molars Flashcards

1
Q

eruption

A

first molars: 6-7y
second molars: 12-13y
third molars: 17-21y

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2
Q

smth special abt roots and proportion?

dimensions

A

crown length < root length

mesio distal > occlusocervical
faciolingual >occlusocervical

all 3 maxillary molars have 3 roots w mesiobuccal, distobuccal, palatal
palatal is the longest root

faciolingual > mesiodistal for maxillary molars
mesiodistal > faciolingual for mandibular molars

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3
Q

crown outline forms

A

facially: all trapezoidally
m/d: trapezoidal for mx, rhomboidal for mn
occlusally: rhomboidal for mx first and second molar, heart shaped for mx third molar
pentagonal for mn first molar, rectangular/parallelogram for mn second molar, ovoid for mn third molar

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4
Q

number of cusps

A

mx first molar: 5 (ML>MF>DF>DL>cusp of carabelli)
mx second molar: 4 or 3 (no DL) [M;>MF>DF>DL] CUSP OF CARABELLI IS RARE ON MX SECOND MOLAR
mx third molar: highly variable (L>MF>DF) little to no DL

mn first molar: 5 (MF>ML/DF>DF>D)
mn second molar: 4 (MF>ML>DF>DL)
mn third molar: 4/5 (MF>DF/ML>DL) can be very huge and posess 6-8

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5
Q

facial view

mesio facial and disto facial cusp

A

mx first molar: mf cusp > df cusp but df cusp is sharpest
mx second molar: mf cusp > df cusp
mx third molar: mf cusp wider and longer than df cusp, df cusp is short and flat
mn first molar: mf cusp is the largest of the 3 facial cusps, df cusp may be sharper than mf but not sharper than distal cusp
mn second molar: mf cusp> df cusp
mn third molar: mf cusp > df cusp

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6
Q

facial view

facial groove anatomy

A

mx first molar: extends to mid third, slightly distal
mx second molar: doesn’t extend to mid third, distal to the crown
mx third molar: distal to crown
mn first molar: 2 grooves -> MF groove > DF groove, extending to the mid third, mesial to crown
mn second molar: extends to mid of crown
mn third molar: present

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7
Q

facial view

mesio occlusal and disto occlusal angle in maxillary first molars

A

MO is more well defined, DO is rounded

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8
Q

facial view

mesial and distal prox contacts

A

mpc for all molars mn and mx are at junction of occlusal and mid third
dpc for mx first and second molar: mid third
dpc for mn first molar: junction of occlusal and middle third
dpc for mn second molar: mid third

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9
Q

facial view

which tooth has mesiodistal ridge?

A

mn first molar and mn second molar
mesiodistal ridge aka buccogingival ridge

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10
Q

number of roots

describe the ranking of root proportions

A

mx molars all have 3 roots, mx third molars can have up to 7/8 short roots
mn molars all have 2 roots mn third molar can have up to 8 short roots
mx first molar: P >MF> DF
mx second molar: P>MF=DF
mn first molar: M>D but distal is straighter
mn second molar: M>D but roots are parallel to each other

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11
Q

cross sectional root form of mx first molar and mn second molar

A

mx first molar: roughly ovoid at mid root area
mn second molar: distal root more nearly round

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12
Q

facial view

root trunk form

A

mx first molar: deep developmental groove on the facial surface
mx second molar: long and parallel
mx third molar: thin and often fused producing a long trunk, with furcation near the root apices
mn first molar: relatively short trunk
mn second molar: average height, taller than first molar w depression on root trunk
mn third molar: long trunk

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13
Q

facial aspect

observable feat of facial root apices

A

mx first molar: mesiofacial root apex blunter than distofacial root apex
mn first molar: mesial root apex is blunter than distal root apex
mn third molar: usually root apex is pointed and fused

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14
Q

facial view

extent of root separation

A

mx first molar: lateral separation of 2 facial roots nearly as wide as the MD dimension
mx second molar: DF root extends slightly distal to surface of crown
mn first molar: root apices widely separated, D root may extend distal to surface of crown
mn second molar: not widely separated

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15
Q

facial view

root angulation

A

mx first molar: MF curves distally
mx second molar: all have distal inclination
mx third molar: in apical third, all curves distally

mn first molar: curves distally
mn second molar: may both curve towards midline / distally
mn third molar: pointed and fused root

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16
Q

m/d

marginal ridge groove

A

mesial marginal groove marjority of the time present on mx first molar, second molar, mn first and second molar (with decreasing frequency)
distal marginal ridge occurs on half the time on** mx first molars** and occurs 38% of the time on mx second molars

frequency of having dmr decreases in this order: mx first molar, mn first molar, mx second molar, mn second molar

17
Q

m/d view

cervical crown form

A

mesial for all molars: flat / concave
distal for mx first molar has small concavity near DF root, mx second molar usually flat, mn molars distal cervical crown form is flat or slightly convex

18
Q

m/d view

location of mesial and distal prox contacts

A

mesial all facially located, ovoid for mx and mn molars
distal is located at the middle for mx molars, facial for mn first molar and middle for mx second molar
all ovoid

19
Q

m/d view

root dimension

A

mx first molar: mesio facial root trunk bsae occupies 2/3 of FL dimension, DF root is hidden by MF root in the m/d view
mx second molar: MF root has wider FL dimension than DF root
mn first molar: Mesial root has larger FL dimension than D root
mn second molar: Mesial root has larger FL dimension than D root

20
Q

m/d view

root apex alignment

A

mx first molar: mesiofacial root apex is aligned with mesio facial cusp tip
mx second molar: lingual root apex is aligned with Distolingual cusp tip
mn second molar: M root points apically

21
Q

m/d view

root extension

A

mx first molar: lingual root extends beyond lingual crown surface, mesiofacial root extends facially to crown
mx second molar: mesiofacial and lingual root does not extend facial to the crown

22
Q

occlusal view

fossae

A

mx: central, distal, mesial, distal triangular (distal triangular is minor and distal is major in mx first molar)
mn: central, mesial and distal

23
Q

occlusal view

oblique ridge

A

mx first molar: between DF and D ridge of ML cusp
mx second molar: between DF and distal ridge of ML cusp
mx third molar: poorly developed, often absent

24
Q

occlusal view

transverse ridge

A

mx first and second molar: between the MF and mesial ridge of ML cusp
mn first and second molar: between mesiofacial and mesio lingual, between distofacial and distolingual

25
Q

occlusal aspect

developmental grooves

A

5 main in mx molars: central, facial, distal, oblique, lingual transverse
4 main in mx first molar: central, mesiofacial, distofacial, lingual, central groove forms M or W
3 main in mx second molar: facial, central and lingual, forming a cross and dividing crown into 4 near equal parts

mx third molar has many supplemental grooves
mn third molar has pit groove pattern, highly irregular and many supplemental grooves