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Buccal aspect:
-It’s smaller than 1st M ,but larger than the 3rd M in all
dimensions, so as we go posteriorly The size of the tooth gets
smaller (type trait) & it is human trait as well as others like
Gorilla’s as go posteriorly ,the size gets bigger.
Roots:
-There are 2 roots & much closer to each other & distally inclined,
this is (type trait) as mandibular 1st M roots are farther apart &
not that distally inclined
Lingual aspect:
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-Why we can’t see proximal surfaces?
Mesial aspect:
Distal aspect:
Occlusal aspect:
-It is rectangular tooth & all angles are nearly Right angles (of
course they are slightly rounded) we have 4 cusps of equal size;
the shape is rectangle not trapezoidal like mandibular 1st PM & 1st
M.
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-maximum BL dimension is just M to B groove this means slightly M
half of the crown is wider BL than D half of the crown & this is not
a feature in mandibular 1st M as in it maximum BL dimension is just
D to MB groove.
-M cusp are wider MD than D cusps slightly this means that B & L
grooves are not 100% located in mid portion of crown MD & this
makes M part of the tooth slightly bigger than D part
-cross (+) groove pattern: this is the only tooth with this feature,
this is the simplest tooth with cross groove pattern (we have B
groove, L groove, M groove & D groove), M & D grooves called
"central groove"
Pulp:
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-good possibility to have 2 canals in M root & small possibility to
have 1, but all the time we find 1 canal in D root.
Buccal aspect:
Lingual aspect:
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Mesial aspect:
-B&L profile are highly convex & this makes distance between
apices of M cusps (MB & ML) shorter, so occlusal table is very
small in this tooth & constricted compared with mandibular 1st M.
Distal aspect:
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mesial distal
Occlusal aspect:
-ovoid in shape & as u see all angles are rounded & the crown is
very constricted so occlusal surface is small & constricted.
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-irregular pit & groove pattern with short grooves (many
supplemental grooves).
-it is the most variable among teeth in morphology but maxillary 3rd
M shares some features with it.
**Now I want from u to compare this with max 3rd M & here are its
features
**In the exam most of student’s mistakes when Dr. Asks them is
this a mandibular or max 3rd M, u can look at the crown
- If u see a crown with acute & obtuse angles with an oblique ridge
it is max 3rd M.
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These tables present the type trait between mandibular 1st, 2nd, & 3rd
molar with difference in diameter.
Now we will start the anatomy of deciduous teeth & we will continue
this topic in another hall,
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First of all, this is a picture for Melbon where dr. took his master
degree. Dr. said: it looks like Irbid, isn’t it?? But we don’t have balloons
in Jordan.
Set trait:
1-size: smaller than permanent as teeth don’t grow we need a second set
of dentition, so if the tooth is very small, it is a deciduous one. But if it
is big, it is a permanent one.
In deciduous more slender and relatively longer more bowed and flared
outward, why these need to be bowed and flared? Because we need
room for the crown of the successor premolars.
To distinguish it, sorry for this example; deciduous look like females as
it has a west but permanent it looks like males. Sorry for this but it is
the easiest.
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In permanent root trunk occupy 1/3 of the root but in deciduous it
occupies just a very very short distance.
Student who make fillings for children they enter the pulp as they
forget that they should dig 1-2 mm without reaching the pulp but in
permanent as it is the normal distance between external surface of
tooth and the beginning of the pulp but in permanent 3-4 mm and in
older people 5 mm (as they have second dentine), but students forget
this fact.
Some class, arch and type traits in permanent dentition are applied to
deciduous dentition; only new traits will be discussed.
All arch traits that dr. will not mention in this lecture are the same
arch traits that are applied to deciduous teeth.
This will not be mentioned just the new features will be mentioned by
the dr.
Deciduous incisors:
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We don’t have mamelons or labial grooves or lobes in deciduous teeth.
The day before the lecture the dr. went to Karak for his searches with
another dr.
This dr. asked Dr. Ashraf about a child tooth: is this tooth deciduous or
permanent?? As it was a big incisor and he can’t determine is it
deciduous or permanent.
Dr. said no. So Dr. Ashraf told him that it is a deciduous tooth because
a newly erupted incisor should have mamelons but incisor without
mamelons in children which is usually small in size is a deciduous incisor.
Permanent deciduous
The only incisor with MD width is greater than crown height; it is the
only incisor (including deciduous & permanent) with a width greater than
the height of the crown.
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M & D profiles are overhanging (located outside the root outline) but in
permanent teeth D & M profiles are continuous with the root profile.
Sometime this extension may reach the incisal edge dividing the labial
aspect into 2 portions; ML & DL fossa so in this case we call it lingual
ridge (impossible to find it in permanent central incisor).
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Conical root with rounded apex and incisal surface is diamond in shape.
All the time look at the constriction, if the cervix is constricted this
tooth is deciduous but if the cervix is not constricted, this tooth is
permanent but of course we look at the size of the tooth.
Smaller than deciduous central incisor, M & B profiles are more in line
with root profile not overhanging.
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Prominent cingulum with lingual margin extending incisally but in
mandibular permanent central incisor the cingulum was not prominent
like this. So in deciduous mandibular central incisor the cingulum is more
prominent and the marginal ridges are more prominent too.
The mandibular central incisor the labial surface is flat MD, not
constricted and not convex & cervical line is similar to that of maxillary
incisor.
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Now how we distinguish between mandibular deciduous and permanent
incisor?
Incisal edge slopes distally, this makes the MI angle, more acute or
more 90 degree than the DI as DI the shoulder is lower & the angle is
more rounded.
LL > MD dimensions.
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central lateral
Look at the tooth from incisal view; if you see incisal edge is
perpendicular to BL line, it is a central.
EnD Of LeCtuRe
Forgive us for any mistake, we wish u best of luck
in your final exams & don’t forget we are dentists
of the future
Please ma t5arb60 been el mesial and the molar
both e5tesaron M
We indicate this job to:
Abeer al-hamarneh (my sweet bob corn),
Haneen aqle (elnoom sol6aan, our DJ),
Haneen mohsen (fedeetk, arf3lik el8ob3h oo
an7nilk e7tram^_*),
Sara al-7ffar ( lek yaaaaaaaaaa salam),
Ethar Salameh (nutella),
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Sanaa Maali (7beeet),
Rowyda al-m2ani (CNN eldof3a),
Hanan al-kateeb (NASCAFE..97 97)
WDeena (sho mshan, wa5 mneek ya happy girl)
Wbsara7a big thanks lyali wafarlna mo7adaret
2007 thanks dr.
W6b3an ma bnnsa our football team
DONE BY:
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