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Dentition
Natural teeth in the jaws
Two dentitions
Primary dentition and permanent dentition
Three dentition periods
Primary, mixed, permanent
Permanent dentition
Second dentition to develop
Permanent teeth
8 incisors, 4 canines, 8 premolars, 12 molars = 32 teeth
Primary teeth
8 incisors, 4 canines, 8 molars = 20 teeth
Dentition period
Information
Primary
First dentition period
Primary age
Approximately 6 months–6 years
Primary begins
Eruption of the primary mandibular central incisors
Primary teeth present
Only primary teeth are present
Primary full eruption
Completed at approximately 30 months, usually when primary second molars are in occlusion
Mixed
Follows primary dentition
Mixed age
Approximately 6–12 years
Mixed teeth
Both primary and permanent teeth are present
Mixed changes
Shedding of primary teeth and eruption of permanent teeth begin after their crowns are completed
Alveolus
Bone of the tooth socket
Alveoli
Plural of alveolus
Alveolar process
Tooth-bearing part of each jaw
Dental arch
Each alveolar process; either maxillary arch or mandibular arch
Maxillary teeth
Teeth in the maxilla
Mandibular teeth
Teeth in the mandible
Occlusion
Method by which mandibular teeth contact maxillary teeth
Midline
Imaginary vertical plane dividing the arch into two equal halves: right and left
Anterior teeth
Incisors and canines because they are closer to the midline
Posterior teeth
Molars and premolars, if present, because they are farther from the midline
Quadrant
Each dental arch can be divided into two; four quadrants in the entire oral cavity
D
Dentition
A
Arch
Q
Quadrant
T
Tooth type
Category
Choices
Dentition
Permanent or primary
Arch
Maxillary or mandibular
Quadrant
Right or left
Tooth
Central incisor, lateral incisor, canine, first premolar, second premolar, first molar, second molar, third molar
Sextant
Location
Right posterior sextant
Right posterior portion of the dental arch
Anterior sextant
Anterior portion of the dental arch
Left posterior sextant
Left posterior portion of the dental arch
Tooth
Consists of a crown and one or more roots
Crown
Dentin covered by enamel
Root
Dentin covered by cementum
Pulp cavity
Inner space of the tooth
Pulp chamber
Part of pulp cavity
Pulp canal(s)
Part of pulp cavity
Apical foramen/foramina
Opening(s) associated with pulp canal(s)
Pulp horn(s)
May be present in pulp cavity
Anatomic crown
Part covered by enamel
Anatomic crown over time
Remains mostly constant except for attrition and other physical wear
Clinical crown
Part of the anatomic crown that is visible and not covered by gingiva
Clinical crown height
Determined by location of marginal gingiva
Clinical crown change
Can change over time, especially with gingival recession
Anatomic root
Part of the root covered by cementum
Clinical root
Part of the anatomic root that is visible
Clinical root change
Subject to variability over time, related to gingival recession
Facial
Tooth surface closest to the surface of the face
Labial
Facial surface closest to the lips
Buccal
Facial surface closest to the inner cheek
Lingual
Tooth surface closest to the tongue
Palatal
Lingual surface closest to the palate on the maxillary arch
Masticatory
Chewing surface on the most superior surface of the crown
Incisal
Masticatory surface for anterior teeth
Occlusal
Masticatory surface for posterior teeth
Cusp
Major elevation on the masticatory surfaces of canines and posterior teeth
Mesial
Surface closest to the midline
Distal
Surface farthest from the midline
Proximal
Mesial and distal surfaces together
Interproximal space
Area between adjacent tooth surfaces
Contact area/contact
Area where crowns of adjacent teeth physically touch on each proximal surface
Line angle
Junction of two crown surfaces; named by combining the names of those surfaces
Point angle
Junction of three crown surfaces; named from those three surfaces
Thirds
Crown surface can be divided horizontally and vertically into three parts/thirds
Angles
Help define the front/face of a tooth
Height of contour
Helps define the front/face of a tooth
Spaces
Help define the front/face of a tooth
Smile design
These features are noted when considering a patient's smile
Changing placement/shape
Changes the face of a tooth, perceived size, and appearance of the smile
Ideal mesial appearance
Mesial part of the face/silhouette is more angled vertically than the distal part
Premolars
Found only in permanent dentition; assist canines in piercing/tearing because of prominent cusps; assist molars in grinding because of wide occlusal surface
Molars
Largest and strongest crowns; function in grinding; wide occlusal surface with prominent cusps
Variation
Variation within a particular tooth type is expected and clinically important
Tooth form/function can be lost from
Attrition, caries, trauma, extraction, shedding
Restorative replacement
Artificial crowns, replacement bridges, partial or complete fixed or removable dentures, implants
Code
Two-digit code
First digit
Quadrant
Second digit
Tooth position in quadrant
Permanent quadrants
1–4 clockwise
Primary quadrants
5–8 clockwise
Permanent tooth position
1–8 starting at midline and numbering distally
Primary tooth position
1–5 starting at midline and numbering distally
Permanent maxillary right central incisor
11
Other name
Military tooth numbering system
How it works
Right-angle symbol indicates the quadrant and arch
Tooth number
Placed inside the right-angle symbol
Permanent anterior teeth
Incisors and canines
Succedaneous
Each permanent anterior tooth replaces the primary tooth of the same type
Developmental lobes
Four developmental lobes
Labial lobes
Three
Lingual lobes
One