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NEET MDS Lessons
Dental Anatomy

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.

(b) Canines may also be used to confirm the molar relationships to classify occlusion when molars are missing; a class I canine relationship shows the cusp tip of the maxillary canine facial to the mesiobuccal cusp of the first permanent molar

c) Second primary molars are used to classify the occlusion in a primary dentition

(d) In a mixed  dentition the first permanent molars will erupt into a normal occlusion if there is a terminal step between the distal  surfaces of maxillarv and mandibular second primary molars; if these surfaces are flush, a terminal plane exists and the first permanent molars will first erupt into an end-to-end relationship until there is a shifting of space or exfoliation of the second primary molar

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.

Clinical importance of cementum

1) Deposition of cementum continues throughout life.
The effects of the continuous deposition of cementum are the maintenance of total length of the tooth (good) and constriction of the apical foramen (bad).
2) With age, the smooth surface of cementum becomes more irregular due to calcification of some ligament fiber bundles. This is referred to as spikes.

Behavior of cementum in pathologic conditions

Mixed Dentition Period.

-Begins with the eruption of the first permanent molars distal to the second deciduous molars. These are the first teeth to emerge and they initially articulate in an 'end-on' (one on top of the other) relationship.

-On occasion, the permanent incisors spread out due to spacing. In the older literature, is called by the 'ugly duckling stage.' With the eruption of the permanent canines, the spaces often will close.

-Between ages 6 and 7 years of age there are:

20 deciduous teeth

4 first permanent molars

28 permanent tooth buds in various states of development

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.

SURFACES OF THE TEETH

Facial, Mesial, Distal, Lingual, and Incisal Surfaces

  • The facial is the surface of a tooth that "faces" toward the lips or cheeks. When there is a requirement to be more specific, terms like labial and buccal are used. The labial is the surface of an anterior tooth that faces toward the lips. The buccal is the surface of a posterior tooth that faces toward the cheek.
  • The mesial is the proximal surface closest to the midline of the arch. The distal is the opposite of mesial. The distal is the proximal surface oriented away from the midline of the arch.
  • The lingual is the surface of an anterior or posterior tooth that faces toward the tongue. Incisal edges are narrow cutting edges found only in the anterior teeth (incisors). Incisors have one incisal edge
  • Proximal Surfaces

A tooth has two proximal surfaces, one that is oriented toward the midline of the dental arch (mesial) and another that is oriented away from the midline of the arch (distal).

TYPES OF TEETH

The human permanent dentition is divided into four classes of teeth based on appearance and function or position.

Incisors, Canines, Premolars & Molars

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