NEET MDS Lessons
Dental Anatomy
FORMATION OF THE ROOT AND ITS ROLE IN ERUPTION
- As dentin and enamel is deposited the shape of the future crown appears.
- The cells just superficial to the horizontal diaphragm start to proliferate and grow pushing the horizontal diaphragm down into the mesenchym.
- This forms a tube.
- This tube is the epithelial root sheath of Hertwig's.
- The mesenchym cells lying inside the tube nearest to the epithelial root sheath are induced to differentiate into odontoblasts, which then start to deposit dentin.
- After the first dentin of the root has been laid down the inner epithelial cells of the sheath start to deposit an enameloid substance called intermediate cementum.
- The root sheath cells then separate from the intermediate cementum and breaks up in a network of epithelial strands.
- The mesenchym on the outside comes into contact with the intermediate cementum and differentiate into
cementoblasts, which will deposit the cementum.
- This cementum traps the collagenic fibres, of the periodontal ligament, which are also formed.
- Epithelium of the root sheath persists as epithelial rests of Malassez. Because the epithelium of the root sheath forms from enamel epithelium it can develop into ameloblasts which will deposit enamel pearls.
- There is little space for the root to develop.
- To create space the crown is pushed out.
Interarch relationship can be viewed from a stationary (fixed) and a dynamic (movable ) perspective
1.Stationary Relationship
a) .Centric Relation is the most superior relationship of the condyle of the mandible to the articular fossa of the temporal bone as determined by the bones ligaments. and muscles of the temporomandibular joint; in an ideal dentition it is the same as centric occlusion
Centric occlusion is habitual occlusion where maximum intercuspation occurs
The characteristics of centric occlusion are
(1) Overjet: or that characteristic of maxillary teeth to overlap the mandibular teeth in a horizontal direction by 1 to 2 mm the maxilla arch is slightly larger; functions to protect the narrow edge of the incisors and provide for an intercusping relation of posterior teeth
(2) Overbite or that characteristic of maxillary anterior teeth to overlap the mandibular anterior teeth in a vertical direction by a third of the lower crown height facilitates scissor like function of incisors
(3) Intercuspation. or that characteristic of posterior teeth to intermesh in a faciolingual direction The mandibular facial and maxillary lingual cusp are centric cusps yhat contact interocclusally in the opposing arch
(4) Interdigitation, or that characteristic_of that tooth to articulate with two opposing teeth (except for the mandibular central incisors and the maxillary last molars); a mandibular tooth occludes with the same tooth in the upper arch and the one mesial to it; a maxillary tooth occludes with the same tooth in the mandibular arch and the one distal to it.
2. Dynamic interarch relationshjps are result of functional mandibular movements that start and end with centric occlusion during mastication
a. Mandibular movements are
(1) Depression (opening)
(2) Elevation (closing)
(3) Protrusion (thrust forward)
(4) Retrusion (bring back)
(5) Lateral movements right and left; one side is always the working side and one the balancing or nonworking side
b. Mandibular movements from centric occlusion are guided by the maxillary teeth
(1) Protrusion is guided by the incisors called incisal guidence
(2) Lateral movments are guided by the Canines on the working side in young, unworn dentitions (cuspid rise or cuspid protected occlusion); guided by incisors and posterior teeth in older worn. dentition (incisal/group guidance)
c. As mandibular movements commence from centric occlusion, posterior teeth should disengage in protrusion the posterior teeth on the balancing side should disengage in lateral movement
d. If tooth contact occurs where teeth should be disengaged, occlusal interference or premature contacts exist.
Dental Terminology.
Cusp: a point or peak on the occlusal surface of molar and premolar teeth and on the incisal edges of canines.
Contact: a point or area where one tooth is in contact (touching) another tooth
Cingulum: a bulge or elevation on the lingual surface of incisors or canines. It makes up the bulk of the cervical third of the lingual surface. Its convexity mesiodistally resembles a girdle encircling the lingual surface at the cervical.
Fissure: A linear fault that sometimes occurs in a developmental groove by incomplete or imperfect joining of the lobes. A pit is usually found at the end of a developmental groove or a place where two fissures intersect.
Lobe: one of the primary centers of formation in the development of the crown of the tooth.
Mamelon: A lobe seen on anterior teeth; any one of three rounded protuberances seen on the unworn surfaces of freshly erupted anterior teeth.
Ridge: Any linear elevation on the surface of a tooth. It is named according to its location or form. Examples are buccal ridges, incisal ridges, marginal ridges, and so on.
Marginal ridges are those rounded borders of enamel which form the margins of the surfaces of premolars and molars, mesially and distally, and the mesial and distal margins of the incisors and canines lingually.
Triangular ridges are those ridges which descend from the tips of the cusps of molars and premolars toward the central part of the occlusal surface. Transverse ridges are created when a buccal and lingual triangular ridge join.
Oblique ridges are seen on maxillary molars and are a companion to the distal oblique groove.
Cervical ridges are the height of contour at the gingival, on certain deciduous and permanent teeth.
Fossa: An irregular, rounded depression or concavity found on the surface of a tooth. A lingual fossa is found on the lingual surface of incisors. A central fossa is found on the occlusal surface of a molar. They are formed by the converging of ridges terminating at a central point in the bottom of a depression where there is a junction of grooves
Pit: A small pinpoint depression located at the junction of developmental grooves or at the terminals of these groops. A central pit is found in the central fossa on the occlusal surfaces of molars where developmental grooves join. A pit is often the site of the onset of Dental caries
Developmental groove: A sharply defined, narrow and linear depression formed during tooth development and usually separating lobes or major portions of a tooth.
A supplemental groove is also a shallow linear depression but it is usually less distinct and is more variable than a developmental groove and does not mark the junction of primary parts of a tooth.
Buccal and lingual grooves are developmental grooves found on the buccal and lingual surfaces of posterior teeth.
Tubercle: A small elevation produced by an extra formation of enamel. These occur on the marginal ridges of posterior teeth or on the cingulum of anterior teeth. These are deviations from the typical form.
Interproximal space: The triangular space between the adjacent teeth cervical to the contact point. The base of the triangle is the alveolar bone; the sides are the proximal surfaces of the adjacent teeth.
Sulcus:-An elongated valley or depression in the surface of a tooth formed by the inclines of adjacent cusp or ridges.
Embrasures: When two teeth in the same arch are in contact, their curvatures adjacent to the contact areas form spillway spaces called embrasures. There are three embrasures:
(1) Facial (buccal or labial)
(2) Occlusal or incisal
(3) Lingual
(NOTE: there are three embrasures; the fourth potential space is the interproximal space ).
Types of dentitions:
1. Diphyodont. Teeth develop and erupt into their jaws in two generations of teeth. The term literally means two generations of teeth.
2. Monophyodont. a single generation of teeth.
3. Polyphyodont. Teeth develop a lifetime of generations of successional teeth
4. Homodont. all of the teeth in the jaw are alike. They differ from each other only in size.
5. Heterodont. There is distinctive classes of teeth that are regionally specialized.
Maxillary Third Permanent Molar
They are the teeth most often congenitally missing
Facial: The crown is usually shorter in both axial and mesiodistal dimensions. Two buccal roots are present, but in most cases they are fused. The mesial buccal cusp is larger than the distal buccal cusp.
Lingual: In most thirds, there is just one large lingual cusp. In some cases there is a poorly developed distolingual cusp and a lingual groove. The lingual root is often fused to the to buccal cusps.
Proximal: The outline of the crown is rounded; it is often described as bulbous in dental literature. Technically, the mesial surface is the only 'proximal' surface. The distal surface does not contact another tooth.
Occlusal: The crown of this tooth is the smallest of the maxillary molars. The outline of the occlusal surface can be described as heart-shaped. The mesial lingual cusp is the largest, the mesial buccal is second in size, and the distal buccal cusp is the smallest.
Root Surface:-The root may have from one to as many as eight divisions. These divisions are usually fused and very often curved distally.
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.
The periodontium, which is the supporting structure of a tooth, consists of the cementum, periodontal ligaments, gingiva, and alveolar bone. Cementum is the only one of these that is a part of a tooth. Alveolar bone surrounds the roots of teeth to provide support and creates what is commonly called a "socket". Periodontal ligaments connect the alveolar bone to the cementum, and the gingiva is the surrounding tissue visible in the mouth.
Periodontal ligaments
Histology of the Periodontal Ligament (PDL)
Embryogenesis of the periodontal ligament
The PDL forms from the dental follicle shortly after root development begins
The periodontal ligament is characterized by connective tissue. The thinnest portion is at the middle third of the root. Its width decreases with age. It is a tissue with a high turnover rate.