Midterm Material Flashcards
how many cusps primary mandibular first molar
4
list maxillary molar cusps from largest to smallest
ML>MB>DB>DL>Carabelli (only on first molars)
what permanent tooth is the primary maxillary first molar comparable to?
maxillary premolar
in y type mandibular second premolar, where is lingual groove?
distal to center
how many lobes in molars
one lobe per cusp
roots of mandibular second molar
sometimes fused to varying degrees with C shaped canal or more like mandibular first molar roots
Compare root:crown of maxillary lateral incisor and maxillary central incisor
maxillary lateral incisor has smaller crown in relation to root
how many fossae on maxillary first molar
4 (2 major 2 minor)
on a maxillary lateral incisor is the mesial or distal outline from the facial view more curved?
mesial outline straighter than distal outline
Which anterior tooth has most pronounced lingual anatomy?
maxillary lateral incisor
height of contours mandibular
Central, lateral and canine: facial and lingual cervical 1/3
pre and molars: facial at cervical 1/3, lingual at middle 1/3
Which maxillary premolar has a larger occlusal table?
maxillary second has larger occlusal table than maxillary first
smallest mandibular molar root
distal root of mandibular third molar
describe location of cusp tip on maxillary canine
From facial aspect: in line with center of root, mesial to center of crown
from mesial aspect: slightly lingual to center
describe location of cingulum on maxillary canine
cingulum centered over root
reasons primary teeth are important (6)
- proper chewing
- good pronounciation/speech habits
- normal jaw bone/muscle development
- spacing of permanent teeth
- child’s confidence about looks
- guide permanent teeth eruption placement
on maxillary first premolar where are the heights of contour from an occlusial aspect?
both B and L are mesial to center
mammelons on primary incisors?
no
Does maxillary or mandibular canine have more prominent lingual anatomy?
maxillary canine has more prominent lingual anatomy
Describe buccal cusp and cusp slope of maxillary first premolar
mesial ridge longer than distal, so cusp tip offset to distal
form diagonal line since mesial part of cusp slope inclines more lingually
List the cusps of mandibular second premolar in order from tallest to shortest
Tallest is buccal, then mesiolingual then shortest is distolingual
pulp chamber shape primary mandibular first molar
rectangle (wider mesiodistally)
on mandibular first/second molar are lingual or buccal cusps sharper? which is most blunt?
lingual sharper (with MB most dull)
What are the longest teeth in the mouth?
canines
MB and DB roots of maxillary (first) molar have what shape?
pliers handle (converge at apical third after DB diverges distally initially)
buccal pit mandibular second molar
not usually
is the primary maxillary first molar wider mesiodistally or occlusocervically?
wider mesiodistally
Compare cusps of maxillary first and second premolars
mostly the same but maxillary second has cusps of almost equal size
on second has B and L cusps centered, with B cusp ridges perpendicular to bisecting line
describe lingual cusp of mandibular first premolar
cusp tip in line with lingual border of root from mesial aspect
very small in comparison to buccal cusp
From a mesial view of maxillary central incisor, which lingual convexities are visible?
All of them
crown taper of mandibular third molar
tapers distally
describe lingual cusp separation in maxillary (first) molar
cusps separated by distolingual groove which may end in lingual pit in center portion of lingual surface
What shape crown does a mandibular first premolar have from buccal aspect?
bell shaped
what tooth is considered the cornerstone to development of occlusion?
permanent first molars
root cervical cross section shape mandibular second molar
wider on mesial than distal to make roughly rounded arrowhead shape
class I occlusion
normal
how many developmental lobes does a premolar have?
4: 3 facial 1 lingual
EXCEPT y type mandibular 2nd premolar which has 5: 3 facial 2 lingual
distobuccal groove mandibular second molar
not present
compare buccal cusps of mandibular first and second premolars
mandibular second premolar has a shorter buccal cusp and the cusp tip is slightly buccal to center of root
Which cusp has more inclined slopes, MB or DB of maxillary (first) molar
MB slopes less inclined than DB
compare mesial and distal contacts of maxillary first and second molars
on second molar, contacts more centered faciolingually
distal contact of mandibular first molar wrt center
slightly facial to center
list buccal cusps of mandibular first molar from largest to smallest
MB>DB>D
describe location of cusp tip on maxillary canine
From facial aspect: in line with center of root, mesial to center of crown
from mesial aspect: slightly facial to center
Incisal ridge vs incisal edge
ridge when newly erupted since slightly rounded. After wear becomes flattened and called incisal edge
when does mandibular second premolar erupt?
age 10
describe cingulum of mandibular canine
slightly offset towards distal
is maxillary first molar wider buccolingually or mesiodistally?
wider bucolingually
How are the mesial and distal marginal ridges oriented wrt long axis in maxillary first premolar?
both perpendicular
compare cusp sizes of lingual mandibular first molar
ML is slightly taller but mostly same size
On maxillary canine, relation between proximal contacts, cusp slopes, cusp tips?
all in straight line
describe root of mandibular first premolar
single ovoid root
sometimes two roots
shape of pulp cross section in maxillary central incisor
rounded triangular
From a distal and incisal view, compare facial contour of maxillary lateral incisor and maxillary central incisor
on maxillary lateral incisor facial contour more rounded
Number of primary teeth
- 10 upper 10 lower
Where is concavity on distal aspect of maxillary first molar?
in cervical third of crown and root
Relation between proximal contacts and incisal ridge of maxillary central incisor,
in line
Palmer notation (permanent)
symbol indicates quadrant (ie ﹂ indicates upper left), number counts backwards from central incisor (central incisor=1, lateral incisor=2, canine=3, etc)
mandibular second molar which root is longer
mesial slightly longer than distal root
What’s special about the distal contact area of maxillary canines?
usually concave between contact area and cervical line
tooth with largest occlusal surfaces
permanent mandibular molars
Clinical importance of over/under contouring crowns
Under contouring: leads to food getting stuck, infection, inflammation
Over contouring: causes tissue to be pushed, cause recession and gingival irritation problems
how to roots on mandibular first molar curve?
mesial curves distally halfway down
distal projects distally can can curve any direction to any degree
ridges on occlusal surface of primary mandibular first molar
transverse ridge from MB to ML cusps
For upper posterior teeth, how many lingual surfaces (and what shape) and how many buccal surfaces (and what shape)
2 planar lingual
1 relatively straight buccal
contact point on mesial aspect of maxillary first molar wrt center
slightly buccal and occlusal to crown midpoint (in middle 1/3)
developmental depressions on mandibular first molar
deep and cause issues clinically
Number of permanent teeth
- 16 upper 16 lower
class III occlusion
mandible pushed forwards
anterior crossbite
for the mandibular first premolar, which marginal ridge is more occlusally positioned?
distal marginal ridge
on maxillary first premolar where are the proximal contacts from an occlusial aspect?
both M and D are facial to center
list lingual cusps of mandibular first molar from largest to smallest
ML>DL
from a mesial aspect, what’s the crown outline of mandibular second premolar
rhombus
From a distal view of maxillary central incisor, which lingual convexities are visible?
None, instead some facial aspect can be seen
when does mandibular first premolar erupt?
age 9
compare root apex of mandibular first and second molar
apex sharper on mandibular second molar and root is narrower
Which dimension of maxillary central incisor crown is longer on facial side?
crown slightly longer incisocervically than mesiodistally, also distal aspect is shorter than mesial incisocervically
on maxillary first premolar is mesial or distal occlusocervical height taller?
mesial is taller than distal
Where is central portion of cingulum of maxillary central incisor located in relation to center of crown? (mesially?/distally?)
distally
Compare incisal edge of maxillary lateral incisor and maxillary central incisor
maxillary lateral incisor is broader faciolingually
From a mesial view, where is incisal edge in relation to bisecting line on maxillary lateral incisor?
incisal edge ON bisecting line
Types of periodontal ligament fibers and location (6)
- Apical fibers: at apex of root
- Oblique fibers: from cementum in an oblique direction to insert into bone
- Horizontal fibers: attach to the cementum apical to the alveolar crest fibers and run perpendicularly from the root of the tooth to the alveolar bone.
- Dentoalveolar crest fibers: run from the cervical part of the root to the alveolar bone crest
- Transseptal fibers: extend interproximally over the alveolar bone crest and are embedded in the cementum of adjacent teeth; they form an interdental ligament
- Interradical fibers: between the roots of multirooted teeth, extend from radicular cementum to interradicular alveolar bone.
how many pulp canals mandibular first molar
mesial root has 2 pulp canals, distal has one or two
on mandibular second molar is the root trunk longer on lingual or buccal side?
longer on lingual
list maxillary molars from largest to smallest
largest maxillary molar is M1, M3 is smallest
describe relation of mesial contact, facial cusp tip and distal contact on mandibular first premolar
all in straight line
describe location of lingual height of contour on mandibular first premolar
lingual height of contour almost centered on crown
which permanent tooth is primary mandibular second molar comparable to?
permanent mandibular 1st molar
biologic width
distance from bottom of sulcus to top of bone
Number of lobes on maxillary incisor
4 (3 facial 1 lingual)
pulp cross section of maxillary third molar
irregular and multiple depressions present
how many fossae/pits mandibular second molar
3
FDI numbering system (primary)
International Dental Federation
Two numbers: first number indicates quadrant (UR=5, UL=6, LL=7, LR=8), second number counts backwards from central incisor (central incisor=1, lateral incisor=2, canine=3, etc)
when do roots of primary teeth complete formation?
1-2 years after eruption
compare occlusal table size of mandibular third molar with first and second
mandibular third molar is smallest occlusal table/cusp tips closer together
when does maxillary second premolar erupt?
age 10
root:crown ratio of maxillary central incisor
root is 1.5x crown
mesial marginal groove mandibular second molar
short and shallow when present
all primary teeth are erupted by when?
2-3 years
What age does maxillary canine erupt?
11-12
where is furcation of buccal roots on maxillary second molar wrt facial developmental groove?
distal
for premolars, do maxillary or mandibular teeth erupt first?
mandibular erupt before maxillary
where does the carabelli cusp arise from?
from the lingual surface of the ML cusp
what type of tooth is not seen in primary dentition?
no premolars
how many roots primary mandibular first molar? list from largest to smallest
2, M>D
how many roots on primary maxillary first molar?
3
Which premolar(s) usually has/have two roots?
maxillary first premolar
from occlusal view, list cusps of mandibular first molar from largest to smallest
MB>ML>DL>DB>D
compare root trunk lingually and buccally on mandibular first molar
taller on lingual aspect
roots curving Maxillary incisors
usually incline/curve distally
sulcus
space between tooth and gingiva (where probing takes place)
What’s more curved from the facial view, lateral or central incisors?
Lateral is more curved
Curve of spee
anteriorposterior curved line that connects cusp tips of posterior teeth (lateral view)
Ie. Front to back of mouth
on mandibular second premolar, is mesial or distal crown outline longer?
mesial crown outline is longer
class II occlusion
mandible pushed backwards
division I with maxillary teeth straight and mandibular teeth angled to meet them
division II with both maxillary and mandibular teeth angled to meet one another
Compare the two roots of maxillary first premolar
buccal longer and larger with slightly sharper apex
from mesial or distal is more occlusal surface visible on maxillary first molar?
from distal
describe root of mandibular canine
can be bifurcated
when does mandibular canine erupt?
age 9-10
How many cusps on maxillary premolars? mandibular premolars? Relative sizes?
maxillary have 2 cusps of equal size
mandibular have >2 cusps with smaller lingual
when does maxillary second molar erupt?
age 12
CEJ line generality
Maxillary incisors
mesial usually more incisally positioned than distal CEJ line (less pronounced posteriorly)
how many developmental/major grooves on maxillary first molar
6
What is last tooth to be lost generally?
mandibular canine
what is first permanent tooth to erupt and when does it start calcification/formation?
mandibular first molars are first permanent teeth to erupt at age 6 and start formation at birth
Is the first or second premolar larger?
Maxillary: 1st >2nd
Mandibular: 2nd> 1st
FDI numbering system (permanent)
International Dental Federation
Two numbers: first number indicates quadrant (UR=1, UL=2, LL=3, LR=4), second number counts backwards from central incisor (central incisor=1, lateral incisor=2, canine=3, etc)
succedaneous dentition
permanent dentition
on mandibular second molar are ML/MB or DL/DB cusps closer together?
mesiolingual and mesiobuccal cusps are closer together
What is the most morphologically variable tooth?
3rd molar and second most is maxillary lateral incisor
pulp of mandibular canine
irregular ovoid outline with taper to lingual
Universal numbering system (primary)
start at A for upper right molar, around to upper left then down to lower left and around to lower right
three types of c shaped canals
only in mandibular second molar
Type I continuous C
Type II semicolon
Type III two discrete canals
now more types
When does maxillary first premolar erupt?
age 9
perikymata
minute transverse ridges on the surface of the enamel of a tooth which correspond to the incremental lines of Retzius.
between maxillary and mandibular canine, which is narrower?
mandibular canine
list cusps of mandibular second molar from largest to smallest from an occlusal view
MB>ML>DB>DL
location of facial ridge on maxillary canine
mesial to center of crown
how many developmental lobes on canine?
4: 3 facial 1 lingual
describe buccal cusp and cusp slopes of mandibular first premolar
buccal cusp centered over root from mesial aspect
mesial ridge of buccal cusp is shorter than distal
mesial slope of buccal cusp is slightly concave
For lower posterior teeth, how many lingual surfaces (and what shape) and how many buccal surfaces (and what shape)
2 planar buccal
1 relatively straight lingual
distal marginal groove on mandibular first molar
often; when there it’s at midpoint of marginal ridge (which is lingual to midpoint of crown)
describe cusp ridges on mandibular canine
mesial cusp ridge shorter and more horizontal than distal slope (more than maxillary canine
proximal outline form of permanent mandibular molar
rhomboidal with lingual inclination
is primary maxillary first or second molar larger?
primary 2nd
describe buccal grooves of mandibular first molar
mesiobuccal groove slightly mesial to crown center and root bifurcation and goes down halfway, terminates with pit
distobuccal groove parallel to distal root and longer than mesiobuccal groove
lists cusps of primary maxillary first molar from largest to smallest
MB>ML>DB>DL
DB and DL insignificant in size, sometimes DL not present at all
differences in pulp canals in first and second maxillary molars
second usually has one pulp canal per root
how many roots primary mandibular second molar
2
describe tilt of crown of mandibular canine
entire crown tilted distally wrt long axis of tooth
erupting age of maxillary lateral incisor
age 8
shape of pulp in maxillary canine
wider faciolingually than mesiodistally, possible bifurcation
Mucogingival junction separates what?
Separates attached gingiva (near crowns) from alveolar mucosa (loose tissue away from crowns)
two parts of occlusal table of maxillary first molar
TRIGON: mesial part (outlined by MB, ML, and DB cusps
TALON: heel defined by DL cusp
list 3 types of mandibular second premolar from most to least common
Most common: Y type, then H type and U type is least common
list primary mandibular first molar cusps largest to smallest
MB>ML>DB>DL
describe root of maxillary second premolar
usually single root
sometimes two pulp canals
no root concavities
ovoid
How does the incisal edge of maxillary lateral incisor differ from maxillary central incisor?
maxillary lateral incisor has more rounded incisal angles with distal more rounded than mesial. Also incisal edge can slope gingivally towards distal
Deciduous dentition
primary dentition
Occlusal plane
curved surface that can rest on all teeth. Never flat.
compare roots of primary incisors with permanent ones
primary anterior teeth have roots more narrow and pointed
Mamelons are found on which teeth?
Permanent Incisors
which permanent tooth is primary maxillary second molar comparable to?
permanent maxillary 1st molar
compare groove and fossae patters of first and second maxillary molars
they have same groove and fossae patterns
Proximal contacts maxillary teeth
Central: mesial incisal 1/3, distal junc of incisal/middle 1/3
Lateral: mesial junc of incisal/middle 1/3, distal middle 1/3
Canine: mesial junc of incisal/middle 1/3, distal middle 1/3
Rest middle 1/3
transverse vs oblique ridge
transverse goes directly across tooth, oblique goes diagonally across tooth
where is lingual developmental groove wrt bifurcation on mandibular second molar
in line
when do roots of primary teeth begin to resorb?
2-3 years before exfoliation
From an incisal view of maxillary central incisor, how is the cingulum positioned in relation to the center bisecting line?
cingulum is slightly distal
number of cusps mandibular third molar
4
What are the occusal outline forms of the 4 premolars?
Maxillary 1: hexagon
Maxillary 2: Oval
Mandibular 1: diamond
Mandibular 2: square
from facial view, what’s crown outline of maxillary primary canine?
diamond
cervical cross section mandibular third molar
variable
two canals in mesial root, one in distal
tapered to distal
second longest teeth in mouth?
mandibular canine
crown to root ratio mandibular third molar
1:1
number cusps mandibular second molar
4
compare placement of cingulum of maxillary lateral incisor and maxillary central incisor
on maxillary lateral incisor cingulum is more centrally placed
what primary tooth has largest faciolingual diameter?
maxillary second molar
root shape of mandibular second premolar
most common single root with one pulp canal, ovoid pulp canal (sometimes bi or trifurcated in apical third)
lingual groove on mandibular first molar
no pit, in line with bifurcation
What shape is the crown of maxillary first premolar from buccal aspect?
bell shaped
how many major grooves mandibular first molar
4
compare lingual cusps of mandibular first and second premolars
lingual cusps of mandibular second premolar are higher
Where are radicular grooves most often found?
On the palatal aspect of maxillary lateral incisor, and rarely on the labial root surface of central incisors
From a mesial/distal view, where is incisal edge in relation to bisecting line of maxillary central incisor?
incisal tip and root apex ON bisecting line (middle of tooth) with mesial proximal contact
pulp chamber shape primary mandibular second molar
wider rectangle than mandibular first (wider mesiodistally)
pulp chamber cross section shape mandibular first molar
cross section 8 shape
What is the only tooth in the mouth to diverge (get wider) towards the lingual?
maxillary first molar
outline form of maxillary (first) molar from mesial aspect
trapezoid
which way to maxillary/mandibular premolars incline?
mandibular towards lingual, maxillary do not at all
groove pattern of maxillary third molar
numerous secondary grooves, very variable
heights of contour on primary anterior teeth
on buccal and lingual cervical ridges
Universal numbering system (permanent)
start at 1 for upper right wisdom tooth, around to upper left then down to lower left and around to lower right
describe roots of maxillary third molar
usually fused and very distally curved
on mandibular first molar are lingual or buccal cusps taller?
lingual
describe cusp and cusp slopes of mandibular second premolar?
short buccal cusp with ridges forming obtuse angle (mesial ridge shorter than distal)
From the mesial aspect, what’s the crown outline of the maxillary first premolar?
trapezoidal
what permanent teeth are not succedeous
permanent molars
pulp chamber shape primary maxillary first molar
roughly triangular
pulp chamber shape primary maxillary second molar
square
which permanent tooth is primary mandibular first molar comparable to?
none: it is unique
leeway space
space gained by the difference in mesiodistal dimensions of the premolars and the primary molars
crown outline form of maxillary (first) molar
trapezoidal
where is root furcation in maxillary third molar
apical third of root
crown contours maxillary incisors
more rounded distally than mesially
What shape is the crown on the mandibular second premolar?
not bell shaped (instead it has a broader crown)
describe CEJ of maxillary third molar
irregular in form
on primary mandibular canine, is mesial or distal cusp ridge longer?
shorter mesial, longer distal
occlusal outline form for maxillary molars
rhomboid occlusal outline except M3 might be heart shaped
eruption age of maxillary central incisor
erupts at age 7
which root has shaper apex on mandibular first /second molar, mesial or distal?
distal is sharper root apex
which mandibular premolar has a transverse ridge?
mandibular first premolar
roots mandibular third molar
short, fused, compressed, dramatic tapering to apex, distally inclined
Curve of Wilson
mediolateral curved line that connects buccal and lingual cusp tips on each side of the arch (frontal view)
eruption sequence of permanent teeth
first molar (6-7, 6-7), central incisors (6-7, 7-8), lateral incisors (7-8, 8-9), mandibular canines (9-10) and maxillary first premolars (10-11), mandibular first premolars (10-12) and maxillary second premolars (10-12), maxillary canines (11-12) and mandibular second premolars (11-12), second molars (11-13, 12-13).
how many fossae mandibular first molar
3
when does maxillary third molar erupt
age 18+
occlusal aspect shape of permanent mandibular molar
M1 pentagonal, M2 and M3 rectangular with M3 more rounded
what can be found on mesial marginal ridge of maxillary first molar?
tubercules or mesial marginal groove
Which mesial/distal side of maxillary central incisor is straighter/more curved?
distal more rounded, mesial relatively straight
Which marginal ridge on a posterior tooth is not perpendicular to the long axis of the tooth?
mesial marginal ridge of mandibular first premolar is tipped lingually
On maxillary canine, is mesial or distal cusp ridge (from a facial perspective) shorter?
mesial cusp ridge is shorter than distal
when does mandibular 2nd molar erupt?
age 12
Proximal contacts mandibular teeth
cental: mesial and distal incisal 1/3
lateral: mesial and distal incisal 1/3
canine: mesial incisal 1/3, distal middle 1/3
rest middle 1/3
what is unique about cusps of maxillary third molar
DL cusp often absent, single lingual cusp left is largest cusp
mesial marginal groove on mandibular first molar
sometimes
on primary maxillary canine, is mesial or distal cusp ridge longer?
mesial longer (opposite of permanent)
On canines, are mesial or distal crown contours more rounded?
distal crown contours more rounded
Which maxillary premolar has mesial marginal groove and where is it located?
maxillary first has groove which is slightly lingual from center
shape of pulp of maxillary lateral incisor
ovoid
from facial view, what’s crown outline of mandibular primary canine?
arrow shaped
Are developmental grooves/pits seen in maxillary central incisor?
Yes, but more common in maxillary lateral incisors
Palmer notation (primary)
symbol indicates quadrant (ie ﹂ indicates upper left), letters count backwards from central incisor (central incisor=A, lateral incisor=B, canine=C, etc)
how many triangular ridges on mesiolingual cusp of maxillary first molar?
2
Height of contours maxillary
Central, lateral and canine: facial and lingual cervical 1/3
pre and molars: facial at cervical 1/3, lingual at middle 1/3
differences between primary and permanent molars (11)
primary has:
- lighter colour
- thinner enamel
- thicker dentin in central fossa, thinner elsewhere
- higher pulp horns/larger pulp chamber
- more pronounced cervical ridges
- enamel rods @ CEJ slope occlusally
- more constricted cervix
- short root trunks
- smaller occlusal table
- roots slender and long
- roots flared beyond crown outline
how many major grooves mandibular second molar
3
when do primary teeth begin calcification?
4-5 months in utero
Which fossae of maxillary canine is larger?
ML fossa smaller than DL fossa
eruption sequence of primary dentition
central, lateral incicors, first molars (one year molars) canines, second molars (two year molars)
are permanent mandibular molars wider mesiodistally or buccolingually
wider mesiodistally
describe lingual cusp and cusp slope of maxillary first premolar
mesial and distal ridges form ~right angle, cusp offset to mesial
describe buccal cusp separation in maxillary (first) molar
B cusps separated by buccal groove which goes ~1/2 up B surface
ends in depression and sometimes pit
tooth with largest mesiodistal dimension
mandibular first molar