Premolars Flashcards
Which premolar has a longer mesial cusp ridge than distal cusp ridge?
Max 1 premolar
Primary canines also have this feature
Which tooth has the most prominent transverse ridge
Mand 1 premolar
They also have a ML dev groove and a very small lingual cusp
Mand 2 premolar distal aspect
Tooth tilts distally, so the 3 cusps are visible from this view
Occlusal surface can be seen from distal view, which is a characteristic of all posterior teeth
Which is the only premolar with a central fossa
Mand 2 premolar
Lingual aspect of max 2 premolar
How many roots
What does it look like and which way does the root point
Lingual cusp is longer than the max 1 premolar
So max 2 premolar buccal and lingual cusps are more equal in size
Lingual cusp tip is offset to the mesial, ie mesial ridge is shorter than the distal ridge
Single root
Root points to the distal !!
Are mand or max premolars more alike?
Max premolars are more alike
Their buccal and lingual cusps are sim to the same height
Oblong faciolingually
Mand 1 premolar occlusal view
Shape, lobe
Diamond shape
Middle labial lobe makes up bulk of tooth, meaning a lot of the buccal surface can be seen from the occlusal
Very little of the lingual surface is seen because of the small lingual cusp
More bulk in distal half
Which premolar is the smallest
Mand 1 premolar
Max 1 premolar from mesial view
Mesial anatomy
Root and cusp lengths and #
Strength
Prominent mesial concavity (developmental groove) right below the contact area
This makes it harder to do interproximal fillings on the mesial bc the enamel is very thin in this area
And you may need to use a larger wedge
Two spindly roots
Makes tooth very weak and brittle
Buccal root and crown are longer than the lingual root and crown
Mesial marginal ridge groove present
Max 2 premolar occlusal aspect
Shape and ridge
Cusps and grooves
Symmetrical Less prom buccal ridge Buccal cusp offset to mesial Lingual cusp offset to mesial but not as much as max 1 Line angles are more rounded
Short central groove
No mesial marginal groove
More supplemental grooves
Mand premolar characteristics
Less alike than max premolars
Vary in shape
From the proximal view, the crowns are tilted lingually like all mand teeth
Buccal cusps are much larger than the lingual cusps
What groove pattern is visible on the mand 2 premolar 3 cusp type and 2 cusp type?
3 cusp type- Y shaped groove pattern
2 cusp type- U or H shaped groove pattern
Mand 2 premolar
Larger than mand 1
Longer root
Can have 2 or 3 cusps
Which is the only tooth with a mesial crown concavity
Max 1 premolar
Shape of max vs mand premolars
All premolars are longer buccolingually than mesiodistally, BUT
Max are more oblong shaped, MD is a lot shorter than BL
Mand are more square shaped, the difference in length is not as high
Which premolar appears to be “wrinkled” and oval shaped
Max 2 premolar
Canine guidance
When the canines function to protect the more fragile premolars (specifically max 1 premolars) from breaking and occluding too hard together