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FORMATION OF THE DENTITIONS - Ends when all the deciduous

teeth have been shed.


 Dental Anatomy: the study of the  Permanent dentition begins with
development, morphology,
the emergence of the first
function, and identity of each of permanent molars, shedding of
the teeth in the human the deciduous incisors, and
dentitions, as well as the way in emergence of the permanent
which the teeth relate in shape, incisors.
form, structure, color, and  After the shedding of the
function to the other teeth in the
deciduous canines and molars,
same dental arch and to the emergence of the permanent
teeth in the opposing arch.
canines and premolars, and
 Primary or deciduous dentition: emergence of the second
- The first set of teeth to be
permanent molars, the
seen in the mouth permanent dentition is
- begins to form prenatally completed (including the roots)
at about 14 weeks in utero and is
at about 14 to 15 years of age
completed postnatally at about  Except for the third molars, which
3 years of age are completed at 18 to 25 years
 The first teeth in this of age
(primary) dentition begin to
 In effect, the duration of the
appear in the oral cavity at the permanent dentition period is 12+
mean age of 6 years. The completed
 The last emerge at a mean age  Permanent dentition consists of
of 28 ± 4 months.
32 teeth
 Succedaneous or Permanent
teeth: NOMENCLATURE
-the deciduous dentition
remains intact until the child is  Mandibular: refers to the lower
about 6 years of age jaw, or mandible.
- At about the time this  Maxillary refers to the upper jaw,
dentition will emerge or maxilla
 Transition or mixed dentition  The term primary can mean:
period: -“constituting or belonging
- The emergence of these to the first stage in any process”
permanent teeth begins this - can indicate a first
dentition
period the in which there is a
mixture of deciduous and  The term deciduous can mean:
-“not permanent,
succedaneous teeth present.
- The transition period lasts from transitory”
about 6 to 12 years of age
- can indicate that the first with the right second molar, letters A
dentition is not permanent, but through J, and for the mandibular
not unimportant teeth, letters K through T, beginning
 Milk tooth: one of the temporary with the left mandibular second
teeth of a mammal that are molar.
replaced by permanent teeth.
Also called baby tooth
 The term succedaneous can be
used to describe a successor
dentition and does not suggest
permanence.
 In 1861, Symbolic system for the
 The term permanent suggests a
permanent dentition was
permanent dentition, which may
introduced by Adolph Zsigmondy
not be the case due to dental
of Vienna
caries, periodontal diseases, and
 1874, he then modified for the
trauma.
primary dentition
FORMULAE FOR MAMMALIAN TEETH  Palmer also published the
symbolic system in 1870.

Zsigmondy/ (mostly on Palmer)


notation system:

TOOTH NUMBERING SYSTEMS

 In 1947 a committee of the


American Dental Association
(ADA) recommended the  Universal notation system for the
symbolic (Zsigmondy/Palmer) permanent dentition, the
system as the numbering method maxillary teeth are numbered
of choice. from 1 through 16, beginning with
 In 1968 the ADA officially the right third molar.
recommended the “universal”
The following universal notation
numbering system.
designates the entire permanent
Universal system of notation for the dentition:
primary dentition uses uppercase
letters for each of the primary teeth:
For the maxillary teeth, beginning
 The Zsigmondy/Palmer notation
for the permanent dentition is a
four-quadrant symbolic system in
which, beginning with the central
incisors, the teeth, are numbered
1 through 8 (or more) in each
arch.

The Palmer notation for the entire


permanent dentition is as follows:

THE CROWN AND ROOT

 In 1891, Viktor Haderup of  The crown is covered with


Denmark devised a variant of the enamel
eight-tooth quadrant system in  The root portion is covered with
which plus (+) and minus (−) were cementum
used to differentiate between  cementoenamel junction (CEJ):
upper and lower quadrants and where the crown and root join at.
between right and left quadrants Also called cervical line.
 The main bulk of the tooth is
Ex. +1 indicates the upper left central
composed of dentin
incisor and 1− indicates the lower
 Pulp chamber (in the crown
right central incisor. Primary teeth
portion) and a pulp canal (in the
were numbered as follows: upper
root protion), normally contain
right, 05+ to 01+
the pulp tissue
 Two-digit system:  Pulp cavity: The spaces are
- proposed by Fédération continuous with each other and
Dentaire Internationale (FDI) for are spoken of collectively
both the primary and permanent
The four tooth tissues
dentitions
- adopted by the World Hard tissues (except pulp)
Health Organization and other 1. enamel
organizations such as the 2. cementum
International Association for 3. dentin
Dental Research 4. pulp (soft tissue)
 Pulp tissue: furnishes the blood
The FDI system of tooth notation is as
and nerve supply to the tooth
follows:
 Alveolar process : that portion of
the jaw serving as support for the
tooth
 Alveolus: The bone of the tooth  central and lateral incisors and
socket canines as a group are called
 Gingiva or gingival tissue, or anterior teeth
“gums.”: soft tissue of the mouth  Premolars and molars as a group,
partly covers the cervical third in posterior teeth.
young adults

SURFACES AND RIDGES

 labial surfaces: the surfaces


toward the lips (canine and
incisors)
 buccal surfaces: those facing the
cheek (premolars and molars)
 facial surfaces: When labial and
buccal surfaces are spoken of
collectively
 lingual surfaces: all surfaces
facing toward the tongue
 occlusal surfaces: The surfaces of
the premolars and molars that
come in contact (occlusion) with
those in the opposite jaw during
the act of closure
 incisal surfaces with respect to
incisors and canines
 proximal or proximate surfaces:
The surfaces of the teeth facing
toward adjoining teeth in the
same dental arch
o mesial surfaces: Those
proximal surfaces that,
following the curve of the
arch, are faced toward
the median line
o distal surfaces: distant
from the median line
 contact area: The area of the
mesial or distal surface of a tooth
that touches its neighbour in the
arch

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