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Paediatric And Special Care Dentistry > Primary Dentition Anatomical Differences And Implications > Flashcards

Primary Dentition Anatomical Differences And Implications Flashcards

1
Q

How many teeth are their in the primary dentition?

A

20

Incisors (A, B), canines (C), and molars (D, E)

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2
Q

What would a lower left D be in FDI notation?

A

74

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3
Q

What would an upper right B be in FDI notation?

A

52

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4
Q

What tooth is 83 in FDI notation?

A

Lower right C

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5
Q

What tooth would 36 be in FDI notation?

A

Lower left 1st permanent molar

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6
Q

What would an upper left second premolar be in FDI notation?

A

25

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7
Q

What percentage of primary occlusion have flush dental molars?

A 
75%
Mandibular E’s are larger than maxillary E’s so the mesio-buccal cusps of maxillary and mandibular E may be in class I relationship with their distal surfaces flush
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8
Q

What percentage of primary occlusion have a distal molar step?

A

25%

Distal surfaces of maxillary E projects slightly over distal portion of the mandibular E

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9
Q

What facts are there about the occlusion in the primary dentition?

A

Maxillary arch is larger than the mandibular arch of teeth
Primary teeth are more upright
Mandibular incisors occlude with the palatal surface of maxillary incisors
Anthropoid space- distal to mandibular C, mesial to maxillary C
Spacing between primary teeth disappears around 4-5 years old
Teeth frequently worn

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10
Q

What is the eruption pattern of the primary dentition?

A

Mandibular teeth erupt first
Symmetrical pattern
Sequence more important than timing
A, B, D, C, E

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11
Q

How many weeks after ovulation does hard tissue begin to form for the mandibular teeth in the primary dentition?

A 
A- 13-16 weeks 
B- 14-16 weeks 
C- 16-18 weeks 
D- 14-17 weeks 
E- 17-19 weeks
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12
Q

How many weeks after ovulation does hard tissue begin to form in the maxillary teeth in the primary dentition?

A 
A- 13-16 weeks 
B- 14-16 weeks
C- 15-18 weeks 
D- 14-17 weeks 
E- 16-23 weeks
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13
Q

How many months after birth is crown formation complete in the mandibular teeth of the primary dentition?

A 
A- 2.5 months 
B- 3 months 
C- 8-9 months 
D- 5-6 months 
E- 8-11 months
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14
Q

How many months after birth is crown formation complete for the maxillary teeth in the primary dentition?

A 
A- 1.5 months
B- 2.5 months
C- 9 months 
D- 6 months 
E- 11 months
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15
Q

How many months after birth do the mandibular teeth begin to erupt in the primary dentition?

A 
A- 6-10 months 
B- 10-16 months 
C- 17-23 months 
D- 14-18 months 
E- 23-31 months
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16
Q

How many months after birth do the maxillary teeth begin to erupt in the primary dentition?

A 
A- 8-12 months 
B- 9-13 months 
C- 16-22 months 
D- 13-19 months 
E- 25-33 months
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17
Q

How many months after birth is root formation complete in the mandibular teeth of the primary dentition?

A 
A- 33 months 
B- 30 months 
C- 43 months 
D- 34 months 
E- 42 months
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18
Q

How many months after birth is root formation complete in the maxillary teeth of the primary dentition?

A 
A- 33 months 
B- 33 months 
C- 43 months 
D- 37 months 
E- 47 months
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19
Q

What are some unusual eruption patterns of primary teeth?

A

Natal teeth- present at birth
Neonatal teeth- present within 30 days
Late eruption- missing teeth

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20
Q

Where are natal/neonatal teeth usually found?

A

Often lower incisor region

Not usually supernumerary

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21
Q

What is the aetiology of natal/neonatal teeth?

A

Unknown
Superficial position of tooth germ
Evidence of genetic contribution as seen in syndromes/CLP

22
Q

What is the clinical appearance of natal/neonatal teeth?

A

Normal appearance
Crown small, conical and poorly developed with yellowish hypoplastic enamel and dentine
Poor or failure of root development

23
Q

What are some clinical symptoms and complications of natal/neonatal teeth?

A 
Possible pain, baby refuses to nurse 
Trauma to mother’s breast 
Drooling, malaise
Mobility of teeth 
Risk of swallowing or aspiration 
Sharp edges- ulceration of tongue (Riga Fede ulceration)
24
Q

How are natal/neonatal teeth managed?

A

If there are no problems- leave, reassure, observe
Ulceration- smooth sharp edges or extraction
Problems- extraction

25
Q

What are the differences between the crowns of primary teeth to permanent teeth?

A

Smaller
Whiter
Thinner enamel and dentine layers
Enamel rods slope occlusal in cervical layer
Cervical area is significantly constricted

26
Q

What are the differences in the pulp of primary teeth to permanent teeth?

A

Large pulp horns closer to the outer surface

More tortuous and irregular pulp canals

27
Q

What are the differences in the roots of the primary teeth compared to the permanent teeth?

A

Roots flare as they approach the apex

28
Q

What is the upper mesial distal width of the primary and permanent teeth?

A 
A- 6.5mm, 1- 8.5mm 
B- 5.0mm, 2- 6.5mm
C- 6.5mm, 3- 8.0mm 
D- 7.0mm, 4- 7.0mm 
E- 8.5mm, 5- 6.5mm 
6- 10mm
7- 9.5mm
29
Q

What is the lower mesial distal width of the primary and permanent teeth?

A 
A- 4.0mm, 1- 5.5mm 
B- 4.5mm, 2- 6.0mm 
C- 5.5mm, 3- 7.0mm
D- 8.0mm, 4- 7.0mm 
E- 9.5mm, 5- 7.0mm 
6- 11mm 
7- 10.5mm
30
Q

What are the crowns of primary incisors like compared to permanent incisors?

A

Shorter
Marked constriction at cervical margin
Rarely have mamellons

31
Q

What are the roots of primary incisors like compared to permanent incisors?

A

Narrower mesiodistally than permanent incisors

32
Q

What are the differences in the primary canines compared to the secondary canines?

A 
Large crown 
Bulge at cervical constriction 
Symmetrical cone shape, or mesial slope (upper)
Distal slope longer than mesial (lower)
Cusp tip wears rapidly
33
Q

What are the differences in the primary molar teeth compared to the permanent molars?

A

Marked cervical constrictions
Buccal bulge
Upper D has 4 cusps (2 larger mesial, 2 smaller buccal)
Lower D has 4 cusps (2 larger buccal, 2 smaller lingual)
E’s have similar fissure/cusp pattern to 6’s
But they have narrower occlusal tables, broad contact points, roots are long, slender and narrow mesio-distally, roots are divergent
Thin, uniform layer of enamel
Thin layer of dentine

34
Q

What is the difference in the contact points of primary molars compared to permanent molars?

A

Point contact in permanent dentition
Broad contact points in primary dentition
Early diagnosis of inter proximal caries may be difficult

35
Q

What is the difference in occlusion of the primary molars compared to the permanent molars?

A

Incisor relationship more edge to edge

Distal surfaces of upper and lower E’s are in the same vertical plane, upper E’s are longer than lower E’s

36
Q

What is the difference in the pulp of primary molars compared to permanent molars?

A

Higher pulp horns in primary
Floor thinner and transversed by feeder vessels
Large pulp follows external contours
Large mesiobuccal pulp horn

37
Q

What is the difference in the roots of primary molars compared to permanent molars?

A

Smaller roots

Roots more splayed

38
Q

What is the innervation of deciduous teeth?

A

The pattern of innervation shows some similarities to the permanent dentition
Nerves pass from the root to the coronal area where they branch
The profuse news of nerve branching and its proximity to the odontoblast layer are most evident in the pulp horns
There is a high density of dentinal innervation in the cervical region

39
Q

Do deciduous teeth feel pain?

A

Yes
The clinical impression of lesser sensitivity to invasive procedures is not explained by the innervation of deciduous teeth
Local anaesthetic is advocated in the restoration of all but minimal cavities of the primary dentition

40
Q

What are the implications in treatment of a class II cavity?

A 
Decay spreads bucco-lingually 
Wide, narrow class II prep, poor retention, high failure rate 
Stainless steel crown required in wide class II cavities
41
Q

What are the implications for a class I restoration?

A

Avoid damage to the pulp horn

42
Q

What is the clinical significance of shorter, narrower crowns with thin enamel/dentine in primary teeth?

A

Limited room for cavity preps and materials

Miniature hand pieces, short sank burs

43
Q

What is the clinical significance of the broad contact points in the primary dentition?

A

Difficult to detect caries
Radiographs needed
Difficult to restore contacts
Large box needed

44
Q

What is the clinical significance of the cervical constriction of crowns of the primary dentition?

A

Enamel at floor of box not undermined

45
Q

What is the clinical significance of the angulation of the enamel prisms at the cervical margin of the crowns of the primary dentition?

A

Cavity prep should slope occlusally

46
Q

What is the clinical significance of the buccal bulge of the crowns in the primary dentition?

A

Retention of SSC- maintain buccal bulge

47
Q

What is the clinical significance of the narrower occlusal area of the crowns of the primary dentition?

A

Difficult to place matrix bands

48
Q

What is the clinical significance of the large pulp in the primary dentition?

A

Limited room for cavity prep

49
Q

What is the clinical significance of the pulp horn being close to the surface of the primary dentition?

A

Exposure easy

50
Q

What is the clinical significance of the thin floor of the pulp chamber in the primary dentition?

A

Perforations easy

51
Q

What is the clinical significance of the narrow mesio-distal root, long roots and flared roots in the primary dentition?

A

Root canal treatment (pulpectomy) difficult

Paediatric And Special Care Dentistry (5 decks)

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