NEET MDS Lessons
Dental Anatomy
Alveolar bone (process)
1. The bone in the jaws that contains the teeth alveoli (sockets).
2. Three types of bone :
a. Cribriform plate (alveolar bone proper)
(1) Directly lines and forms the tooth socket. It is compact bone that contains many holes, allowing for the passage of blood vessels. It has no periosteum.
(2) Serves as the attachment site for PDL (Sharpey’s) fibers.
(3) The tooth socket is constantly being remodeled in response to occlusal forces. The bone laid down on the cribriform plate, which also provides attachment for PDL fibers, is known as bundle bone.
(4) It is radiographically known as the lamina dura.
b. Cortical (compact) bone
(1) Lines the buccal and lingual surfaces of the mandible and maxilla.
(2) Is typical compact bone with a periosteum and contains Haversian systems.
(3) Is generally thinner in the maxilla and thicker in the mandible, especially around the buccal area of the mandibular premolar and molar.
c. Trabecular (cancellous, spongy) bone
(1) Is typical cancellous bone containing Haversian systems.
(2) Is absent in the maxillary anterior teeth region.
3. Alveolar crest (septa)
a. The height of the alveolar crest is usually 1.5 to 2 mm below the CEJ junction.
b. The width is determined by the shape of adjacent teeth.
(1) Narrow crests—found between teeth with relatively flat surfaces.
(2) Widened crests—found between teeth with convex surfaces or teeth spaced apart.
MANDIBULAR SECOND BICUSPID
Facial: From this aspect, the tooth somewhat resembles the first, but the buccal cusp is less pronounced. The tooth is larger than the first.
Lingual: Two significant variations are seen in this view. The most common is the three-cusp form which has two lingual cusps. The mesial of those is the larger of the two. The other form is the two-cusp for with a single lingual cusp. In that variant, the lingual cusp tip is shifted to the mesial.
Proximal: The buccal cusp is shorter than the first. The lingual cusp (or cusps) are much better developed than the first and give the lingual a full, well-developed profile.
Occlusal: The two or three cusp versions become clearly evident. In the three-cusp version, the developmental grooves present a distinctive 'Y' shape and have a central pit. In the two cusp version, a single developmental groove crosses the transverse ridge from mesial to distal
Contact Points; Height of Curvature: From the facial, the mesial contact is more occlusal than the distal contact.The distal marginal ridge is lower than the mesial marginal ridge
Root Surface:-The root of the tooth is single, that is usually larger than that of the first premolar
the lower second premolar is larger than the first, while the upper first premolar is just slightly larger than the upper second
There may be one or two lingual cusps
HISTOLOGY OF SALIVARY GLANDS
Parotid: so-called watery serous saliva rich in amylase
Submandibular gland: more mucinous
Sublingual: viscous saliva
Parotid Gland: The parotid is a serous secreting gland.
There are also fat cells in the parotid.
Submandibular Gland
This gland is serous and mucous secreting.
There are serous demilunes
This gland is more serous than mucous
Also fat cells
Sublingual Gland
Serous and mucous secreting
Serous cells in the form of demilunes on the mucous acini.
more mucous than serous cells
Minor Salivary Glands
Minor salivary glands are not found within gingiva and anterior part of the hard palate
Serous minor glands=von Ebner below the sulci of the circumvallate and folliate papillae of the tongue; palatine, glossopalatine glands are pure mucus; some lingual glands are also pure mucus
Functions
Protection: lubricant (glycoprotein); barrier against noxious stimuli; microbial toxins and minor traumas; washing non-adherent and acellular debris; calcium-binding proteins: formation of salivary pellicle
Buffering: bacteria require specific pH conditions; plaque microorganisms produce acids from sugars; phosphate ions and bicarbonate
Digestion: neutralizes esophageal contents, dilutes gastric chyme; forms food bolus; brakes starch
Taste: permits recognition of noxious substances; protein gustin necessary for growth and maturation of taste buds
Antimicrobial: lysozyme hydrolyzes cell walls of some bacteria; lactoferrin binds free iron and deprives bacteria of this essential element; IgA agglutinates microorganisms
Maintenance of tooth integrity: calcium and phosphate ions; ionic exchange with tooth surface
Tissue repair: bleeding time of oral tissues shorter than other tissues; resulting clot less solid than normal; remineralization
Dental Formula, Dental Notation, Universal Numbering System
A. Dental Formula. The dental formula expresses the type and number of teeth per side
The Universal Numbering System. The rules are as follows:
1. Permanent teeth are designated by number, beginning with the last tooth on the upper right side, going on to the last tooth on the left side, then lower left to lower right
2. Deciduous teeth are designated by letter, beginning with the last tooth on the upper right side and proceeding in clockwise fashion
MAXILLARY CUSPIDS (CANINE)
The maxillary cuspid is usually the longest tooth in either jaw. canines are considered the corner stones of the dental arch They are the only teeth in the dentition with a single cusp.
Facial Surface:- The facial surface of the crown differs considerably from that of the maxillary central or lateral incisors. In that the incisal edges of the central and lateral incisor are nearly straight, the cuspid has a definite point, or cusp. There are two cutting edges, the mesioincisal and the distoincisal. The distoincisal cutting edge is the longer of the two. The developmental grooves prominent on the facial surface extending two-thirds of the distance from the tip of the cusp to the cervical line. The distal cusp ridge is longer than the mesial cusp ridge
Lingual Surface: Distinct mesial and distal marginal ridges, a well-devloped cingulum, and the cusp ridges form the boundries of the lingual surface. The prominent lingual ridge extends from the cusp tip to the cingulum, dividing the lingual surface into mesial and distal fossae.
Proximal: The mesial and distal aspects present a triangular outline. They resemble the incisors, but are more robust--especially in the cingulum region
Incisal: The asymmetry of this tooth is readily apparent from this aspect. It usually thicker labiolingually than it is mesiodistally. The tip of the cusp is displaced labially and mesial to the central long axis of this tooth.
Root Surface:-The root is single and is the longest root in the arch. It is usually twice the length of the crown.
PULP
Coronal
Occupies and resembles the crown,
Contains the pulp horns
It decreases in size with age
Radicular
Occupies roots
Contains the apical foramen
It decreases in size with age
Accessory apical canals
PULP FUNCTIONS
Inductive: The pulp anlage initiates tooth formation and probably induces the dental organ to become a particular type of tooth.
Formative: Pulp odontoblasts develop the organic matrix and function in its calcification.
Nutritive: Nourishment of dentin through the odontoblasts.
Protective: Sensory nerves in the tooth respond almost always with PAIN to all stimuli (heat, cold, pressure, operative procedures, chamical agents).
Defensive or reparative: It responds to irritation by producing reparative dentin. The response to stimuli is inflammation.
Histologically the pulp consists of delicate collagen fibers, blood vessels, lymphatics, nerves and cells. A histologic section of the pulp reveals four cellular zones:
Odontoblastic
Cell-free (Weil)
Cell-rich
Pulp core
Mandibular First Deciduous Molar
-This tooth doesn't resemble any other tooth. It is unique unto itself.
-There are two roots.
-There is a strong bulbous enamel bulge buccally at the mesial.
- the mesiolingual cusps on this tooth is the highest and largest of the cusps.