Deciduous Dentition and Tooth Classification

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Questions and Answers

What morphological feature distinguishes deciduous incisors from permanent incisors?

  • Deciduous incisors are narrower mesiodistally
  • Deciduous incisors are longer
  • Deciduous incisors have a thicker incisal edge
  • Deciduous incisors have a more bulbous appearance (correct)

Which characteristic is NOT typically associated with deciduous canines?

  • Shorter root length
  • More rounded cusp
  • Thinner enamel
  • Larger size compared to molars (correct)

How do deciduous molars compare to permanent molars in terms of size?

  • Deciduous molars are smaller in all dimensions
  • Deciduous molars have a more complex root structure
  • Deciduous molars are larger than the permanent premolars (correct)
  • Deciduous molars are wider than permanent molars

What anatomical feature of the roots is typically found in deciduous teeth?

<p>Shorter and more tapered roots (D)</p> Signup and view all the answers

Which of the following statements accurately describes cervical ridges in deciduous teeth?

<p>They are more prominent compared to permanent teeth. (D)</p> Signup and view all the answers

What is the primary reason for the broader appearance of deciduous molars?

<p>Bulging buccal surfaces (D)</p> Signup and view all the answers

In terms of root resorption, what occurs to deciduous teeth as they approach exfoliation?

<p>The roots are resorbed (A)</p> Signup and view all the answers

What overall size difference is observed between deciduous and permanent teeth?

<p>Permanent teeth are generally larger (A)</p> Signup and view all the answers

What is a characteristic feature of incisors in deciduous dentition?

<p>They possess a single root. (A)</p> Signup and view all the answers

Which statement accurately describes the characteristics of canines in deciduous dentition?

<p>Deciduous canines have a more pronounced labial ridge than permanent canines. (C)</p> Signup and view all the answers

How are deciduous molars classified compared to permanent molars?

<p>Deciduous molars have two roots, while permanent molars have three or more. (A)</p> Signup and view all the answers

What is a notable difference in root anatomy between deciduous and permanent teeth?

<p>Deciduous teeth roots are narrower and more divergent. (D)</p> Signup and view all the answers

Which tooth type is absent in deciduous dentition?

<p>Premolars (B)</p> Signup and view all the answers

Which characteristic differentiates the upper central incisor from its permanent counterpart?

<p>It is smaller than the permanent tooth. (B)</p> Signup and view all the answers

Which feature distinguishes maxillary incisors from mandibular incisors in deciduous dentition?

<p>Maxillary incisors have a larger mesiodistal diameter. (B)</p> Signup and view all the answers

What is the typical number of primary teeth found in one quadrant of the mouth?

<p>Five (A)</p> Signup and view all the answers

What is true about the roots of deciduous molars compared to anterior teeth?

<p>Molars have longer and more slender roots. (A)</p> Signup and view all the answers

How do the enamel rods of deciduous teeth differ from those of permanent teeth?

<p>They are directed occlusally at the cervical area. (D)</p> Signup and view all the answers

What is a fundamental difference between deciduous and permanent molars?

<p>The morphology of deciduous molars is simpler than that of permanent molars. (C)</p> Signup and view all the answers

Which of the following accurately describes the deciduous first molars?

<p>They are unique in morphology, not resembling other teeth. (B)</p> Signup and view all the answers

What distinguishing feature do deciduous molars have compared to their permanent successors?

<p>Their pulp horns are more prominent. (B)</p> Signup and view all the answers

Which statement about the morphology of deciduous canines is accurate?

<p>They possess a more rounded cusp. (D)</p> Signup and view all the answers

What is a common characteristic of the enamel in deciduous teeth?

<p>It is thinner and gives a whiter appearance. (B)</p> Signup and view all the answers

Which of the following is a notable feature of the anterior teeth in deciduous dentition?

<p>They have shorter roots than molars. (B)</p> Signup and view all the answers

Flashcards

Deciduous Dentition

The set of 20 primary teeth. Also called milk teeth.

Primary Teeth

Another name for deciduous teeth.

Heterodont Dentition

Having different types of teeth (incisors, canines, premolars, molars).

Monophyodont

Having a single set of teeth

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Diphyodont

Having two sets of teeth

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Permanent Dentition

The set of teeth that replace the primary teeth.

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Mesiodistal Crown Diameters

The distance from the front to the back of a tooth's crown. Includes maxilla and mandible differences.

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Tooth Morphology

The shape and structure of teeth.

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Deciduous teeth emergence time

Deciduous teeth typically appear between 6 months and 2.5 years of age.

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Deciduous molar lifespan

Some deciduous molars can be retained until the age of 12-13 years.

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Deciduous tooth size (general)

Generally smaller than permanent teeth, except deciduous molars, which are larger than the premolars they replace.

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Leeway space

The difference in size between deciduous molars and the premolars that replace them, providing space for permanent teeth.

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Exfoliation

The natural process of losing deciduous teeth due to root resorption.

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Deciduous tooth crown shape

Wider mesiodistally (front-to-back) compared to their height, making anterior teeth appear cup-shaped and molars squat.

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Cervical ridges (deciduous)

More prominent in deciduous teeth, giving them a bulbous appearance. Enamel is thicker, and abruptly stops at the cervical region.

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Deciduous tooth function

Crucial for mastication (chewing), speech, jaw growth, space maintenance, aesthetics, and even as a "weapon".

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Deciduous Tooth Roots

Anterior teeth have narrow, long roots. Molar roots are longer, slender, and flare to accommodate premolars. There's no root trunk.

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Deciduous Cusps

Cusps are more pointed, but wear down quickly. Enamel is thinner, more opaque, and even, resulting in a whiter appearance.

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Deciduous Enamel Rods

Directed occlusally at the cervical area for deciduous teeth, but towards the root for permanent teeth.

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Deciduous Incisor Shape

Smaller than permanent incisors; larger mesiodistal diameter than crown height. Cup-shaped or bulbous with smooth labial surfaces and straight incisal edges.

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Deciduous Second Molar Similarity

Similar in morphology to the permanent first molars.

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Deciduous First Molar Uniqueness

Midway between premolars and molars in morphology.

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Anterior Deciduous Tooth Similarity

Incisors and canines resemble their permanent counterparts in morphology.

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Deciduous Molar Root Flare

Molar roots flare (spread out) more to accommodate the development of premolars.

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Study Notes

Deciduous Dentition

  • Tooth morphology of incisors, canines, and molars
    • Features on incisal/occlusal, labial/buccal, mesial, and distal surfaces
  • Similarities and differences between tooth types
  • Size differences between similar teeth in the maxilla and mandible
  • Morphologies of deciduous and permanent dentition similarities/differences

Classification of Deciduous Teeth

  • Morphology
    • Homodont: all teeth same morphology
    • Heterodont: teeth have different morphology
  • Sets of Teeth
    • Monophyodont: one set of teeth
    • Diphyodont: two sets of teeth
    • Polyphyodont: multiple sets of teeth

Deciduous Tooth Emergence and Retention

  • Teeth emerge between 6 months and 2.5 years of age
  • Deciduous molars may be retained until 12-13 years of age
  • Natural loss of deciduous teeth is exfoliation

Morphological Differences between Deciduous and Permanent Teeth

  • Deciduous teeth are smaller (except molars which are larger than premolars)
  • Leeway space is the difference in size that allows permanent teeth to develop
  • Cusp shapes – more pointed in deciduous than permanent teeth
  • Enamel thickness and appearance
  • Pulp horns of deciduous teeth are more prominent

Crowns and Roots of Deciduous Teeth

  • Crowns are wider mesiodistally compared to their height
  • Anterior teeth appear cup-shaped, molars squat
  • Cervical ridges are more prominent in deciduous causing a bulbous appearance
  • Anterior roots are narrower and comparatively longer, while molar roots flare more to accommodate developing premolars
  • No root trunk in deciduous teeth

Enamel Rods of Deciduous Teeth

  • Enamel rods of deciduous teeth are directed occlusally in the cervical area
  • Enamel rods of permanent teeth are directed towards the root

Upper Central Incisor (Deciduous)

  • Smaller than permanent tooth
  • Increased mesiodistal diameter which is greater than crown height
  • Cup-shaped, bulbous crown
  • Smooth labial surface, straight incisal edge
  • Well-defined marginal ridges, large cingulum
  • Constricted at the neck
  • Sharp mesioincisal angle, rounded distoincisal angle
  • Root tilts distally

Upper Lateral Incisor (Deciduous)

  • Smaller than central, especially mesiodistally
  • Cingulum not as prominent
  • Rounded distoincisal angle
  • Not variable in shape compared to permanent incisors

Upper Canine (Deciduous)

  • Diamond shaped
  • Cusp is very pointed (more than permanent canines)
  • Cervical bulge
  • Mesial and distal cusp slopes (longer mesial)
  • Lingual characteristics: cingulum, mesial and distal marginal ridges; incisal ridges, lingual ridge
  • Root tapers lingually and distally

Lower Central Incisor (Deciduous)

  • Smallest tooth
  • Bilaterally symmetrical
  • Lingual surface flatter than uppers
  • Cervical constriction
  • Bulge on labial and lingual
  • Single root, tapering

Lower Lateral Incisor (Deciduous)

  • Larger than lower central
  • Not symmetrical
  • Incisal edge follows line of arch, distal twist
  • Rounded distoincisal angle
  • Single root

Lower Canine (Deciduous)

  • Smaller, slimmer than upper
  • Crown height greater than mesiodistal diameter
  • Distal cusp slope longer than mesial
  • Lingual ridge and marginal ridges not as pronounced

Upper First Molar (Deciduous)

  • Occlusal divided into buccal and lingual halves by a central groove

  • Generally described as having four cusps

    • mesiobuccal, distobuccal, mesiolingual, distolingual
  • But often only three cusps or sometimes only two cusps

  • Mesiolingual cusp is largest, squat appearance from the buccal.

  • Pronounced bulge on the mesial side of the buccal surface

Upper Second Molar (Deciduous)

  • Morphologically like permanent first molar
  • Smaller than permanent first molar but larger than deciduous first molar
  • Roots more slender and diverge compared with permanent molars
  • Prominent bulge on cervical part of buccal surface
  • Four cusps, oblique ridge etc., like permanent first molar

Lower First Molar (Deciduous)

  • Four cusps, two buccal and two lingual, with mesiolingual largest
  • Joining the two mesial cusps is a ridge of enamel called the buccolingual crest.
  • Pronounced cervical bulge (tubercle of Zuckerkandl)

General Findings of Deciduous Teeth.

  • Incisors and canines are similar to permanent teeth
  • Deciduous second molars are similar to permanent first molars
  • Deciduous first molars are unique, in between the premolars and molars

Additional Notes.

  • Deciduous tooth differences are important in paedodontics, particularly in stainless steel crown treatments and pulpotomies.
  • The concept of leeway space is important in orthodontics.

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