Molars Flashcards
Maxillary Molars: General
Most posterior. Largest in dentition (1st>2nd>3rd). Non-succedaneous. Grind. 3 roots. 4-5 cusps.
Wider buccolingually than mesiodistally!
Shorter occlusocervically than anteriors.
1st Maxillary Molars: Cusps
5 total: MB, ML(largest), DB, DL(smallest) + Cusp of carabelli
Landmarks of malocclusion
MB cusp on maxillary 1st molars.
MB groove on mandibular 1st molars.
Cusp of Carabelli
Commonly arises from ML cusp, maxillary 1st molar, nonfunctional cusp
Oblique Ridge
Unique transverse ridge on maxillary 1st molars > ML-DB cusp
Maxillary Molars: Roots
(3) Palatal, Mesiobuccal, Distobuccal
1st Maxillary Molars: Furcations
Buccal: 4mm centered
Mesial: 3mm off-centered
Distal: 5mm perio disease
2nd Maxillary Molars: #’s
2, #15
2nd Maxillary Molars: Cusps
(4) MB, ML, DB, DL
More variation, 2 shapes: rhomboid or heart.
2nd Maxillary Molars: Roots
Smaller and closer together than 1st, narrower furcations
3rd Maxillary Molars: #’s
1, #16
3rd Maxillary Molars: Crown
Varies, smaller, heart-shaped, 3 functional cusps (DL small or missing)
3rd Maxillary Molars: Variations
20% congenitally missing. Impaction (~dentigerous cyst). Peg 3rd molar. Accessory roots. Fused roots.
Maxillary Molars: Clinical Considerations
Sinuses. Lingual pits (caries). Concrescence. Occlusion development.
Loss complications: drift, super-eruption.
Mandibular Molars: General
Non-succedaneous. 2 roots, M>D. Wider MD.