Permanent Dentition Tooth Morphology

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Questions and Answers

What is the significance of identifying the anatomical details of teeth in a clinical setting?

  • It is only important for aesthetic purposes.
  • It is not relevant to patient management.
  • It allows for better management of oral health. (correct)
  • It helps in diagnosing systemic diseases.

What is the correct order of tooth notation in the upper right quadrant (URQ) for permanent teeth?

  • 1, 2, 3, 4, 5, 6, 8, 7
  • 3, 4, 5, 6, 7, 8, 1, 2
  • 1, 2, 3, 4, 5, 6, 7, 8
  • 8, 7, 6, 5, 4, 3, 2, 1 (correct)

Which term refers to the pits or hollows found on the tooth surface?

  • Incisal edge
  • Fossa (correct)
  • Groove
  • Cusp

What anatomical feature extends from the pulp chamber beneath the cusps of the tooth?

<p>Pulp horn (C)</p> Signup and view all the answers

Which anatomical feature can be found on the occlusal, buccal, palatal, lingual surfaces and even on roots?

<p>Developmental groove (D)</p> Signup and view all the answers

What is the role of the mesial slope of a cusp?

<p>It connects the cusp to the fossa. (B)</p> Signup and view all the answers

Which of the following is true about the permanent incisors and canines?

<p>They have specific anatomical characteristics crucial for identification. (D)</p> Signup and view all the answers

Which notation system is used to identify the positions of permanent dentition?

<p>Both A and B (D)</p> Signup and view all the answers

Which cusp of the lower first molar is the largest?

<p>Mesio-buccal cusp (A)</p> Signup and view all the answers

What is the overall crown shape of the lower first molar when viewed occlusally?

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

Which cusp of the lower first molar is the smallest?

<p>Distal cusp (C)</p> Signup and view all the answers

What feature differentiates the mesial and distal walls of the lower first molar?

<p>Distal wall is straight, mesial is much more curved (D)</p> Signup and view all the answers

How many roots does the lower first molar typically have?

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

What is the chronology for the crown completion of the lower second molar?

<p>7-8 years (B)</p> Signup and view all the answers

Which of the following statements is true about the lower first molar's developmental grooves?

<p>There are two developmental grooves, and the mesial is deeper &amp; longer (C)</p> Signup and view all the answers

Which cusp is the largest on the upper first molar?

<p>Mesio-palatal cusp (C)</p> Signup and view all the answers

At what age does root completion for the lower second molar typically occur?

<p>14-15 years (B)</p> Signup and view all the answers

What is the function of the oblique ridge on the upper first molar?

<p>To divide the occlusal surface (A)</p> Signup and view all the answers

Which cusp is typically the smallest on the upper first molar?

<p>Disto-palatal cusp (D)</p> Signup and view all the answers

What shape describes the crown of the upper first molar?

<p>Equilateral rhomboid (D)</p> Signup and view all the answers

What feature may sometimes be present on the mesio-palatal cusp of the upper first molar?

<p>Cusp of Carabelli (B)</p> Signup and view all the answers

Which groove runs from the occlusal to palatal surfaces, separating the disto-palatal cusp?

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

How many roots does the upper first molar possess?

<p>3 roots (B)</p> Signup and view all the answers

Which wall on the upper first molar is more curved?

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

What is the age range for the eruption of the upper central incisors?

<p>7-8 years (C)</p> Signup and view all the answers

What is the primary feature of the mesio-incisal angle of the upper central incisor?

<p>Sharp (D)</p> Signup and view all the answers

At what age does root completion typically occur for upper central incisors?

<p>10 years (B)</p> Signup and view all the answers

Which surface of the upper lateral incisor is more pronounced with marginal ridges?

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

How is the crown of the upper lateral incisor compared to the upper central incisor?

<p>Less bulky and smaller (D)</p> Signup and view all the answers

What characteristic describes the palatal surface of the upper canine?

<p>Concave (D)</p> Signup and view all the answers

What is a notable feature of the distal slope of the upper canine's cusp compared to the mesial slope?

<p>It is longer than the mesial slope (D)</p> Signup and view all the answers

Which feature of the upper central incisor is characterized by a hollow structure above the cingulum?

<p>Cingulum pit (D)</p> Signup and view all the answers

What is the typical time range for initial calcification of the upper canine?

<p>4-5 months after birth (D)</p> Signup and view all the answers

What is the shape of the upper central incisor's root?

<p>Tapering (D)</p> Signup and view all the answers

What is the characteristic feature of the upper lateral incisor's root canal?

<p>Two pulp horns (C)</p> Signup and view all the answers

What is the overall occlusal shape of the lower second molar?

<p>Rectangular (D)</p> Signup and view all the answers

Which cusp is higher in the lower second molar?

<p>Mesio-lingual (D)</p> Signup and view all the answers

What age do the upper lateral incisors typically erupt?

<p>8-9 years (B)</p> Signup and view all the answers

How many roots are typically present in the lower second molar?

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

Which description best fits the cingulum of the upper canine?

<p>Large and prominent (D)</p> Signup and view all the answers

What describes the distal root of the lower second molar?

<p>Narrower than the mesial root (B)</p> Signup and view all the answers

What is a notable feature of the buccal view of the lower second molar?

<p>It displays a cross-shaped groove pattern (A)</p> Signup and view all the answers

What indicates the variability in the mandibular third molar?

<p>Variable size and form (C)</p> Signup and view all the answers

At what age does the crown of the mandibular third molar typically complete?

<p>12-16 years (D)</p> Signup and view all the answers

What feature describes the buccal wall of the mandibular third molar?

<p>Very curved and convex (D)</p> Signup and view all the answers

Which cusp on the upper first molar is typically the largest?

<p>Mesio-palatal cusp (A)</p> Signup and view all the answers

What is the shape of the crown of the upper first molar when viewed occlusally?

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

Which ridge runs from the disto-buccal cusp to the mesio-palatal cusp on the upper first molar?

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

How many roots does the upper first molar have?

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

Where do the tips of the palatal cusp lie compared to the buccal cusp tips on the upper first molar?

<p>Further onto the occlusal surface than the buccal cusp tips (A)</p> Signup and view all the answers

What notable feature may be present on the mesio-palatal cusp of the upper first molar?

<p>Cusp of Carabelli (D)</p> Signup and view all the answers

What separates the occlusal surface into two distinct areas in the upper first molar?

<p>The oblique ridge (C)</p> Signup and view all the answers

Which groove runs from the occlusal to the palatal surfaces and separates off the disto-palatal cusp?

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

How many cusps does the upper second molar typically have?

<p>4 (B)</p> Signup and view all the answers

What is the typical eruption age for the upper second molar?

<p>12-13 years (A)</p> Signup and view all the answers

Which root configuration is commonly found in the upper third molar?

<p>3 roots, often curved (B)</p> Signup and view all the answers

What is the typical initial calcification age for the lower first molar?

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

What is the occlusal shape of the upper third molar?

<p>Triangular (C)</p> Signup and view all the answers

At what age does root completion generally occur for the upper second molar?

<p>14-16 years (A)</p> Signup and view all the answers

How does the shape of the upper second molar's occlusal surface change compared to the upper first molar?

<p>It becomes more angled and squashed (C)</p> Signup and view all the answers

What is the number of root canals typically present in the lower first molar?

<p>3 canals (C)</p> Signup and view all the answers

Which cusp of the lower first molar is larger than the disto-buccal cusp?

<p>Mesio-buccal cusp (D)</p> Signup and view all the answers

What is the shape of the lower first molar's crown when viewed occlusally?

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

Which developmental groove is deeper and longer on the lower first molar?

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

Which root of the lower first molar is wider and often has a marked central groove?

<p>Mesial root (D)</p> Signup and view all the answers

In the lower second molar, how many cusps are typically present?

<p>4 cusps (D)</p> Signup and view all the answers

Which cusp is the smallest on the lower first molar?

<p>Distal cusp (D)</p> Signup and view all the answers

How many roots does the lower second molar typically have?

<p>2 roots (D)</p> Signup and view all the answers

What is the eruption age range for the lower second molar?

<p>11-13 years (B)</p> Signup and view all the answers

Which cusp of the lower second molar is typically higher than the disto-buccal cusp?

<p>Mesio-lingual cusp (C)</p> Signup and view all the answers

What features characterize the mesial root of the lower second molar?

<p>Wider and grooved (C)</p> Signup and view all the answers

How many roots can be typically observed in the lower second molar?

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

What is a notable feature of the buccal surface of the lower second molar?

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

In the mandibular third molar, how many cusps can typically be observed?

<p>Four to six (D)</p> Signup and view all the answers

At what age does root completion for the mandibular third molar typically occur?

<p>18-25 years (C)</p> Signup and view all the answers

Which anatomical feature is indicative of the buccal wall of the mandibular third molar?

<p>Very curved and convex (B)</p> Signup and view all the answers

At what age does the eruption of the lower central incisor typically occur?

<p>6-7 years (A)</p> Signup and view all the answers

Which feature describes the crown shape of the lower lateral incisor when viewed from the labial?

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

What age range is typically associated with crown completion of the lower canine?

<p>9-10 years (B)</p> Signup and view all the answers

What distinguishes the mesial side of the lower lateral incisor from the distal side?

<p>It is longer than the distal side. (B)</p> Signup and view all the answers

Which of the following describes the chronological sequence for root completion of the upper first premolar?

<p>12-13 years (A)</p> Signup and view all the answers

What is a main characteristic of the buccal cusp of the upper first premolar?

<p>It has a longer mesial slope than distal slope. (C)</p> Signup and view all the answers

How many root canals are typically present in the lower first premolar?

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

What term describes the alignment of the cingulum on the lower canine?

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

Which tooth tends to have a development groove between its cusps?

<p>Upper first premolar (B)</p> Signup and view all the answers

What age range signifies the typical timeline for eruption of the lower second premolar?

<p>11-12 years (D)</p> Signup and view all the answers

What feature is commonly observed on the incisive edges of lower central incisors after eruption?

<p>Gradual wear of mamelons (C)</p> Signup and view all the answers

What is the typical shape of the crown of the lower second premolar when viewed from the occlusal?

<p>Round-square (C)</p> Signup and view all the answers

At what age does the typical initial calcification for the lower first premolar occur?

<p>1.5-2 years (B)</p> Signup and view all the answers

What is the chronology for the eruption of the upper central incisors?

<p>7-8 years (C)</p> Signup and view all the answers

What distinct feature is found on the palatal surface of the upper canine?

<p>Concave surface (C)</p> Signup and view all the answers

What characteristic uniquely describes the disto-incisal angle of the upper central incisor?

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

At what age does root completion typically occur for the upper lateral incisors?

<p>11 years (D)</p> Signup and view all the answers

Which anatomical feature is characteristic of the upper central incisor's crown?

<p>One single tapering root (D)</p> Signup and view all the answers

What is the primary shape of the upper lateral incisor compared to the upper central incisor?

<p>Less bulky and smaller (B)</p> Signup and view all the answers

What structure is present above the cingulum in the upper central incisor?

<p>Cingulum pit (D)</p> Signup and view all the answers

Which statement describes the root canal of the upper canine?

<p>Only one canal with no pulp horns (D)</p> Signup and view all the answers

What is the characteristic of the mesial slope of the upper canine's cusp?

<p>Shorter than the distal slope (C)</p> Signup and view all the answers

At what age does initial calcification of the upper canine begin?

<p>4-5 months after birth (B)</p> Signup and view all the answers

Which of the following is a notable feature of the upper lateral incisor's palatal view?

<p>Pronounced mesial &amp; distal marginal ridges (A)</p> Signup and view all the answers

What is the primary feature of the crown enamel margin of the upper central incisor?

<p>Undulates mesially &amp; distally (A)</p> Signup and view all the answers

What is true about the root of the upper lateral incisors?

<p>Is tapering and single (A)</p> Signup and view all the answers

How do the marginal ridges of the upper canine compare to those of the upper central incisor?

<p>More pronounced (D)</p> Signup and view all the answers

Flashcards

Permanent Teeth Notation

A system for identifying specific teeth in the upper and lower jaws using numbers from 1 to 8 on each quadrant (URQ, ULQ, LRQ, LLQ).

Upper Central Incisor (11/21)

A tooth with a large, smooth labial surface, a sharp mesio-incisal angle, a rounded disto-incisal angle, and a concave palatal surface.

Upper Lateral Incisor (12/22)

A tooth similar to the central incisor, but smaller and narrower cervically.

Upper Canine (13/23)

A tooth with one cusp, a convex labial surface, and a longer distal slope compared to the mesial slope.

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Cusps (Teeth)

Elevated areas on the biting surface of teeth.

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Pulp (Teeth)

The soft tissue inside a tooth containing nerves and blood vessels.

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Pulp Horns (Teeth)

Extensions of the pulp chamber under the cusps of a tooth.

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Fossae (Teeth)

Pits or hollows on a tooth's surface, often associated with grooves.

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Developmental Grooves (Teeth)

Grooves or lines on a tooth's surface formed during tooth development.

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Lower Central Incisor (31/41)

A mandibular incisor with a flat labial surface and a small cingulum.

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Lower Lateral Incisor (32/42)

A mandibular incisor, fan shaped, with a small cingulum.

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Lower Canine (33/43)

Mandibular tooth with a single cusp and a shorter mesial slope than the distal slope.

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Upper First Premolar (14/24)

A tooth with two cusps, a larger buccal one, and an oval crown shape.

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Upper Second Premolar (15/25)

Premolar with two cusps, one buccal and one palatal, palatal cusp displaced mesially and single root.

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Upper First Molar (16/26)

Molar with three roots (mesio-buccal, disto-buccal, palatal) and an 'H' shape occlusal pattern.

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Lower First Molar (36/46)

A molar with two roots, having a central groove divided into 2 by an oblique ridge.

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Lower Second Molar (37/47)

A molar with two roots, rectangular occlusal shape, four cusps.

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Third Molar (Mandibular)

Most posterior molar, highly variable in size and form, with variable number of roots.

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Mamelons

Rounded, small bumps or ridges present on the incisal edge of newly erupted incisors.

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Cingulum

The convex bulge on the palatal surface of incisors and canines, located near the gum line.

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Cingulum Pit

A shallow depression on the palatal surface of anterior teeth, located just above the cingulum.

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Mesial Marginal Ridge

A raised ridge on the mesial (towards the midline) surface of the tooth, extending from the cusp tip towards the gum line.

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Distal Marginal Ridge

A raised ridge on the distal (away from the midline) surface of the tooth, extending from the cusp tip towards the gum line.

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Cervical Undulation

A curved line or wave-like pattern on the cervical (gum line) region of a tooth, where the crown and root meet.

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Root Canal

A hollow passageway inside the root of a tooth, containing nerves, blood vessels, and connective tissue.

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Pulp Horns

Projections of the pulp chamber extending towards the cusps of a tooth, giving the pulp its shape.

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Distal Root Groove

A shallow groove or indentation found on the distal (away from the midline) surface of a tooth root.

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Mesial Root Groove

A shallow groove or indentation found on the mesial (towards the midline) surface of a tooth root.

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Fossa

A shallow pit or depression on the palatal surface of a tooth, often located on the mesial or distal side of the cingulum.

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Lower Central Incisor

The tooth located at the front of the lower jaw, characterized by a flat labial surface and a small cingulum on the lingual side.

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Lower Lateral Incisor

The tooth adjacent to the lower central incisor, resembling a fan shape in labial view with a more pronounced distal groove on the lingual side.

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Lower Canine

The tooth located behind the lower lateral incisor, featuring one cusp with a convex labial surface and a taller crown.

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Upper First Premolar

The first tooth behind the upper canine, characterized by two cusps - one buccal and one palatal, with a buccal cusp being larger and a longer mesial slope.

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Upper Second Premolar

The second premolar tooth behind the upper first premolar, featuring similar characteristics but with a smaller buccal cusp and a single, flattened root.

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Lower First Premolar

The first premolar at the bottom of the mouth, featuring a large buccal cusp and a smaller lingual cusp, resulting in a rounded occlusal shape.

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Lower Second Premolar

The second premolar tooth at the bottom, distinct from the first by having three cusps and a wider, squarer occlusal outline.

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Upper First Molar

The first molar in the upper jaw, characterized by four cusps arranged in an 'H' shape and three roots (mesial-buccal, distal-buccal, palatal).

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Marginal Ridge

Low, rounded ridges located on the lingual and buccal sides of teeth, extending from the cusp towards the cervical region.

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Upper First Molar Cusp

The largest cusp on the upper first molar is the mesio-palatal cusp, while the smallest is the disto-palatal cusp.

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Upper First Molar Shape

The crown of the upper first molar is shaped like a rhomboid (diamond-shaped). It has roughly equal mesio-distal and bucco-palatal dimensions.

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Oblique Ridge

The oblique ridge is a ridge of enamel that runs diagonally across the upper first molar from the disto-buccal cusp to the mesio-palatal cusp. It divides the occlusal surface into two distinct groove patterns.

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Central Groove

The central groove on the upper first molar is a deep groove located in the center of the occlusal surface, which may be divided into two by the oblique ridge.

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Palatal Wall

The palatal wall of the upper first molar is more curved than the buccal wall, causing the palatal cusp tips to sit further onto the occlusal surface than the buccal cusp tips.

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Upper First Molar Roots

The upper first molar has three roots: one large palatal root and two buccal roots (mesio-buccal and disto-buccal).

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Cusp of Carabelli

An additional cusp sometimes found on the palatal surface of the mesio-palatal cusp, called the cusp of Carabelli.

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Distal Groove (Upper First Molar)

A deep groove running from the occlusal to palatal surfaces separating the disto-palatal cusp.

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Lower First Molar Cusp Size

The mesio-buccal cusp of the lower first molar is larger than the disto-buccal cusp.

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Lower First Molar Distal Cusp

The distal cusp of the lower first molar is the smallest cusp.

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Lower First Molar Occlusion

The cusps of the lower first molar interdigitate, and the central groove zig-zags between them.

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Lower First Molar Root Canals

The lower first molar typically has 3 or 4 root canals and 5 pulp horns.

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Lower First Molar Mesial Root

The mesial root of the lower first molar is wider and often has a marked central groove.

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Lower Second Molar Cusps

The lower second molar has 4 cusps: 2 buccal (mesio-buccal and disto-buccal) and 2 lingual (mesio-lingual and disto-lingual).

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Disto-buccal

A type of tooth root located on the back and cheek side of the tooth. Also known as 'DB' or 'distal buccal.'

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Distal View

A view of a tooth from the back (distal) side. It's helpful for examining the arrangement of roots and cusps in the back of the tooth.

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How many cusps and roots does the upper second molar have?

The upper second molar typically has four cusps (mesio-buccal, disto-buccal, mesio-palatal, and disto-palatal) and three roots (mesio-buccal, disto-buccal, and palatal).

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Upper Second Molar Occlusal Shape

The occlusal surface of the upper second molar is rhomboid-shaped, but more squashed and angled; it's no longer equilateral like the first molar due to its smaller disto-palatal cusp.

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Upper Second Molar Fissure Pattern

The fissure pattern of the upper second molar is very similar to the first molar, with an oblique ridge and a palatal fissure.

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Upper Third Molar

The upper third molar has three cusps (palatal, mesio-buccal, and disto-buccal) and three fused roots, often curving distally. Shape is triangular.

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How many roots and canals does the upper third molar have?

The upper third molar typically has three fused roots and three root canals, though it can vary significantly in shape and form.

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Mesial Root (Lower Second Molar)

The mesial root of the lower second molar is wider and often grooved, contributing to the tooth's stability.

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Distal Root (Lower Second Molar)

The distal root of the lower second molar is narrower than the mesial root.

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Lower Second Molar Root Canals

The lower second molar typically has 3-4 root canals and 4 pulp horns, which are extensions of the pulp chamber towards the cusps.

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Mandibular Third Molar (Wisdom Tooth) Variations

Wisdom teeth are highly variable in size and form, often having 4, 5, or 6 cusps and a variable number of roots.

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Distal Inclination (Wisdom Tooth)

The roots of wisdom teeth often have a marked distal inclination.

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Buccal Wall (Wisdom Tooth)

The buccal wall of the wisdom tooth is usually very curved and convex.

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Roots of Wisdom Teeth

Wisdom tooth roots can fuse together and often have a marked distal inclination.

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Study Notes

Permanent Dentition Tooth Morphology

  • Permanent Teeth Notation:

    • 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8
    • 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8
    • URQ refers to upper right quadrant
    • ULQ refers to upper left quadrant
    • LRQ refers to lower right quadrant
    • LLQ refers to lower left quadrant
  • Tooth Anatomy:

    • Cusps:
      • Found on the biting surface
      • Each cusp has a cusp tip, a mesial slope, a distal slope, and cusp inclines
    • Developmental Grooves:
      • Found on all surfaces of the tooth
      • Formed during tooth development
    • Fossae:
      • Pits or hollows on the tooth surface
      • Often associated with grooves
      • May be enclosed by ridges
    • Pulp:
      • Pulp chamber: Within crown of tooth
      • Root Canals: Extensions of the pulp within the roots
      • Pulp Horns: Extensions of the pulp chamber that extend under cusps

Upper Permanent Incisors and Canines

  • Upper Central Incisors (11; 21)
    • Chronology:
      • Initial calcification: 3-4 months after birth
      • Crown Completion: 4-5 years
      • Eruption: 7-8 years
      • Root Completion: 10 years
    • Labial View:
      • Large crown
      • Smooth, slightly convex labial surface
      • Mesio-incisal angle is sharp
      • Disto-incisal angle is rounded
      • Mamelons often present when newly erupted
    • Palatal View:
      • Concave palatal surface
      • Mesial and distal marginal ridges
      • Cingulum located in the center of the palatal surface
      • Cingulum pit above the cingulum
    • Mesial View:
      • Crown enamel margin undulates mesially and distally
      • One tapering root
      • One root canal with 2 pulp horns, mesial and distal
  • Upper Lateral Incisors (12; 22)
    • Chronology:
      • Initial Calcification: 10-12 months after birth
      • Crown Completion: 4-5 years
      • Eruption: 8-9 years
      • Root Completion: 11 years
    • Labial View:
      • Smaller than the central incisor
      • Narrower cervically (gingivally) than incisally
      • Pronounced rounding of the distal-incisal angle
    • Palatal View:
      • Pronounced mesial and distal marginal ridges
      • Palatal cingulum with a more marked cingulum pit than the central incisor
    • Mesial View:
      • Cervical undulation mesially and distally
      • One tapering root
      • One root canal with 2 pulp horns, one mesial and one distal
  • Upper Canine (13; 23):
    • Chronology:
      • Initial Calcification: 4-5 months after birth
      • Crown Completion: 6-7 years
      • Eruption: 11-12 years
      • Root Completion: 13-15 years
    • Labial View:
      • One cusp incisally
      • Convex labial surface
      • Distal slope of cusp is longer than the mesial slope
      • Distal surface more bulbous than mesial surface
    • Palatal View:
      • Concave palatal surface
      • Pronounced mesial and distal marginal ridges
      • Large cingulum with mesial and distal fossae
    • Distal View:
      • Cervical undulation
      • One long, tapering root
      • One root canal with no pulp horns
      • Distal root groove more prominent than mesial root groove

Comparison of Upper Incisors and Canines

  • Labial View
    • Central Incisor: Mesio-incisal angle is sharp, disto-incisal angle is rounded
    • Lateral Incisor: Disto-incisal angle is more rounded
    • Canine: One cusp incisally, distal slope of cusp is longer than mesial slope
  • Palatal View:
    • Central Incisor: Cingulum pit is small and may be absent
    • Lateral Incisor: More prominent cingulum pit
    • Canine: Large cingulum with mesial and distal fossae

Lower Incisors and Canines

  • General features:
    • 2 buccal cusps of similar size
    • Mesio-palatal cusp is the largest
    • Disto-palatal cusp is the smallest
    • 4 cusps are designated as follows:
      • Mesio-buccal (mb)
      • Disto-buccal (db)
      • Mesio-palatal (mp)
      • Disto-palatal (dp)

Lower Central Incisor (31;41)

Labial view

•Flat labial surface

•Fairly symmetrical labial surface

•Distal incisal angle very slightly more rounded than mesial incisal angle

•Mamelons initially present on eruption – quickly worn away

Lingual View

•Concave lingual surface

•Small marginal ridges

•Small cingulum

Mesial View

•Crown is wedge-shaped from the side view

•Cervical undulation

•One root, one root canal and mesial & distal pulp horns

Lower Lateral Incisor (32;42)

Labial view

•Looks more fan shaped than central incisor from the labial

•Mesio-incisal angle is sharp & disto-incisal angle is rounded

•Mesial side slightly longer than distal

Lingual View

•Concave lingual surface

•Small cingulum

•One root with more pronounced distal groove than mesial groove

•One root canal, mesial & distal pulp horns

Lower Canine (33;43)

Labial View

••Less bulky than upper canine & the crown is taller than it is wide

•Convex labial surface, with one cusp which inclines distally

•Mesial slope of cusp shorter than distal slope

•Distal surface more bulbous than mesial

Lingual view

•Lingually there are mesial & distal marginal ridges and a cingulum as in the upper canine, but all less pronounced

•Mesial & distal lingual fossae of which the distal is larger

•One root, one root canal & no pulp horns

Upper Molars

Upper First Premolar (14;24)

buccal view

•2 cusps – one buccal & one palatal

•Buccal cusp is larger

•Mesial slope of buccal cusp is longer than distal slope

•Crown is oval – wider bucco-palatally than mesio-distally

Palatal view

•Palatal cusp is smaller and narrower

•Tip of palatal cusp is displaced mesially when viewed from the palatal side

•One central groove, and 2 fossae inside the marginal ridges

Mesial View

•Mesial root surface has a developmental groove between the 2 cusps

•Canine fossa – hollow concavity on mesial root surface which houses the bulge distally on the canine

Distal View

•2 roots – one buccal & one palatal

•Sometimes the 2 roots are partly fused

•2 root canals (buccal & palatal) and 2 pulp horns

Upper Second Premolar  (15;25)

Buccal View

•2 cusps - one buccal & one palatal

•Buccal cusp slightly larger than palatal cusp

•Mesial slope of buccal cusp shorter than distal slope

•Crown is oval – wider bucco-palatally than mesio-distally

Palatal view

•Palatal cusp displaced mesially as in the first premolar

•Single root, flattened mesio-distally

•One or two root canals, and two pulp horns

•Root may bend distally at apex

Distal View

•One central groove, and 2 fossae inside the marginal ridges

•The root often has a more prominent groove distally

Upper First Molar (16;26)

  • Features a prominent and angular crown shape, making it easily identifiable.

  • The occlusal surface exhibits a characteristic "H" pattern formed by the grooves separating the cusps, enhancing its ability to grind food.

  • The mesiobuccal cusp is typically the largest and most prominent, followed by the mesiolingual cusp.

  • The anatomical design accounts for various developmental grooves, such as the central groove and the buccal groove, which can influence the occlusion and natural wear of the tooth.

  • Root canals are often found within the mesiobuccal root, which can present clinical challenges during endodontic treatment due to its curvature and complexity.

  • Upper First Molar (16; 26)

    • Palatal View:
      • Cusp of Carabelli may be present on the mesio-palatal cusp
    • Buccal View:
      • Crown is an equilateral rhomboid
      • Mesio-distal dimension roughly equal to the bucco-palatal dimension
    • Occlusal View:
      • Oblique ridge runs from the disto-buccal cusp to the mesio-palatal cusp
      • Oblique ridge divides the occlusal surface into 2 parts
      • Central groove often is divided into 2 by the oblique ridge
      • Palatal groove is present
      • Palatal wall is more curved than the buccal wall
    • Roots:
      • 3 roots:
        • Large single palatal root
        • Mesio-buccal root
        • Disto-buccal root
      • Distal cusp displaced onto the distal surface

Lower Molars

  • Lower First Molar (36; 46)
    • Buccal View:
      • Mesio-buccal cusp is larger than the disto-buccal cusp
      • 2 developmental grooves buccally between the cusps, the mesial one is deeper and longer
    • Lingual View:
      • Mesio-lingual cusp is larger than the disto-lingual cusp
      • Cusps interdigitate occlusally, forming a zig-zag central groove
      • Overall crown shape viewed occlusally is oval
      • Small lingual groove
    • Mesial View:
      • Buccal wall is curved, and lingual wall is straight
      • 2 roots: Mesial and distal
      • 3 or 4 root canals, 5 pulp horns
      • Wide mesial root with a marked central groove
    • Distal View:
      • Distal cusp is visible
      • Very short marginal ridge to the lingual side of the distal cusp
      • Narrower distal root, usually without a groove
      • Fossae
  • Lower Second Molar (37; 47)
    • Chronology:
      • Initial calcification: 2 ½ - 3 years
      • Crown Completion: 7-8 years
      • Eruption: 11-13 years
      • Root Completion: 14-15 years
    • Buccal View:
      • 4 cusps: 2 buccal and 2 lingual: mesio-buccal, disto-buccal, mesio-lingual, disto-lingual
      • Mesio-buccal cusp is higher than the disto-buccal cusp
    • Lingual View:
      • Mesio-lingual cusp is higher than disto-lingual cusp
      • Overall occlusal shape is rectangular
      • Buccal and lingual cusp tips are opposite each other
      • Cross-shaped groove pattern
    • Mesial View:
      • Wider mesially than distally
      • 2 roots: Mesial and distal
      • Mesial root is wider and often grooved
      • Buccal surface is curved, and lingual surface is straighter
    • Distal View:
      • Distal root is narrower
      • 3-4 root canals, 4 pulp horns
      • Buccal and lingual grooves
      • Fossae

Mandibular Third Molar (38; 48)

  • Chronology:
    • Initial calcification: 8-10 years
    • Crown Completion: 12-16 years
    • Eruption: 17-21 years
    • Root Completion: 18-25 years
  • General features:
    • Very variable size and form
    • 4, 5, or 6 cusps
    • Roots: Variable number, may be fused, and often have a marked distal inclination
    • Buccal View:
      • Curved, convex buccal wall
    • Mesial View:
      • Bulbous crown
      • Broader mesial root
    • Distal View:
      • Narrower distal root

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