Primary Dentition Quiz

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Questions and Answers

What is the correct notation for the right upper central incisor in the primary dentition?

  • E (correct)
  • H
  • J
  • F

Which surface of the tooth is visible when you smile?

  • Distal
  • Mesial
  • Occlusal
  • Facial (correct)

What is the name of the cusp that is closest to the midline of the mouth?

  • Mesial cusp (correct)
  • Lingual cusp
  • Distal cusp
  • Buccal cusp

Which primary tooth erupts last?

<p>Maxillary second molar (B)</p> Signup and view all the answers

Which of the following surfaces is NOT found on a primary molar tooth?

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

When does the initial calcification of an upper central incisor occur?

<p>3-4 months in utero (B)</p> Signup and view all the answers

What is the difference in shape between the labial crown of the permanent central incisor and the primary central incisor?

<p>The primary central incisor is square, the permanent central incisor is rectangular (A)</p> Signup and view all the answers

What is the difference in shape between the palatal crown of the primary central incisor and the permanent central incisor?

<p>The primary central incisor has a more pronounced cingulum (A)</p> Signup and view all the answers

What is the shape of the root of the upper central incisor in both primary and permanent teeth?

<p>The primary and permanent central incisors have one root. (C)</p> Signup and view all the answers

What is the difference between the mesial incisal angle of the primary central incisor and the upper lateral incisor?

<p>The primary central incisor has a sharp mesial incisal angle, the lateral incisor has a rounded mesial incisal angle (A)</p> Signup and view all the answers

What is the difference in root structure between the primary and permanent lateral incisors?

<p>The primary lateral incisor has one fused root the permanent lateral incisor has one distinct root. (B)</p> Signup and view all the answers

What is the difference in the palatal view of the primary central incisor and the primary lateral incisor?

<p>The primary central incisor has a larger cingulum than the lateral incisor (D)</p> Signup and view all the answers

How does the primary central incisor differ from the permanent central incisor in terms of incisal edges?

<p>The primary central incisor has a more rounded incisal edge than the permanent central incisor (B)</p> Signup and view all the answers

What is the significance of the fact that the root of the primary central incisor inclines labially?

<p>It allows for easier eruption of the permanent central incisor (B)</p> Signup and view all the answers

What is the age range for the eruption of the upper canine?

<p>16-20 months (C)</p> Signup and view all the answers

What characteristic of the upper canine's crown is notable when viewed labially?

<p>It is bulky and semi-symmetrical. (C)</p> Signup and view all the answers

At what age does root completion of the upper canine typically occur?

<p>Approx. 3 years (A)</p> Signup and view all the answers

How many roots does the upper canine have?

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

Which characteristic is NOT true about the upper first molar?

<p>It has a single root canal. (A)</p> Signup and view all the answers

What is the primary function of the pronounced cingulum on the upper canine?

<p>To create mesial and distal fossae. (B)</p> Signup and view all the answers

Which of the following statements about the upper first molar is accurate?

<p>It usually erupts before the upper canine. (B)</p> Signup and view all the answers

Which surface of the upper canine tends to be more rounded?

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

Which cusp is the smallest on the upper second molar?

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

What is the chronological age for the eruption of the upper second molar?

<p>1 ¾ years to 2 ½ years (C)</p> Signup and view all the answers

How many root canals does the upper second molar possess?

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

Which structure is referred to as the tubercle of Zuckerkandl?

<p>Large bulge of enamel over mesio-buccal root (B)</p> Signup and view all the answers

During which period does the crown completion of the upper second molar occur?

<p>10-12 months (D)</p> Signup and view all the answers

Which two roots are found in the upper second molar?

<p>Mesio-buccal and disto-buccal roots (B)</p> Signup and view all the answers

What type of cusp is commonly observed on the upper second molar that is not present on all upper molars?

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

What is the primary dentition notation for the upper first molar?

<p>54 (D)</p> Signup and view all the answers

At what age does the initial calcification of the lower central incisor occur?

<p>4 ½ months in utero (C)</p> Signup and view all the answers

Which cusp is associated with the protuberance of enamel known as the tubercle of Zuckerkandl?

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

What is the chronological age of initial calcification for the lower first molar?

<p>6 months in utero (D)</p> Signup and view all the answers

Which characteristic is true for the lower lateral incisor when viewed labially?

<p>The crown is fan-shaped with a long mesial side. (C)</p> Signup and view all the answers

How many pulp horns are present in a lower first molar?

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

What is the shape of the root of the lower canine?

<p>Roughly triangular and curves distally and labially (C)</p> Signup and view all the answers

What feature is NOT present on the lower canine?

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

Which of the following describes the arrangement of the roots of the lower second molar?

<p>Two divergent roots (C)</p> Signup and view all the answers

What distinguishes the buccal cusps of the lower first molar from those of the lower second molar?

<p>The lower first molar has only two cusps (A)</p> Signup and view all the answers

When does the eruption of the lower first molar typically occur?

<p>12-16 months (A)</p> Signup and view all the answers

Which of the following statements is true regarding the relationship of the buccal and lingual cusps in the lower second molar?

<p>Buccal cusps lean lingually (C)</p> Signup and view all the answers

Which of these features is associated with the crown of the lower first molar?

<p>Two cusps, mesio-buccal and disto-buccal (C)</p> Signup and view all the answers

How is the cervical region of the lower lateral incisor described?

<p>Wedge-shaped and bulbous (C)</p> Signup and view all the answers

What is the primary difference in the cusps between the lower first molar and lower second molar?

<p>The lower second molar has an additional disto-buccal cusp (D)</p> Signup and view all the answers

Which cusp is larger in the lower first molar?

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

What is the typical shape of the incisal angles of the lower central incisor?

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

What is true regarding the root of the lower first molar?

<p>It is roughly triangular in shape. (A)</p> Signup and view all the answers

During which stage does the crown of the lower canine reach completion?

<p>9 months (A)</p> Signup and view all the answers

Flashcards

Primary Dentition

The first set of teeth in humans, consisting of 20 teeth.

Tooth Landmarks

Specific identifiable features on a tooth used for description.

Tooth Surfaces

The different sides of a tooth including buccal, lingual, mesial, and distal.

Notation of Primary Dentition

A system for identifying and recording primary teeth.

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CroChronology of Eruption

The timeline of when primary teeth appear in infants.

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Initial Calcification of Upper Central Incisors

Begins around 3-4 months in utero.

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Crown Completion of Upper Central Incisors

Occurs at 4 months of age.

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Eruption of Upper Central Incisors

Typically erupts at 7.5 months.

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Root Completion of Upper Central Incisors

Completed around 1.5 years of age.

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Labial View of Upper Central Incisors

Crown appears square; shorter and bulbous.

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Palatal View of Upper Central Incisors

Crown is concave with pronounced marginal ridges.

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Mesial View of Upper Central Incisors

Crown looks bulky with cervical undulation.

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Calcification of Upper Lateral Incisors

Begins at 4.5 months in utero.

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Eruption of Upper Lateral Incisors

Starts erupting at 8-9 months.

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Labial and Palatal View Differences

Upper lateral incisors are less square compared to centrals.

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Upper Canine Chronology

Timeline of upper canine tooth development stages: calcification, crown completion, eruption, root completion.

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Upper Canine Calcification

Initial calcification of the upper canine occurs at 5 months in utero.

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Upper Canine Eruption

Upper canine typically erupts between 16 to 20 months after birth.

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Upper First Molar Chronology

Timeline for upper first molar: calcification at 5 months, crown completion at 6 months, eruption at 12-16 months.

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Upper First Molar Eruption

Eruption of the upper first molar happens at 12 to 16 months of age.

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Upper First Molar Structure

The upper first molar has two buccal roots: mesio-buccal and disto-buccal.

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Upper Canine Crown Features

The upper canine features a symmetrical crown with an enamel ridge creating fossae on either side.

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Upper Canine Root Structure

The upper canine has one root with one canal and no pulp horns.

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Lower First Molar Cusp Types

Has a large mesio-lingual and a small disto-lingual cusp.

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Bucco-Lingual Crest

Enamel ridge joining mesio-lingual and mesio-buccal cusps.

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Lower First Molar Fossa

Forms a small mesial and a large distal fossa.

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Roots of Lower First Molar

Two divergent roots: one mesial and one distal, flattened mesio-distally.

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Pulp Horns of Lower First Molar

Contains three pulp horns: lingual, mesio-buccal, and disto-buccal.

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Eruption Timeline of Lower First Molar

Erupts around 1 ¾ to 2 ½ years of age.

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Lower Second Molar Cusp Structure

Has three buccal cusps: mesio-buccal, disto-buccal, and distal.

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Pulp Horns of Lower Second Molar

Has four pulp horns, one for each cusp.

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Lower Central Incisor Chronology

Initial calcification at 4 ½ months in utero, crown completion 4 months, eruption at 6 ½ months, root completion 1 ½-2 years.

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Lower Central Incisor Shape

Almost symmetrical with a sharp mesial incisal angle and rounded distal incisal angle.

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Lower Lateral Incisor Chronology

Begins calcification at 4 ½ months, crown completion at 4 ½ months, erupts at 7 months, root completes in 1 ½-2 years.

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Lower Lateral Incisor Shape

Labial view shows a fan-shaped crown with a sharp mesio-incisal angle and a rounded disto-incisal angle.

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Lower Canine Chronology

Initial calcification at 5 months in utero, crown completion at 9 months, erupts between 16-20 months, root complete in 2 ½-3 years.

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Lower Canine Characteristics

Labially convex crown with one root, triangular in cross-section, which curves distally and labially.

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Lower First Molar Chronology

Initial calcification at 5 months, crown completion at 6 months, erupts from 12-16 months, root completes in 2-2 ½ years.

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Lower First Molar Features

Buccal view has two cusps, mesio-buccal and disto-buccal; cervical region has a tubercle of Zuckerkandl.

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Root Structure in Lower Canine

The lower canine has one root canal and no pulp horns; root is roughly triangular.

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Crown Completion Timing

Crown completion varies among teeth: 4 months for central incisor, 4 ½ for lateral incisor, 9 for canine, and 6 for first molar.

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Tubercle of Zuckerkandl

A bulge of enamel on the mesial aspect of the upper first molar.

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Upper First Molar Canals

The upper first molar typically has 3 root canals and 4 pulp horns.

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Eruption of Upper Second Molar

The upper second molar erupts between 1¾ to 2½ years.

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Cusps of Upper Second Molar

The upper second molar has 4 cusps: mesio-buccal, disto-buccal, mesio-palatal, and disto-palatal.

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Root Structure of Upper Second Molar

Upper second molar typically has 2 buccal roots and 1 palatal root.

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Palatal Cusp Sizes

In the upper second molar, the mesio-palatal cusp is the largest and the disto-palatal cusp is the smallest.

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Calculation of Upper Second Molar

Initial calcification of the upper second molar occurs at 6 months in utero.

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Pulp Horns Count

The upper second molar has 4 pulp horns.

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Study Notes

Tooth Morphology - Primary Dentition (Part 2)

  • Students should revise the terminology used to name tooth landmarks.
  • They should record the notation and chronology of primary dentition
  • Students must identify the locations/anatomy of various tooth surfaces.
  • Discuss and reflect on how this knowledge can be applied in a clinical setting.
  • Primary and permanent teeth variations need explaining.
  • GDC learning outcomes for 2013 and 2023 include describing appropriate dental, oral, craniofacial and general anatomy and its use in patient management. Identifying relevant anatomy, recognizing diversity in patient populations and explaining its relevance to patient management are skills needed.

Upper Central Incisors (51;61)

  • Chronology:
    • Initial calcification: 3-4 months in utero
    • Crown completion: 4 months
    • Eruption: 7.5 months
    • Root completion: 1½ years
  • Labial view:
    • Crown shape is similar to permanent central incisor but square, not rectangular
    • Crown length is shorter and more bulbous
    • Mesial incisal angle is sharp
    • Distal incisal angle is rounded
  • Palatal view:
    • Crown is concave
    • Pronounced mesial and distal marginal ridges present
    • Large cingulum
  • Mesial view:
    • Crown appears bulky cervically, mesially or distally
    • Cervical undulation present
    • Single root, one half of which inclines labially, to allow room for permanent incisor eruption
    • One root canal, two pulp horns, mesially and distally

Upper Lateral Incisors (52;62)

  • Chronology:
    • Initial calcification: 4½ months in utero
    • Crown completion: 5 months
    • Eruption: 8-9 months
    • Root completion: 1½-2 years
  • Labial view:
    • Labially, the crown is less square than the central incisor
    • Mesial incisal angle is sharp
    • Distal incisal angle is rounded
  • Palatal view:
    • Crown is concave.
    • Well-defined marginal ridges present
    • Definite cingulum, but less pronounced than central incisor
  • Mesial view:
    • Crown appears bulky
    • Cervical undulation
    • Single root, one root canal, two pulp horns (mesially and distally)

Upper Canine (53;63)

  • Chronology:
    • Initial calcification: 5 months in utero
    • Crown completion: 9 months
    • Eruption: 16-20 months
    • Root completion: approximately 3 years
  • Labial view:
    • Crown is almost symmetrical
    • Enamel ridge runs from crown tip to cervical margin
    • Mesial and distal depressions (fossae) are present on either side of the ridge
    • Distal surface is slightly more rounded
  • Palatal view:
    • Mesial and distal marginal ridges
    • Pronounced cingulum
    • Enamel ridge runs from cusp tip to cingulum, creating mesial and distal fossae
  • Mesial view:
    • Crown is bulky in mesial or distal aspect
    • Cervical undulation is present
    • Single root, one root canal, no pulp horns

Upper First Molar (54;64)

  • Chronology:
    • Initial calcification: 5 months in utero
    • Crown completion: 12-16 months
    • Eruption: 12-16 months
    • Root completion: 2-2½ years
  • Buccal view:
    • Two cusps (large mesiobuccal and small distobuccal)
    • Two buccal roots (mesiobuccal and distobuccal)
    • Has a central developmental groove
  • Palatal view:
    • Two palatal cusps (large mesiopalatal and small distopalatal)
    • Single palatal root
  • Mesial/Distal view:
    • Large bulge of enamel cervically over the mesiobuccal root (tubercle of Zuckerkandl)
    • 3 root canals and 4 pulp horns

Upper Second Molar (55;65)

  • Chronology:
    • Initial calcification: 6 months in utero
    • Crown completion: 10-12 months
    • Eruption: 1½-2½ years
    • Root completion: 3 years
  • Buccal view:
    • 4 cusps, similar to maxillary perm first molar
    • Mesiobuccal, distobuccal, mesiopalatal and distopalatal
    • May have a Carabelli cusp
    • 2 buccal roots (mesiobuccal and distobuccal)
  • Palatal:
    • Single palatal root
    • Oblique ridge between distobuccal and mesiopalatal cusps
    • Mesiopalatal cusp is largest, distopalatal cusp is smallest
    • Distopalatal groove is present
  • Mesial/Distal view:
    • Three root canals and four pulp horns

Lower Central Incisor (71;81)

  • Chronology:
    • Initial calcification: 4½ months in utero
    • Crown completion: 4 months
    • Eruption: 6½ months
    • Root completion: 1½-2 years
  • Labial view:
    • Crown is almost symmetrical
    • Sharp mesial incisal angle
    • Rounded distal incisal angle
    • Single root, one canal
    • Mesial and distal pulp horns present
  • Lingual view:
    • Large cingulum present
    • Quite reduced mesial and distal marginal ridges
    • Cervical undulation

Lower Lateral Incisor (72;82)

  • Chronology:
    • Initial calcification: 4½ months in utero
    • Crown completion: 4½ months
    • Eruption: 7 months
    • Root completion: 1½-2 years
  • Labial view:
    • Crown is fan-shaped, with long mesial side and shorter distal side
    • Mesio-incisal angle is sharp
    • Disto-incisal angle is rounded
  • Lingual view:
    • Large cingulum present
    • Mesial and distal marginal ridges
    • One root, similar to deciduous central incisor
    • One root canal and one mesial and one distal pulp horn.
  • Mesial view:
    • Crown appears wedge-shaped and bulbous in the cervical region
    • Cervical region is undulated

Lower Canine (73;83)

  • Chronology:
    • Initial calcification: 5 months in utero
    • Crown completion: 9 months
    • Eruption: 16-20 months
    • Root completion: 2½-3 years
  • Labial view:
    • Crown is convex labially
    • Mesial is shorter than distal incisal slope
    • Single root, roughly triangular in cross-section
    • Root curves distally and labially
    • One root canal, no pulp horns
  • Lingual view:
    • Crown is concave lingually
    • Mesial and distal marginal ridges
    • Poorly defined ridge of ename from cusp tip to cingulum, creating mesial and distal fossae
    • Distal surface is more rounded
  • distal view:
    • Cervical undulation present on mesial and distal region
    • Root curves labially

Lower First Molar (74;84)

  • Chronology:
    • Initial calcification: 5 months in utero
    • Crown completion: 6 months
    • Eruption: 12-16 months
    • Root completion: 2-2½ years
  • Labial view:
    • Two cusps (mesiobuccal and distobuccal)
    • Mesiobuccal cusp has a tubercle of Zuckerkandl
  • Lingual view:
    • Two cusps (large mesiolingual and small distolingual)
    • Buccallingual crest with mesial and distal fossae.
  • Overall:
    • Two divergent roots (mesial and distal), flattened mesiodistally
    • Two root canals and three pulp horns.

Lower Second Molar (75)

  • Chronology:
    • Initial calcification: 6 months in utero
    • Crown completion: 10-12 months
    • Eruption: 1½ - 2½ years
    • Root completion: 3 years
  • Buccal view:
    • Three cusps : Mesiobuccal, distobuccal, and distal
  • Palatal view:
    • Two large lingual cusps (mesiolingual and distolingual)
  • Buccal/Palatal/Mesial/Distal:
    • Roots are flattened mesiodistally
    • Two root canals and four pulp horns.
    • Viewed mesially or distally, buccal cusps lean lingually.

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