Dental anatomy & terminology
Learning Objectives
Identify Deciduous and Permanent Teeth
- Recognize proper names, functions, and arch positions.
- Total number of teeth and arrangement per quadrant and arch.
- Differentiate between anterior and posterior teeth.
- Diagram dental structures and their relationships.
- Distinguish eruption sequence of deciduous vs. permanent teeth.Human Dentition Periods
- Define three periods and their intervals in human dentition.
- Identify surface names and thirds of tooth surfaces.
- Apply line and point angles for tooth identification.
- Summarize oral and dental anatomy landmarks.
- Explain common tooth numbering systems: Universal, Palmer notation, FDI System.Terminology Definitions
- Deciduous dentition, permanent dentition, mastication, occlusion
- Heterodont vs. homodont.
Lesson Preview
- Role of Dental Assistant
- Assist dentist during procedures.
- Chart findings during examinations.
- Learn "dental speak" for effective communication.
- Example Scenario: Interaction with a patient during an exam.
- Introduction to the dental assistant.
- Examples of dental terminology used (e.g., crown, lesion).
Introduction to Dental Anatomy
- Basic Concepts
- Teeth grow in two arches: upper (maxilla) and lower (mandible).
- Each arch bisects into left and right halves.
- Upper Arch
- Fixed position as part of the skull.
- Lower Arch
- Movable jaw enabling actions like talking, chewing, yawning. - Midsagittal Plane
- Concept of dividing the mouth into quadrants.
- Four distinct quadrants named:
- Maxillary Upper Right (UR)
- Maxillary Upper Left (UL)
- Mandibular Lower Right (LR)
- Mandibular Lower Left (LL)
Quadrants and Teeth Counts
Teeth Count in Quadrants
- Permanent Dentition: 8 teeth per quadrant (32 total).
- Primary Dentition: 5 teeth per quadrant (20 total).Mastication and Occlusion
- Importance of teeth positioning for effective biting and chewing.
- Occlusion also relates to alignment between upper and lower jaws.
- Misalignment can cause pain and trauma.
Classifications of Dentitions
Types of Dentition
- Heterodont: Different shapes and sizes (humans).
- Homodont: Same shape/size (lower vertebrates).Teeth Eruption Phases
- Deciduous Dentition: 20 primary teeth, emerge generally between birth and 2 years.
- Permanent Dentition: 32 adult teeth, emerges from approx. 6 to 18 years.Eruption Timeline of Dentition
- Deciduous Tooth Types: Only incisors, cuspids, and molars.
- Permanent Tooth Types: Incisors, cuspids, premolars, and molars.
Classifications of Teeth
- Tooth Types Based on Function
1. Incisors
- Function: Cut food.
2. Cuspids (Canines)
- Function: Tear food; act as cornerstone of dental arch.
3. Premolars
- Function: Chew food.
4. Molars
- Function: Grind food.
- Deciduous Dentition: 20 teeth, three classifications (incisors, cuspids, molars).
- Permanent Dentition: 32 teeth, all classifications present.
Dental Eruption Periods
Primary Dentition Period
- From 6 months to 6 years.
- Eruption begins with tissue disintegration.
- Shedding of primary teeth allows for permanent teeth development.Mixed Dentition Period
- Both deciduous and permanent teeth from around 6-12 years.
- Last primary tooth to fall out is maxillary cuspid.Permanent Dentition Period
- Only permanent teeth present by approx. 12 years onward.
- Succedaneous teeth replace primary teeth, except molars.
General Eruption Sequences
- Deciduous Teeth
- Erupted sequence from anterior to posterior.
- Mandibular teeth erupt before Maxillary counterparts.
- Table of eruption for each type of tooth by month (central incisor to second molar). - Permanent Teeth
- Erupted sequence generally leading with first molars (6-7 years).
- Third molars erupt later (17-21 years).
Numbering Systems for Teeth
- Purpose: Efficient identification and communication about teeth during exams.
- Common Systems:
1. Universal Numbering System: Used in the United States; digits 1-32 for permanent teeth and letters A-T for deciduous teeth.
2. Palmer Notation Method: Digits 1-8 for permanent teeth; uses quadrant indicators.
3. FDI System: Two-digit system; first digit indicates quadrant, second digit indicates tooth's position.
Anatomical Features of the Tooth
- Anatomical Crown and Clinical Crown: Definitions and differences.
- compositions:
- Enamel: Hardest material, protective covering for dentin.
- Dentin: Supports enamel; softer yet mineralized fluid with 30% organic substances.
- Cementum: Connective tissue anchoring teeth to the bone.
- Pulp: Houses nerves and blood vessels; vital for tooth vitality.
- Pulp Cavity and Canal: Differentiate between structures within the tooth.
- Clinical vs. Anatomical Perspectives: Description of clinical vs. anatomical crown and root.
Dental Nomenclature
- Teeth Classification: Anterior (incisors, cuspids) vs. Posterior (premolars, molars).
- Describing Surfaces:
- Specific terms for anterior and posterior surfaces (i.e., buccal, lingual). - Line Angles and Points: Definitions based on the intersection of tooth surfaces.
- Thirds of the Crown and Roots: Methods to identify specific tooth areas for reference.
Tooth Landmarks
- Contact Areas: Definition and significance for tooth alignment.
- Crown Features: Structures that include elevations (cusps, tubercles) and depressions (fossa, sulcus).
- Terminology for Grouping and Defining Tooth Features: Various elevations and valleys and their behavioral implications for dental care.
Conclusion: Importance of Knowledge
- Fundamentals of Dental Practice: Understanding the anatomy, nomenclature, eruption sequences, and charting improves communication and patient care.
- Practical Application: Aids in diagnosing dental issues effectively and efficiently.
- Future Practice: Continuous application and practice in every aspect of the dental field as a foundation for successful patient interactions and treatments.