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