test 4 Flashcards

1
Q

what is the approximate age of eruption for max. and mand. central incisors (permanent)

A

max: 7-8

mand: 6-7

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2
Q

what is the approximate age of eruption for max. and mand. lateral incisors (permanent)

A

max: 8-9

mand: 7-8

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3
Q

what is the approximate age of eruption for max. and mand. canines (permanent)

A

max: 11-12

mand: 9-10

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4
Q

for PRIMARY dentition period:
- what is the approx. time span
- what teeth mark the start of the period
- what dentition is present
- growth of jaws

A
  1. 6mon-6years
  2. eruption of primary mandibular central incisors
  3. primary only
  4. beginning
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5
Q

for MIXED dentition period:
- what is the approx. time span
- what teeth mark the start of the period
- what dentition is present
- growth of jaws

A
  1. 6years-12years
  2. eruption of permanent mandibular first molar
  3. primary AND permanent
  4. fastest and most noticeable
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6
Q

for PERMANENT dentition period
- what is the approx. time span
- what teeth mark the start of the period
- what dentition is present
- growth of jaws

A
  1. after 12 years
  2. shedding of the last primary tooth
  3. usually just permanent
  4. slows down and eventually stops/slowest and least noticeable
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7
Q

when do PRIMARY max. and mand. central incisors erupt and shed

A

max: 10 months (8-12); sheds at 6-7 years

mand.: 8 months (6-10); sheds at 6-7 years

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8
Q

when do PRIMARY max. and mand. lateral incisors erupt and shed

A

max.: 11 months (9-13); 7-8 years

mand: 13 months (10-16); 7-8 years

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9
Q

when do PRIMARY max. and mand. canines erupt and shed

A

max: 19 months (16-22); 10-12 years

mand: 20 months (17-23); 9-12 years

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10
Q
  1. permanent MANDIBULAR canines erupt ______ the max canines
  2. the lingual surface of the mand canine is ____ and has a less developed _____
  3. the ____ outline is shorter than the _____ outline (same for max canine)
  4. which has a shorter root? max or mand canine
  5. which cusp slope is shorter on a mand canine
  6. what are the features on the lingual surface of a mand canine
  7. does the mand canine have lingual pits or grooves
  8. the cusp tip is more ________ inclined without incisal wear; unlike the ______ inclined max canine cusp tip
  9. the CEJ curvature is more drastic on the _____ side
  10. which marginal ridge is longer
A
  1. permanent MANDIBULAR canines erupt BEFORE the max canines
  2. the lingual surface of the mand canine is SMOOTHER and has a less developed CINGULUM
  3. the DISTAL outline is shorter than the MESIAL outline (same for max canine)
  4. which has a shorter root? max or mand canine? MANDIBULAR CANINES HAVE A SHORTER ROOT
  5. which cusp slope is shorter on a mand canine? THE MESIAL CUSP SLOPE IS SHORTER ON BOTH MAX AND MAND CANINES.
  6. what are the features on the lingual surface of a mand canine? LINGUAL RIDGE, MESIAL/DISTAL MARGINAL RIDGES, TWO LINGUAL FOSSAE
  7. does the mand canine have lingual pits or grooves. RARELY
  8. the cusp tip is more LINGUALLY inclined without incisal wear; unlike the LABIALLY inclined max canine cusp tip
  9. the CEJ curvature is more drastic on the MESIAL side
  10. which marginal ridge is longer? MESIAL
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11
Q
  1. the PERMANENT MAXIALLARY CANINES erupt at what age? is it before or after the mand. canines.
  2. the long root has a ______ apex.
  3. the _______ placed cingulum is more developed and larger than the __________ of the same arch. why is this beneficial?
  4. the cusp tip is _______ on a max canine.
  5. the marginal ridges and lingual ridges are more ____ on a max canine
  6. the _________ ridges are on each side of the cingulum
  7. how many fossa are on the lingual surface
  8. the cingulum and incisal half of the lingual surface are sometimes separated by a _________ which may contain a _________
  9. the CEJ curve is higher on the __________
  10. the _________ form a nearly straight line. The ____ marginal ridge is longer than the ______ marginal ridge.
A
  1. the PERMANENT MAXIALLARY CANINES erupt at what age? is it before or after the mand. canines. MAX CANINE ERUPT 11-12 YEARS. AFTER MAND.
  2. the long root has a BLUNT apex.
  3. the CENTERED cingulum is more developed and larger than the CENTRAL INCISOR of the same arch. why is this beneficial? MAKES THE TOOTH STRONG DURING MASTICATION
  4. the cusp tip is SHARPER on a max canine.
  5. the marginal ridges and lingual ridges are more PROMINENT on a max canine
  6. the MARGINAL ridges are on each side of the cingulum
  7. how many fossa are on the lingual surface. 2; MESIOLINGUAL AND DISTOLINGUAL FOSSAE
  8. the cingulum and incisal half of the lingual surface are sometimes separated by a LINGUAL GROOVE which may contain a LINGUAL PIT
  9. the CEJ curve is higher on the MESIAL
  10. the CUSP SLOPES form a nearly straight line. The MESIAL marginal ridge is longer than the DISTAL marginal ridge.
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12
Q
  1. When do MANDIBULAR lateral incisors erupt? before or after the mand centrals?
  2. the _________ appears twisted _____ on a lateral mand. incisor
  3. the ___________ angle is sharper than the ________ angle
  4. the cingulum lies where
  5. on the lingual surface, both the mesial _____ and sital one are more developed than on a mand. central incisor, the _______is longer than the ______-
  6. a single _____ is present on the lingual surface of the tooth
  7. a ________ is rarely present on the mand lateral incisor but its more common than on a mand. central
  8. the _____ curvature is greater on the mesial than the distal
  9. crown lacks bilateral _________ unlike the ________
  10. single root with pronounced ___________ esp on the distal
A
  1. When do MANDIBULAR lateral incisors erupt? before or after the mand centrals? ERUPT BETWEEN 7-8, AFTER
  2. the CROWN appears twisted DISTALLY on a lateral mand. incisor
  3. the MESIOINCISAL angle is sharper than the DISTOINCISAL angle
  4. the cingulum lies where; DISTALLY PLACED
  5. on the lingual surface, both the mesial MARGINAL RIDGE and distal one are more developed than on a mand. central incisor, the MESIAL longer than the DISTAL
  6. a single LINGUAL FOSSA is present on the lingual surface of the tooth
  7. a LINGUAL PIT is rarely present on the mand lateral incisor but its more common than on a mand. central
  8. the CEJ curvature is greater on the mesial than the distal
  9. crown lacks bilateral SYMMETRY unlike the MAND. CENTRALS
  10. single root with pronounced ROOT CONCAVITIES esp on the distal
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13
Q
  1. when do permanent mandibular central incisors erupt; before or after the max centrals
  2. how many maxillary arch antagonists does the mand. central have
  3. the crown is ________
  4. the crown is more _______ on the lingual surface
  5. describe the cingulum
  6. the lingual fossa is __________
  7. the mesial and distal _________ have the same length
  8. the ____ curvature is higher incisively on the ______-
  9. the ________ is usually at a right angle or perpendicular to the labiolingual axis of the crown AND is _______ to the long axis of the root
  10. t/f mand central incisors are the smallest teeth in the mand. arch
A
  1. when do permanent mandibular central incisors erupt; before or after the max centrals. ERUPT BETWEEN 6-7, BEFORE
  2. how many maxillary arch antagonists does the mand. central have; ONE
  3. the crown is SYMMETRICAL
  4. the crown is more NARROW on the lingual surface
  5. describe the cingulum; CENTERED
  6. the lingual fossa is SHALLOW, BARELY NOTICABLE
  7. the mesial and distal MARGINAL RIDGES have the same length
  8. the CEJ curvature is higher incisively on the MESIAL
  9. the INCISAL RIDGE is usually at a right angle or perpendicular to the labiolingual axis of the crown AND is LINGUAL to the long axis of the root
  10. t/f mand central incisors are the smallest teeth in the mand. arch; TRUE
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14
Q
  1. when do max laterals erupt, before or after max centrals
  2. the _______ has the greatest degree of variation
  3. describe the cingulum
  4. the lingual fossa is ____ than the max central
  5. the mesial and distal marginal ridges are quite _______. the ____ is longer though.
  6. the __________ ridge is well developed and noted from a lingual view
  7. the lingual pit is more ______ on a lateral than a central
  8. the linguogingival groove is more common on a lateral than a central. it originates in the ____ and extends ____ and slightly distal onto the cingulum and possibly the root surface
  9. the CEJ is more curved on the ____
  10. the __________ is labial to the long axis of the tooth
A
  1. when do max laterals erupt, before or after max centrals. ERUPT BETWEEN 8-9, AFTER
  2. the CROWN has the greatest degree of variation
  3. describe the cingulum; NARROW AND CENTERED
  4. the lingual fossa is DEEPER than the max central
  5. the mesial and distal marginal ridges are quite STRAIGHT. the MESIAL MARGINAL RIDGE is longer though.
  6. the LINGUOINCISAL ridge is well developed and noted from a lingual view
  7. the lingual pit is more COMMON on a lateral than a central
  8. the linguogingival groove is more common on a lateral than a central. it originates in the LINGUAL PIT and extends CERVICALLY and slightly distal onto the cingulum and possibly the root surface
  9. the CEJ is more curved on the MESIAL
  10. the INCISAL EDGE is labial to the long axis of the tooth
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15
Q
  1. When do the max centrals erupt; before or after the mand. centrals
  2. they are the most ____ teeth in the permanent dentition because of ________
  3. they share a mesial _______
  4. describe the root
  5. the incisal ridge is nearly straight and has two _________ that divide the 3 _________
  6. the ___________ angle is sharper than the _________
  7. describe the cingulum
  8. the mesial _________ is longer than the distal one
  9. the single lingual fossa is ______ and ______
  10. may be a vertically placed ______ originating in the lingual pit and extends cervically and distally onto the cinuglum
A
  1. When do the max centrals erupt; before or after the mand. centrals. ERUPT BETWEEN 7-8; AFTER
  2. they are the most PROMINENT teeth in the permanent dentition because of LARGE SIZE AND ANTERIOR ARCH POSITION
  3. they share a mesial CONTACT AREA
  4. describe the root; SINGLE CONICAL SHAPE, SLIGHTLY STRAIGHT AND SMOOTH WITH BLUNT APEX
  5. the incisal ridge is nearly straight and has two DEVELOPMENTAL DEPRESSIONS/GROOVES that divide the 3 LABIAL DEVELOPMENTAL LOBES
  6. the MESIOINCISAL angle is sharper than the DISTOINCISAL
  7. describe the cingulum; WIDE AND WELL DEVELOPED, OFF CENTERED TOWARD THE DISTAL
  8. the mesial MARGINAL RIDGE is longer than the distal one
  9. the single lingual fossa is WIDE and SHALLOW
  10. may be a vertically placed LINGUOGINGIVAL GROOVE originating in the lingual pit and extends cervically and distally onto the cinuglum
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16
Q
  1. max centrals are _______ than max laterals
  2. mand centrals are _____ than mand laterals
A
  1. max centrals are LARGER than max laterals
  2. mand centrals are SMALLER than mand laterals
17
Q
  1. Max crowns are wider __ than ___
  2. mand crowns are wider __ than ___
A
  1. Max crowns are wider MD than LL
  2. mand crowns are wider LL than MD
18
Q

TOOTH AVULSION
1. what is avulsion
2. where do we pick up the tooth and why
3. what do we rinse the tooth with and why
4. why don’t we scrub the tooth
5. how do we replant the tooth
6. what are the in office instructions
7. what happens during the 2 week period

A
  1. what is avulsion: the complete loss of a tooth, crown and root
  2. where do we pick up the tooth and why: by the crown so we don’t damage the PDL
  3. what do we rinse the tooth with and why: can use water (last resort), milk, saliva, or a saline solution, to remove any foreign debris
  4. why don’t we scrub the tooth: because there are cells and the PDL on it that could be damaged
  5. how do we replant the tooth: gentle finger pressure
  6. what are the in office instructions: splint for one week, eat soft foods, take chlorhexidine 2x daily, soft tb; take an oral antibiotic treatment to prevent local and systemic infection; reexamine with xray in 1-2 weeks for mobility
  7. what happens during the 2-week period: gingival tissue is healing and PDL is reattaching. We need nerve innervation and blood supply back to the tooth.
19
Q

MAX CENTRAL INCISORS

Mesial contact:
Distal contact:
cingulum:
root features:
pulp chamber:
height of contour:

A

Mesial contact: incisal third

Distal contact: junction of incisal and middle third

cingulum: large, well developed, off centered distally

root features: no proximal root concavities, blunt apex, single conical root, smooth and slightly straight, shorter root or same length as lateral

pulp chamber: one pulp canal with 3 pulp horns

height of contour: cervical 3rd

20
Q

MAX LATERAL INCISORS

Mesial contact:
Distal contact:
cingulum:
root features:
pulp chamber:
height of contour:

A

Mesial contact: incisal 3rd

Distal contact: middle 3rd

cingulum: narrow and centered

root features: no proximal root concavities, single conical root, curves slightly to the distal, sharp apex, root is same length or longer than central root, wider LL and thinner MD than central

pulp chamber: one pulp canal with either one rounded pulp chamber or two less sharp pulp horns

height of contour: cervical 3rd

21
Q

MAND CENTRAL INCISORS

Mesial contact:
Distal contact:
cingulum:
root features:
pulp chamber:
height of contour:

A

Mesial contact: incisal 3rd

Distal contact: incisal 3rd

cingulum: centered small

root features: proximal root concavities may give double rooted appearance, elliptical on cross section, root is longer than crown

pulp chamber: one pulp canal with 3 pulp horns

height of contour: cervical 3rd

22
Q

MAND LATERAL INCISORS

Mesial contact:
Distal contact:
cingulum:
root features:
pulp chamber:
height of contour:

A

Mesial contact: incisal 3rd

Distal contact: incisal 3rd

cingulum: single, small, distally placed

root features: proximal root concavities may give double rooted appearance, elliptical on cross section, root is longer than crown

pulp chamber: one pulp canal with 3 pulp horns

height of contour: cervical 3rd

23
Q

MAX CANINES

Mesial contact:
Distal contact:
cingulum:
root features:
pulp chamber:
height of contour:

A

Mesial contact: junction of the incisal and middle 3rd

Distal contact: middle third

cingulum: centered mesiodistally

root features: blunt apex, oval on cross-section, proximal root concavities

pulp chamber: one pulp canal with one

height of contour: cervical 3rd (labial) and middle 3rd (lingual)

24
Q

MAND CANINES

Mesial contact:
Distal contact:
cingulum:
root features:
pulp chamber:
height of contour:

A

Mesial contact: incisal 3rd

Distal contact: junction of incisal and middle 3rd’s

cingulum: distally placed

root features: sharp apex, proximal root concavities with developmental depressions on the mesial and distal (appears double rooted)

pulp chamber: one pulp canal with one pulp horn (MAY HAVE TWO PULP CANALS, LINGUAL AND LABIAL)

height of contour: cervical 3rd (labially) and middle 3rd (lingually)

25
Q

what may cause extensive extrinsic staining on primary teeth

A
  • may be attributed to the Nasmyth membrane
  • Fused tissue of the reduced enamel epithelium (REE) and oral epithelium, as well as the dental cuticle placed by the ameloblasts on the new enamel surface
  • easily picks up stains from food debris and is hard to remove except by selective polishing; leaves a green-gray residue
26
Q

when should a childs first dental appointment be

A

at least within 6 months after the first tooth has erupted, no later than 12 months of age