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Dental Anatomy - NEETMDS- courses
NEET MDS Lessons
Dental Anatomy

Angle classified these relationships by using the first permanent molars

Normal or neutral occlusion (ideal):

Mesiobuccalgroove of the mandibular first molar align with the mesiobuccal cusp of the max laxy first permanent molar

ClassI  malocclusion  normal molar relationships with alterations to other characteristics of the occlusion such as versions, crossbites, excessive overjets, or overbites

 

Class II malocclusion a distal relation of the mesiobuccal groove of the mandibular first permanent molar to the mesiobuccal cusp of the maxillary first permanent molar

 

Division I: protruded maxillary anterior teeth

Division II: one or more maxillary anterior teeth retruded

Class III  malocclusion a mesial relation of the mesiobuccal groove of the mandibular first permanent molar to the mesiobuccal cusp of the maxillary molar

Cap stage

The first signs of an arrangement of cells in the tooth bud occur in the cap stage. A small group of ectomesenchymal cells stops producing extracellular substances, which results in an aggregation of these cells called the dental papilla. At this point, the tooth bud grows around the ectomesenchymal aggregation, taking on the appearance of a cap, and becomes the enamel (or dental) organ. A condensation of ectomesenchymal cells called the dental follicle surrounds the enamel organ and limits the dental papilla. Eventually, the enamel organ will produce enamel, the dental papilla will produce dentin and pulp, and the dental follicle will produce all the supporting structures of a tooth

MAXILLARY CENTRAL INCISORS

Viewed mesially or distally, a maxillary central incisor looks like a wedge, with the point of the wedge at the incisal (cutting) edge of the tooth.

Facial Surface- The mesial margin is nearly straight and meets the incisal edge at almost a 90° angle, but the distal margin meets the incisal edge in a curve. The incisal edge is straight, but the cervical margin is curved like a half moon. Two developmental grooves are on the facial surface.

Lingual Surface:- The lingual aspect presents a distinctive lingual fossa that is bordered by mesial and distal marginal ridges, the incisal edge, and the prominent cingulum at the gingival. Sometimes a deep pit, the lingual pit, is found in conjunction with a cingulum.

 

Incisal: The crown is roughly triangular in outline; the incisal edge is nearly a straight line, though slightly crescent shaped

Contact Points: The mesial contact point is just about at the incisal, owing to the very sharp mesial incisal angle. The distal contact point is located at the junction of the incisal third and the middle third.

Root Surface:-As with all anterior teeth, the root of the maxillary central incisor is single. This root is from one and one-fourth to one and one-half times the length of the crown. Usually, the apex of the root is inclined slightly distally.

MANDIBULAR FIRST MOLAR

It is the first permanent tooth to erupt.

Facial Surface:- The lower first permanent molar has the widest mesiodistal diameter of all of the molar teeth. Three cusps cusps separated by developmental grooves make on the occlusal outline The mesiobuccal cusp is usually the widest of the cusps. The mesiobuccal cusp is generally considered the largest of the five cusps. The distal root is usually less curved than the mesial root.

Lingual: Three cusps make up the occlusal profile in this view: the mesiolingual, the distolingual, and the distal cusp which is somewhat lower in profile. The mesiobuccal cusp is usually the widest and highest of the three. A short lingual developmental groove separates the two lingual cusps

Proximal: The distinctive height of curvature seen in the cervical third of the buccal surface is called the cervical ridge. The mesial surface may be flat or concave in its cervical third . It is highly convex in its middle and occlusal thirds. The occlusal profile is marked by the mesiobuccal cusp, mesiolingual cusp, and the mesial marginal ridge that connects them. The mesial root is the broadest buccolingually of any of the lower molar roots. The distal surface of the crown is narrower buccolingually than the mesial surface. Three cusps are seen from the distal aspect: the distobuccal cusp, the distal cusp, and the distolingual cusp.

Occlusal There are five cusps. Of them, the mesiobuccal cusp is the largest, the distal cusp is the smallest. The two buccal grooves and the single lingual groove form the "Y" patern distinctive for this tooth

Roots :-The tooth has two roots, a mesial and a distal.

Contact Points; The mesial contact is centered buccolingually just below the marginal ridge. The distal contact is centered over the distal root, but is buccal to the center point of the distal marginal ridge.

Roots: Lower molars have mesial and distal roots. In the first, molar, the mesial root is the largest. It has a distal curvature. The distal root has little curvature and projects distally.

 

MAXILLARY LATERAL INCISORS

it is shorter, narrower, and thinner.

Facial: The maxillary lateral incisor resembles the central incisor, but is narrower mesio-distally. The mesial outline resembles the adjacent central incisor; the distal outline--and particularly the distal incisal angle is more rounded than the mesial incisal angle (which resembles that of the adjacent central incisor. The distal incisal angle resembling the mesial of the adjacent canine.

Lingual: On the lingual surface, the marginal ridges are usually prominent and terminate into a prominent cingulum. There is often a deep pit where the marginal ridges converge gingivally. A developmental groove often extends across the distal of the cingulum onto the root continuing for part or all of its length.

Proximal: In proximal view, the maxillary lateral incisor resembles the central except that the root appears longer--about 1 1/2 times longer than the crown. A line through the long axis of the tooth bisects the crown.

Incisal: In incisal view, this tooth can resemble either the central or the canine to varying degrees. The tooth is narrower mesiodistally than the upper central incisor; however, it is nearly as thick labiolingually.

Contact Points: The mesial contact is at the junction of the incisal third and the middle third. The distal contact is is located at the center of the middle third of the distal surface.

Root Surface:-The root is conical (cone-shaped) but somewhat flattened mesiodistally.

MANDIBULAR CENTRAL INCISORS

These are the first permanent teeth to erupt, replacing deciduous teeth, and are the smallest teeth in either arch

Facial Surfaces:-The facial surface of the mandibular central incisor is widest at the incisal edge. Both the mesial and the distal surfaces join the incisal surface at almost a 90° angle. Although these two surfaces are nearly parallel at the incisal edge, they converge toward the cervical margin. The developmental grooves may or may not be present. When present, they appear as very faint furrows.

Lingual: The lingual surface has no definite marginal ridges. The surface is concave and the cingulum is minimal in size.

Proximal: Both mesial and distal surfaces present a triangular outline.

Incisal: The incisal edge is at right angles to a line passing labiolingually through the tooth reflecting its bilateral symmetry.

Root Surface:-The root is slender and extremely flattened on its mesial and distal surfaces.

Genetics and Environment: Introduction

The size of the teeth and the timing of the developing dentition and its eruption are genetically determined. Teeth are highly independent in their development. Also, teeth tend to develop along a genetically predetermined course.: tooth development and general physical development are rather independent of one another. Serious illness, nutritional deprivation, and trauma can significantly impact development of the teeth. This genetic independence (and their durability) gives teeth special importance in the study of evolution.

Teeth erupt full size and are ideal for study throughout life. Most important, age and sex can be recorded.

When teeth erupt into the oral cavity, a new set of factors influence tooth position. As the teeth come into function, genetic and environment determine tooth position.

In real life, however, girls shed deciduous teeth and receive their permanent teeth slightly earlier than boys, possibly reflecting the earlier physical maturation achieved by girls. Teeth are slightly larger in boys that in girls

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