connects medial and laterally to the
condyle head
compartments in TMJ
synovial cavities
innervention of masticatory muscles
mandibular division of trigeminal nerves
protrudes mandible
lateral pterygoid
what are the muscles of mastication?
masseter
functional unit of salivary glands
acinus
glands located opposite of maxillary 2nd molars
parotid
largest salivary gland
parotid
salivary gland that produces mostly serous sevretion?
paortid
salivary gland that produces most of saliva
submandibular
submandibular gland secretes from
caruncles
major enzyme in saliva
amylase
surrounds the oropharynx in a ring
Waldeyer’s ring
bulk of tissue in lamina propria:
connective tissue
sulcus is: keratinized or nonkeratinized
nonkeratinized
lining mucosa is found:
soft palate
specialized is found:
dorsal and lateral surface of tongue
Tooth enamel is part of the:
Ectoderm
The muscles of mastication are located in ____ pharyngeal arch
In the 1st pharyngeal arch
If cleft palate if going to develop, it will be in the
7th - 11th week
The body of the tongue develops from the ____ ______ ______ _______ and _______ ______ _________ _______.
two lateral lingual swellings and centrally located tuberculum impar
Foramen cecum is the initial site of the descent of the tubular down growth resulting in the ______
thyroid gland
Complete cleft lip is caused when the ______ and ____ _____ ______ do not fuse together
maxillary and medial nasal processes
What is the first step in the stages of tooth development:
bud stage
The first sign of tooth formation is the development of dental lamina rising from the oral epithelium
bud stage
Inner enamel epithelial cells become the
ameloblasts
The peripheral cells of the dental papilla become:
odontoblasts
Primary enamel cuticle fuses with the overlying oral epithelium and forms the:
reduced enamel epithelium
Cell proliferation of the IEE and OEE continues at the base of the enamel organ. This is the
cervical loop
The fusion of OEE and IEE to form the epithelial root sheath or:
Hertwigs root sheath
________ ________ guides the teeth in their movement to ensure complete tooth eruption
Gubernaculum Cord
________ and ______ constantly remodel the alveolar bone as the teeth enlarge and move forward in the direction of the growing face
osteoclasts and osteoblasts
several small masses of calcified dental tissues that more or less resemble small teeth
Compound odontoma
a tooth within a tooth
dens in dente
which teeth are the teeth most frequently involved in dens in dente?
permanent maxillary lateral incisors
tooth attempts to divide itself by splitting its tooth germ; usually has a single root and common root canal (a tooth that tries to twin itself)
Germination
occurs when 2 adjacent tooth germs unite. They may be united along a part of, or entire length of the tooth. (2 teeth that try to join; usually join at dentin)
Fusion
If teeth are only connected by their cementum, then ___________ has occurred.
Concresence
Notched incisors, sometimes called screwdriver shaped
Hutchinsons Incisors
Hutchinsons Incisors are formed as a result of ______________
prenatal syphilis
Enamel Hypoplasia may leave small _______ and _______ in the crown
pits and grooves
The enamel is very thin, has shades of yellow and brown, and easily fractures
Amelogenesis Imperfecta
Hypocalcification of a single tooth; usually appears as a localized chalky white spot
Turners tooth
clinically teeth appear light blue-gray to yellow; somewhat opalescent. Radiographically there is partial or total abscence of pulp chambers and root canals
Dentinogenesis Imperfecta
The most common malformed anterior tooth
Maxillary lateral incisor
loss of tooth structure from chemical means
erosion
a severe bend or distortion in the tooth root and crown of more than 40 degrees is
dilaceration
furcations are more cervical on ____ _______, especially ______ _____ ______.
1st molars
furcations are more ________ on 1st molars, especially mandibular 1st molars
cervical
maxillary molars furcation accessed from the
lingual
Initial attachment loss with most of the bone still intact in the furcation. No radiographic changes seen
Grade I: Incipient
bone defect is definite horizontal bone loss that does not extend all the way through producing a “cul-de-sac”. Vertical bone loss may also be present, There is an opening into the furcation.
Grade II: moderate
bone is lost across the width of the furcation so no bone is attached to the furcation root; a “through-and-through” opening of the furcation
Grade III: advanced
bone loss across the furcation, accompied with gingival recession at the furcation; furcation opening is clinically visible
Grade IV
proximal root concavities, especially the ______ of the _______ _____ _____, make subgingival instrumentation difficult on proximal surfaces
mesial
In class II caries, what may be the first clinical evidence?
a loss of translucency of enamel overlying the marginal ridge
class IV caries involves the proximal surface and the incisal angle or corner of an _____ _______
anterior tooth
Class V caries is located where in any tooth crown?
cervical 1/3 of the facial or lingual surface
A thin protein coat deposited on a tooths surface
pellicle
Endotoxins are released from the cell wall of dead gram _____ bacteria initiating inflammation and tissue destruction
negative
when a tooth surface is cleaned, pellicle is ______ deposited on the enamel surface
quickly
what letter is primary mandibular 1st molar?
S
Primary teeth are _______ in color than permanent teeth
whiter / lighter
Pulp chambers in primary teeth are _____ than those in permanent teeth
larger
spaces between primary canines and 1st molars and between 1st and 2nd molars
Leeway spaces
which primary teeth do not resemble any other teeth
Primary 1st molars
Obvious trait of primary 1st molar
Buccal cervical ridge
Primary secondary molars look like
Permanent 1st molars
by what age should a child have their first dental appointment?
no later than 12 months of age
Distal step primary dentitions usually leads to a ________ permanent molar occlusion.
Class II
A flush terminal plane or a mild mesial step primary dentition is variable but frequently leads to a ________ permanent molar occlusion.
Class I
Maxillary canine fits between:
mandibular canine and 1st premolar
Order of Eruption for Primary Teeth:
Central Incisor
Eruption Sequence & ages of Primary Dentition for Maxillary teeth:
Central Incisor: 8-12 months
Eruption sequence & ages of Primary Dentition for Mandibular teeth:
Central Incisor: 6-10 months
When the arches are viewed from the buccal aspect, it is evident there is a gradual curve anterior to posterior of the buccal cusp tips. This imaginary line is called:
Curve of Spee
arch to arch relationship of the maxilla to the mandible (bone to bone) when the mandible is in its most retruded position:
Centric Relation
relationship of the occlusal surfaces of one arch to those of the other when the jaws are closed and the teeth are in maximum intercuspal position:
Centric Occlusion
The amount of facial HORIZONTAL overlap of the maxillary teeth is called:
overjet
The amount of VERTICAL overlap of the maxillary teeth is called:
overbite
Protrusion is guided by the __________ and called _________ _____________.
Incisors
Bruxing is:
excessive grinding
Symptoms of parafunctional habits:
ringing in the ears,
the loss of enamel through tooth to tooth contact that may result in facets or possible fracture of cusps:
Attrition
possible loss of enamel through tensile and compressive forces that affects both facial and lingual cervical areas; appears as a deep, narrow V-shaped notch
Abfraction
In Class II Division II, the central incisors are ______ & _________
retruded and inclined lingually
What is lateral excursion?
When the mandible moves to either side only the CANINES touch without molar and premolar contacts
Order of Eruption for Mandibular Permanent Teeth:
1st molar
Order of Eruption for Maxillary Permanent Teeth:
1st molar
a permanent premolar replaces a
primary molar
Prominent mesial concavity
maxillary 1st premolar
Buccal cusp only cusp to occlude
mandibular 1st Premolar
Only premolars that may have a transverse ridge that does not cross an occlusal developmental groove
mandibular 1st premolar
When do mandibular 2nd premolars erupt?
11-12 years
Has a Y-groove pattern
2nd mandibular premolar
The root of #20 is —- & —- than the root of tooth #21
larger and longer
Which is wider on the L than on the B (molar)
Maxillary 1
What cusp has cusp of Carabelli?
ML
What seperates the cusp of Carabelli?
ML groove
What is the shape of a maxillary 3rd molar
Heart-Shaped
Which molar has a “t”
2nd mandibular molar
Which tooth (molar) is most likely to have 3 cusps?
16
Which tooth is most likely to erupt first? (not canine)
Maxillary 1st premolar
which tooth can you see all of its occlusal surface from the lingual?
mandibular 1st premolar
Tendency for maxillary 1st molar to have ____ root canals in the _____ root
2; MB