max molars Flashcards
Largest crown in mouth
Maxillary First Molar
anchor tooth of maxillary dentition
Maxillary First Molar
Maxillary First Molar
presents basic pattern for permanent maxillary molars
type 5 and 6 vertucci
vertucci 7 and 8
(59.87%) were Vertucci type 4
max 1st molar
—– have some of the highest failure rates in endodontic treatment due to the presence of a second canal in the mesiobuccal root that the clinician fails to detect, debride and obturate.
maxillary molars have some of the highest failure rates in endodontic treatment due to the presence of a second canal in the mesiobuccal root that the clinician fails to detect, debride and obturate.
Carabelli Cusp usually absent
in Max second molar
max second molar –> different from 1st molar
size is smaller with the three roots closer together
Trapezoidal crown outline form
Maxillary First Molar(buccal)
Crown slightly shorter occlusocervically than teeth anterior to it
max 1st molar
(buccal)
tf
Maxillary First Molar have Two buccal cusps separated by buccal groove
t
buccal groove of max 1st molar
extends halfway up the buccal side
deepest part of depression on buccal surface of
Maxillary First Molar
ocasonal pit
which cusp is larger on buccal side of Maxillary First Molar
MB or DB
MB cusp
sharper and longer cusp on buccal side of
Maxillary First Molar
MB or DB
DB
MB cusp slopes more or less inclined than DB
(Buccal (Facial) Aspect: of max 1st molar)
less
forms an obtuse angle
forms 90 degrees
DB cusps on max 1st pre molar
Facial (buccal) cervical ridge
passes mesiodistally across cervical third of crown
(buccal aspect of max 1st molar)
is convex and flatter
mesial vs distal profile of max 1st molar
mesial profile of max 1st molar
Distal crown profile convex with concavity in cervical third continuing on root
max 1st molar
tf Buccal CEJ of max 1st molar
more convex than teeth anterior to it
f
Buccal CEJ much flatter than teeth anterior to it
CEJ of Maxillary First Molar
may dip toward area of buccal furcation
Maxillary First Molar(buccal view)
—- roots visible from common root trunk;
Maxillary First Molar
tf on max 1st molar
root system wider mesiodistally than Crown
Crown wider mesiodistally than root system
Root trunk in occlusal third of root (approx. 4mm)
max 1st molar
Facial developmental groove and furcation in line
max 1st molar
Maxillary First Molar
MB and DB roots may have —– inclination
MB and DB roots may have distal inclination
MB and DB roots
converge at apical third
—– root seen between two buccal roots of max 1st molar
lingual (palatal)
MB root inclination
max 1st molar
90 degree
DB root inclinations
obtuse
in max 1st molar
tf
MB and DB roots of max 1st molar are wider mesiodistally than buccolingually
f
MB and DB roots are wider buccolingually than mesiodistally;
tf
L(P) root of max 1st molar wider mesiodistally than buccolingually
t
which direction does crown diverge on lingual surface of
max 1st molar
to lingual
tf in lingual surface which cusp is the largest
ML of max 1st molar
extends 3/5 of entire width mesiodistally)
ML cusp of max first molar
Cusp of Carabelli (fifth cusp) arises from the —— surface of the ML cusp on max 1st molar
Cusp of Carabelli (fifth cusp) arises from the lingual surface of the ML cusp
small and rounded
DL cusp of max 1st molar
distolingual groove of max 1st molar
separate Two lingual cusps
terminate in a lingual pit in the central portion of the lingual surface in max 1st molar
distolingual groove
Lingual CEJ of max 1st molar
straight to slightly convex
lingual root is broader mesiodistally than buccolingually
max 1st molar
Dominant (largest) lingual root has shallow depression along cervical 2/3 of root and across CEJ
max 1st molar
tf from lingual view of max 1st molar
mesial outline of MB and DB root seen
f
Entire mesial outline of MB root seen but only partial view of DB root
mesial aspect of max 1st molar;
—– —— ridge connects MB and ML cusps;
Mesial marginal ridge connects MB and ML cusps;
max 1st molar
Crown has trapezoidal outline form
from mesial side
Buccal profile of max 1st molar may appear slightly —–
in middle third (occlusal to cervical ridge)
Buccal profile may appear slightly concave in middle third (occlusal to cervical ridge)
Lingual profile uniformly convex with maximum convexity in middle third from mesial view
max 1st molar
max 1st molar mesial
CEJ shallow (minimum curvature) and irregularly curved toward the occlusal
Root trunk of max 1st molar broad
faciolingually
Faciolingual root spread is —- than faciolingual diameter of crown
max 1st molar mesial view
Faciolingual root spread is broader than faciolingual diameter of crown
MB root broad —– and projects straight beyond crown surface slightly toward the —-
max 1st molar mesial
MB root broad buccolingually and projects straight beyond crown surface slightly toward the buccal
tf on max 1st molar from mesial view
Developmental depression present across 1/3 of MB root
f
Developmental depression present across 2/3 of MB root
longest and shaped like a banana
lingual root of max 1st molar
lingual root of max 1st molar
first extends lingually beyond crown outline,
then curves in toward the buccal
which furcation is visible of max 1st molar
ML furcation
max 1st molar mesial view
— cusp more centered over root trunk than – cusp
ML cusp more centered over root trunk than MF cusp
Crown is wider and taller on the mesial from mesial view
max 1st molar
tf from mesial view of max 1st molar only 2 cusps are visible
F
- MB (MF) cusp 2. ML cusp 3. Fifth (Carabelli) cusp
mesial view of max 1st molar
roots present
- Lingual (Palatal) root 2. 2. MB (MF) root
tf Distal marginal ridge longer than mesial marginal ridge buccolingually
max 1st molar
Distal marginal ridge shorter than mesial marginal ridge buccolingually
tf more occlusal surface visible from distal view than mesial view of max 1sst molar
T
max 1st molar
Buccal surface more visible due to rhomboidal crown form (and D taper)
Proximal contact near crown center
distal aspect of max 1st molar
which cusp is center more over root of max 1st molar
DL or DF
• DL cusp more centered over the root than DF cusp
tf DB root of max 1st molar is smaller than MB root
t
total number of roots visible from distal side of max 1st molar
3
DL furcation visible -mm from CEJ
max 1st molar
DL furcation visible 5mm from CEJ
Distinct – concavity in cervical third of crown and root of max 1st molar
Distinct DF concavity in cervical third of crown and root