Pediatric Primary Tooth Anatomy- Dr. Webb Flashcards

1
Q

Life Cycle of the tooth: Stages

A
  • Initiation
  • Proliferation
  • Histodifferentiation
  • Morphodifferentiation
  • Apposition
  • Calcification
  • Eruption
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2
Q

Initiation stage

A
  • Aka Bud Stage
  • 6th week of embryo
  • epithelial thickening that becomes dental lamina
  • Permanent Molars and primary teeth arise from dental lamina
  • Permanent Incisors, canines, and premolars develop from their primary predecessors
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3
Q

Congenital Absence of a tooth

A
  • Lack of initiation or arrest in the proliferation of cells
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4
Q

Supernumerary teeth

A

Continued budding of teeth

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5
Q

Proliferation

A
  • Aka Cap Stage
  • unequal growth of different parts of the bud
  • Peripheral cells of the cap form the outer and inner enamel epithelium
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6
Q

Dificiency in proliferation results in

A

Fewer than normal number of teeth

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7
Q

Excessive proliferation results in

A

cysts, odontomas or supernumery tooth

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8
Q

Histodifferentiation

A
  • Aka Bell stage (& morphodifferentiation)
  • dental papilla cells differentiate into odontoblasts
  • inner enamel epithelium differentiate into ameloblasts
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9
Q

Disturbances in histodifferentation results in

A
  • Abnormal structure of dentin or enamel
    • amelogenesis imperfecta=most common
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10
Q

Morphodifferentation stage

A
  • Aka Bell stage (&histodifferentiation)
  • Formative cells arranged to form the tooth
  • Boundary between inner enamel epithelium and odontoblast become DEJ
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11
Q

disturbances in morphdifferentation stage results in

A
  • Abnormal forms and sizes of teeth
    • peg teeth (Peg Laterals)
    • Microdontia
    • Macrodontia
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12
Q

Apposition Stage

A
  • Ameloblasts and odontoblasts secrete tissue matrix
    • Begin their work at sites called growth centers
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13
Q

Apposition stage disturbances result in

A
  • Systemic disturbance or local trauma that injures the ameloblasts during enamel formation or arrest in matrix apposition results in ENAMEL hyperplasia
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14
Q

Calcification Stage

A
  • Precipitation of calcium in the matrix
  • Further precipitation of original nidus with concentric laminations
  • fusion of individual calcopherites
  • 11th week in utero=first indication
    • 14th week=Primary Central Incisors
    • 15.5 week=Primary 1st Molars
    • 16th week= Primary Lateral Incisors
    • 17th week=Primary Canines
    • 18th week= Primary 2nd molar
    • 28th week=Permanent 1st molar
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15
Q

Calcification stage disturbance

A
  • Lack of fusino of calcospherites in dentin=Interglobular dentin
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16
Q

Calcification stage: Anterior Primary Teeth, Posterior Primary teeth, Permanent molar

A
  • 11th week in utero=earliest indication
    • 14th week=Primary Cental Incisor
    • 15.5 week=first primary molar
    • 16th week= Primary Lateral incisor
    • 17th week=Primary Canine
    • 18th week=Second Primary molar
    • 28th week= first permanent molar
17
Q

How many primary teeth are their?

A
  • 20 teeth
    • 8 incisors
    • 4 canines
    • 8 molars
  • Missing Premolars!
18
Q

Primary teeth are also called

A
  1. Temporary Teeth
  2. Milk Teeth
  3. Baby Teeth
19
Q

Eruption Sequence

A
  • Mandibular teeth before maxillary teeth
  • Teeth erupt in pairs (Left and Right
  • Permanent teeth erupt earlier in girls than boys
  • Primary Teeth
    • Incisors-6 month old
    • cuspids-18 month old (Canine)
    • Molars- 12 and 24 months
20
Q

Primary Vs permanent Dentition

A
  • Tooth
    • Thinner Enamel
      • Primary=0.5-1mm
      • Permanent= 1-2mm
    • Ligher in color (whiter)
    • Apical enamel rods curve toward incisal/occlusal
    • Smaller in all dimensions
      • except mandibular molars are wider M-D than the premolars
    • Wider M-D than their height
      • short and squatty
    • B-L smaller bc it converges toward the occlusal
    • Cervial Ridges (Height of contour) more pronounced
  • Roots
    • No Root Trunk
    • long, flared and thin
  • Pulp Chamber
    • Large compared to size of the tooth
    • closer to tooth’s surface
  • Contact Area
    • Broad and flat (Vs point contact)
    • more gingival
21
Q

Primary Dentitioin: Pulp chambers and Pulp Canal

A
  • Crown widths in all direction is large compared to root trunks and cervices
    • roots narrow and long
    • molar roots thin and flare
  • Dentin thickness b/w pulp chamber and enamel is limited
    • especially in lower second primary molar
  • High Pulp Horns
  • Large Pulp Chambers
22
Q

Primary Maxillary Cental Incisor

A
  • Crown
    • Wide> taller
    • No developemental lines
      • smooth labial surface
    • straight incisal edge
    • Lingual Surface
      • distinct cingulum
      • well developed marginal ridge
  • Root:
    • Cone shaped
    • tapered sides
23
Q

Primary Maxillary Lateral Incisor

A
  • Crown Outline similar to cental incisor,
    • crown is smaller in all dimensions
      • Length>width
  • Root outline similar to central incisor
    • but longer when compared to crown
24
Q

Primary Maxillary Canine

A
  • Crown:
    • more constricted at cervical region than incisors
    • incisal and distal surfaces=more convex
  • Sharp Cusp, well developed
    • straight incisal edge-incisors
  • Root:
    • Long, slender, tapering root
    • more than 2x length of crown
    • curves distally-apical to middle 1/3
25
Q

Incisal View of Maxillary Primary Anteriors

A
  • Incisal edge:
    • straight
    • centered over crown
  • Labial Surface
    • is broader and smoother than lingual surve
  • Lingual surface
    • tapers toward cingulum
26
Q
A
27
Q

Primary Maxillary First Molar

A
  • Crown:
    • Largest dimension: M-D Contact area
      • crown converges toward crvical region
    • ML cusp:
      • largest and sharpest
    • DL cusp=not well defined
      • small
      • rounded
    • Buccal Surface
      • smooth
      • little evidence of developement grooves
  • Roots:
    • long, slender
    • widely spread/Flared
28
Q

Primary Maxillary Second Molar

A

Resembles maxillary 1st molar

  • 2 well defined buccal cusps
    • developmental groove between them
  • Crown is larger than first primary molar
29
Q

Primary Mandibular Central Incisor

A
  • Crown:
    • Smaller than maxillary central incisor
      • F-L measurement=1mm less
    • Buccal
      • flat surface
      • development grooves
    • Lingual
      • marginal ridge and cingulum
    • Straight incisal edge
      • bisects crown labiolingually
  • Root
    • twice as long as the crown
30
Q

Primary Mandibular Lateral Incisor

A
  • Crown outline similar to central incisor
    • except larger in all dimensions except F-L
  • Lingual surface
    • greater concavity b/w marginal ridges
  • Incisal edge
    • slopes toward distal
31
Q

Primary Mandibular Canine

A
  • Similar to maxillary canine except
    • shorter crown and roots
    • smaller F-L
32
Q

Primary Mandibular First Molar

A
  • Does not resemble any permanent teeth
33
Q

Primary Mandibular Second Molar

A
  • resembles mandibular first permanent molar
    • but smaller