TOOTH TERMINOLOGY

 

TOOTH TERMINOLOGY

v  Clinical crown

Ø  Part that is visible in oral cavity – occlusal to the gingival margins

v  Anatomic crown

Ø  Part that is covered by enamel – coronal to the cervical line

§  A V-shaped incipient enamel extension coronoradicularly on a crown may be found in bifurcated areas of any multirooted teeth and commonly on Eskimo teeth

Ø  May be smaller or larger than clinical crown

§  Larger than clinical crown in gingivitis

§  Smaller (shorter) than clinical crown in gingival recession

v  Occlusal surface

Ø  Chewing surface of posterior teeth

v  Incisal edge

Ø  Cutting of anterior

v  Point Angles (4)

Ø  3  come together

v  Line Angles

Ø  Anterior (6)

§  Not mesioincisal or distoincisal (because they are rounded)

Ø  Posterior (8)

v  Ridge

Ø  Any linear elevation on the surface of a tooth

§  Oblique – Mx M1s (& primary Mx M2s)examples of tth with oblique ridges.

§  Labial – Canines – only…this is called Buccal ridge on PMs.

§  Buccal – PMs

§  Cervical – Primary teeth

§  Marginal – All teeth

·         The ridge that extends from the distoincisal angle to the cingulum is the distal marginal ridge

§  Triangular – Posterior teeth

§  Transverse – Union of a L triangular ridge of a B cusp & a B triangular ridge of a L cusp

v  Marginal ridges

Ø  Marginal ridges on adjacent teeth are usually at the same height

§  Occlusocervically, the height of the mesial marginal ridge of a perm Mn M1 is the same as the height of the distal marginal ridge of a Mn PM2

§  NOT at the same height on the Distal of Mn PM1 and Mesial of Mx PM2

Ø  When restoring the marginal ridges of posterior teeth, their shape should be

§  Rounded to help form occlusal embrasures and improve food flow (decreases food impaction)

§  Wide enough for strength and to provide an occlusal platform when there are opposing cusps

Ø  The following marginal ridges have little or no contact in centric & eccentric relationships:

§  Mesial of Mx canine(I think Distal of Mx Canine is not getting a contact from the Mn PM1)

§  Mesial of Mn PM1

§  Distal of Mn PM2?????

v  Developmental grooves (Primary)

Ø  Sharply defined, shallow, linear depressions

Ø  Separate lobes or cusps

Ø  Buccal/lingual grooves

Ø  Separate cusp ridges from marginal ridgessee Brand book, p.174, for an illustration

Ø  Pits are at the junction

v  Supplemental grooves (Secondary)

Ø  Small, less distinct, irregularly placed grooves

Ø  Do not demarcate major divisional parts of a tooth

§  The groove that extends from the mesial pit of Mx PMs towards the the MB line angle is the MB secondary groove

v  Cusp

Ø  Elevation of mound of enamel

v  Mamelons (Sean – thanks a lot)

Ø  Small, rounded projections on incisors

Ø  Indicative of malocclusion in teenagers & adults

Ø  Anterior open bite is likely in a 10-year-old pt

Ø  Usually 3 mamelons

Ø  Not found on primary teeth

v  Tubercle

Ø  Extra formation of enamel

Ø  Cusp of Carabelli (it is NOT formed by a lobe, but it is a tubercle)

Ø  What is the thing called between 2 cusp ridges on a cusp?? à Tubercle?  Only answer making any sense

v  Cingulum

Ø  Bulbous elevation of enamel, from a lingual lobe on anterior

Ø  12 cingula in a complete dentition – 1 for each anterior tooth.

Ø  Lingual cusp of Mn PM1 similar to growth of Cingulum of a canineà both done by lobes

v  Sulcus

Ø  Long depression or a V-shaped valley on occlusal surface of a posterior tooth between ridges and cusps

v  Fossa

Ø  Irregular depression or concavity

§  Lingual

§  Central

§  Triangular

v  Pits

Ø  Jxn of developmental grooves

v  Fissure

Ø  Narrow channel or crevice

Ø  Sometimes deep

Ø  Depth of developmental groove

v  Embrasures (4 per contact)

Ø  Generally speaking:

§  Contacting surfaces have Bigger embrasure

·         Mx ant – L > F

·         Mn ant – F > L – the oddball

§  Posteriors – L > F (except for between Mx M1 and M2 molars)

Ø  Where is the smallest embrasure??? à Incisal embrasure of Mn centrals, than Incisal of Mx centrals

Ø  Buccal/Facial

§  Rounding of the mesiofacial & distofacial line angles contributes to the formation of facial embrasures

§  The deflective function of mesiofacial & distofacial line angles protects the facial part of the interdental papilla

§  Is the biggest embrasure of the PM1 and the canine is on the F or L – I think????

Ø  Lingual

§  Posterior embrasures are generally larger on the L than on the F w/ the contact w/ in the facial moiety, except between Mx M1 & M2

Ø  Occlusal/Incisal

§  The widest is found between Mx canine & PM1 (1979b)

§  The largest is found between Mx lateral & canine (with Mx canine & PM1 as an option…hmm…) (1996)

Ø  Cervical

§  This is the interproximal space

§  The apex of the triangular-shaped boundary of the IP space is the contact area of the adjacent teeth

Ø  Fxns

§  Spillways

§  Self-cleansing

§  Protect

§  Stimulate tissue

Ø  The largest incisal embrasure is between Mx lateral & canine (because canine-PM1 embrasure is not an ‘incisal’ embrasure)

Ø  Posterior embrasures are generally larger on the lingual than on the facial, with the contact area within the facial moiety, EXCEPT between maxillary M1 & M2

v  Arch stability

Ø  Cusps, root forms, contact areas, & periodontal fibers all contribute to arch stability

§  NOT Embrasures

Ø  Other contributors: Facial & occlusal embrasure, and horizontal & vertical overlap

v  Lobes:

Ø  One of the primary sections of formation in the development of the crown of a tooth

Ø  Represented by a cusp in posterior and mamelons and cingula in anteriors

Ø  Separated by developmental grooves or developmental depressions in anteriors

Ø  The minimum number of lobes any tooth can develop from is 4

§  Anteriors

·         3 labial, 1 lingual

·         The perm Mx central incisor has 3 mamelons & 4 developmental lobes

§  Premolars

·         3 Buccal, 1 lingual

¨       The lingual cusp of a Mx PM1 is formed entirely by the lingual lobe

·         Except for Mand 2nd PM (3 Buccal, 2 lingual)

§  1st Molars (Mn) –

·         5 lobes (by each cusp)

§  2nd Molars (Mx M1)

·         4 lobes (cusp)

§  3rd Molars

·         At least 4 lobes (variations exist)

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