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Dental Anatomy

Introduction. The Jaws and Dental Arches

 

The teeth are arranged in upper and lower arches. Those of the upper are called maxillary; those of the lower are mandibular.

 

  1. The maxilla is actually two bones forming the upper jaw; they are rigidly attached to the skull..
  2. The mandible is a horseshoe shaped bone which articulates with the skull by way of the temporomandibular joint the TMJ.
  3. The dental arches, the individual row of teeth forming a tooth row attached to their respective jaw bones have a distinctive shape known as a catenary arch.

CONTACT POINT.:-The point on the proximal surface where two adjacent teeth actually touch each other is called a contact point.

INTERPROXIMAL SPACE.:-The interproximal space is the area between the teeth. Part of the interproximal space is occupied by the interdental papilla. The interdental papilla is a triangular fold of gingival tissue. The part of the interproximal space not occupied is called the embrasure.

EMBRASURE. :-The embrasure occupies an area bordered by interdental papilla, the proximal surfaces of the two adjacent teeth, and the contact point (fig 4-18). If there is no contact point between the teeth, then the area between them is called a diastema instead of an embrasure.

OCCLUSAL

The occlusal surface is the broad chewing surface found on posterior teeth (bicuspids and molars).

OCCLUSION.:-Occlusion is the relationship between the occlusal surfaces of maxillary and mandibular teeth when they are in contact. Many patterns of tooth contact are possible. Part of the reason for the variety is the mandibular condyle's substantial range of movement within the temporal mandibular joint.

 

Malocclusion occurs when any abnormality in occlusal relationships exist in the dentition. Centric occlusion, is the centered contact position of the chewing surfaces of mandibular teeth on the chewing surface (occlusal) of the maxillary teeth.

OCCLUSAL PLANE.:-Maxillary and mandibular teeth come into centric occlusion and meet along anteroposterior and lateral curves. The anteroposterior curve is called the Curve of Spee  in which the mandibular arch forms a concave (a bowl-like upward curve). The lateral curve is called the Curve of Wilson . The composite (combination) of these curves form a line called the occlusal plane, and is created by the contact of the upper and lower teeth

VERTICAL AND HORIZONTAL OVERLAP. :-Vertical overlap is the extension of the maxillary teeth over the mandibular counterparts in a vertical direction when the dentition is in centric occlusion Horizontal overlap is the projection of maxillary teeth over antagonists (something that opposes another) in a horizontal direction.

KEY TO OCCLUSION.:-The occlusal surfaces of opposing teeth bear a definite relationship to each other. In normal jaw relations and when teeth are of normal size and in the correct position, the mesiofacial cusp of the maxillary first molar occludes in the facial groove of the mandibular first molar. This normal relationship of these two teeth is called the key to occlusion.

PERMANENT DENTITION

The permanent dentition consists of 32 teeth. Each tooth in the permanent dentition is described in this section. It should be remembered that teeth show considerable variation in size, shape, and other characteristics from one person to another. Certain teeth show a greater tendency than others to deviate from the normal. The descriptions that follow are of normal teeth.

Enamel

Composition: 96% mineral, 4% organic material and water
Crystalline calcium phosphate, hydroxyapatite
Physical characteristics: Hardness compared to mild steel; enamel is brittle
Support from dentin is necessary
Enamel has varies in thickness

Structure of enamel

Ground sections of enamel disclose the information that we have about enamel
Enamel is composed of rods
In the past we used the term prism (do not use)
 

Enamel rod
The rod has a cylinder-like shape and is composed of crystals that run parallel to the longitudinal axis of the rod. At the periphery of the rod the crystals flare laterally.
Interrod region: surrounds each rod; contain more enamel protein (fish scale appearance)
Rod sheath: boundary where crystals of rods meet those of the interrod region at sharp angles (We used to describe that as a keyhole configuration)
Each ameloblast forms one rod and together with adjacent ameloblasts the interrod region Very close to dentin there is no rod structure since the Tomes' processes develop after the first enamel is formed.
Striae of Retzius and cross striations
Incremental lines
Enamel structure is altered along these lines
Cross striations are also a form of incremental lines highlighting the daily secretory activity of ameloblasts

Bands of Hunter and Schreger
Optical phenomenon produced by changes in rod direction

Gnarled enamel
Twisting of rods around each other over the cusps of teeth

Enamel tufts and lamellae
They are like geologic faults
Tufts project from the DE junction, appear branched and contain greater concentrations of enamel protein than enamel
Lamellae extend from the enamel surface
Enamel spindles

Perikymata
Shallow furrows on surface of enamel formed by the striae of Retzius

 lntraarch relationship refers to the alignment of the teeth within an arch

1. In an ideal alignment teeth should contact at their proximal crests of curvature. A continuous arch form is observed in occlusal view

Curves of the occlusal plane (a line connecting the cusp tips of the canines, premolars, and molars) are observed from the proximal view

 

Curve of Spee: anterior to posterior curve; for mandibular teeth the curve is concave and for maxillary teeth it is convex

Curve of Wilson- medial to lateral curve for mandibular teeth the curve is also convex and for the maxillary it is convex

2. Contact does not always exist Some permanent dentitions have normal spacing

Primary dentitions often have developmental spacing in the anterior area: some primary den titions have a pattern of spacing called primate spaces between the primary maxillary lateral incisors and canine and between the mandibular canine and first mo1ar

Disturbances to the intraarch alignment are described as

a. Qpen contact where interproximal space exist  because of missing teeth oral habits, dental disease, or overdeveloped frena

b. where contact or position is at an unexpected area because of developmental disturbances, crowding, dental caries or periodontal ligament for their misplaced position: facial, lingual. mesial, supra(supraerupted) infra (infraerupted) and torso (rotated) version

Nerve and vascular formation

Frequently, nerves and blood vessels run parallel to each other in the body, and the formation of both usually takes place simultaneously and in a similar fashion. However, this is not the case for nerves and blood vessels around the tooth, because of different rates of development.

Nerve formation

Nerve fibers start to near the tooth during the cap stage of tooth development and grow toward the dental follicle. Once there, the nerves develop around the tooth bud and enter the dental papilla when dentin formation has begun. Nerves never proliferate into the enamel organ

Vascular formation

Blood vessels grow in the dental follicle and enter the dental papilla in the cap stage. Groups of blood vessels form at the entrance of the dental papilla. The number of blood vessels reaches a maximum at the beginning of the crown stage, and the dental papilla eventually forms in the pulp of a tooth. Throughout life, the amount of pulpal tissue in a tooth decreases, which means that the blood supply to the tooth decreases with age. The enamel organ is devoid of blood vessels because of its epithelial origin, and the mineralized tissues of enamel and dentin do not need nutrients from the blood.

FUNCTIONS OF PERIODONTIUM

Tooth support
Shock absorber
Sensory (vibrations appreciated in the middle ear/reflex jaw opening)

LOCATION OF THE TEETH

Normally, a human receives two sets of teeth during a lifetime.

The first (deciduous or primary) set consists of 20 teeth ("baby" teeth).

The second (permanent) set usually consists of 32 teeth. In each quadrant, there are eight permanent teeth: two incisors, one cuspid, two bicuspids, and three molars 

The tooth positioned immediately to the side of the midline is the central incisor, so called because it occupies a central location in the arch.

To the side of the central incisor is the lateral incisor. Next is the cuspid, then the two bicuspids (the first bicuspid, followed by the second bicuspid). The last teeth are three molars. After the second bicuspid comes the first molar, followed by the second molar, followed by the third molar or more commonly called the "wisdom tooth."

Another method of describing the location of teeth is to refer to them as anterior or posterior teeth .

Anterior teeth are those located in the front of the mouth, the incisors, and the cuspids. Normally, these are the teeth that are visible when a person smiles.

The posterior teeth are those located in the back of the mouth-the bicuspids and molars.

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