GOOD

MORNING
DIFFERENCE BETWEEN
PERMANENT AND
PRIMARY DENTITION

PRESENTED BY:
NIDHI CHAUDHARY
 CONTENTS
INTRODUCTION
TOOTH IDENTIFICATION SYSTEM
DIFFERENCE BETWEEN PRIMARY AND
PERMANENT TEETH
General differences
Morphological differences
Histological differences
Functional differences
CONCLUSION
REFERENCE
 INTRODUCTION
2 Set of Dentition

Primary Permanent
14 weeks IU-3yrs 6 yrs
onwards
 TOOTH IDENTIFICATION SYSTEM:

UNIVERSAL NUMBERING SYSTEM

e.g. A B C D E F G H I J
TSRQP ONMLK

PALMER NOTATION SYSTEM

e.g. E D C B A | A B C D E
EDCBA|ABCDE

INTERNATIONAL NUMBERING SYSTEM (FDI)

e.g. 55 54 53 52 51 61 62 63 64 65
85 84 83 82 81 71 72 73 74 75
 DIFFERENCE BETWEEN PRIMARY
AND PERMANENT DENTITION
CLASSIFICATION

1. GENERAL DIFFERENCES
2. MORPHOLOGICAL DIFFERENCES
a) Crown
b) Root
c) Pulp

3. HISTOLOGICAL DIFFERENCES
d) Enamel
e) Dentin
f) Periodontal Structure

4. FUNCTIONAL DIFFERENCES
g) In Cavity Preparation
h) Materials Used
i) Acid Etching
1.GENERAL DIFFERENCES

PRIMARY PERMANENT

NUMBER 20 32

DURATION 6months- 5 yr 6yrs onwards

Eruption
 PRIMARY PERMANENT

ROOT COMPLETION 1-1 yrs after 2-3 yrs after eruption

eruption

DEVELOPMENT From dental lamina Distal extension

COLOR Lighter Darker

 PRIMARY PERMANENT

SPACING Generalized and No space.

primate space

MAMELONS Absent Present

2.MORPHOLOGICAL
DIFFERENCES
CROWN
 DIMENSION
S

PRIMARY

PERMANEN
T
 SHAPE
OF CERVICA
CUSPID LRIDGE
S

PRIMARY

PERMANEN
T
 Convergenc
OCCLUSAL
e of Occlusal
PLANE
surface

PRIMARY

PERMANEN
T
 CONTACT SUPPLEMENTAL CINGULUM
AREA GROOVES

PRIMARY

LESS
PERMANE
NT
ROOT
 ROOT ROOT
TRUNK DIVERGENC
E

PRIMARY

PERMANE
NT
 PHYSIOLOGIC
DIMENSI RESORPTION
ON

PRIMARY

PERMANE Proximal
NT View
 APICAL
FORAMEN

PRIMARY

PERMANENT
PULP
 PULP
CHAMBE PULP
R HORN

PRIMARY

PERMANE
NT
 ACCESSORY THICKNESS OF
CANALS DENTIN

PRIMAR
Y

Thin, Tortuous And

Branching

PERMANEN
T

Less Branching
HISTOLOGIC
 Primary Permanent

Blood supply Abundant Reduced

Reparative dentin formation More Less

Nerve Innervation Less More

Infection and inflammation Localization of infection is Infection in pulp is

poorer in pulp localised.

Nerve fibers Pass odontoblastic Terminate at the

layer odontoblastic layer
HISTOLOGIC

ENAMEL
 Thickness Of Direction Of
Enamel Enamel Rods

PRIMARY

PERMANE
NT
 Primary Permanent

Neonatal line Present Only in the 1st permanent

molar.

Perikymata They are absent in the They are less in number on

occlusal parts of primary occlusal parts and more on
teeth and present in postnatal cervical parts.
cervical parts.
Mineralization Less More
 Ground section
viewed by contrast-
phase microscopy.
In a longitudinal
section of the tooth,
the striae of Retzius
are seen as a series
of dark lines
extending from the
dentinoenamel
junction toward the
tooth surface and
capping its tip.
HISTOLOGIC

DENTIN
 Primary Permanent

Thickness Thickness of dentin is half Ratio of thickness of dentin in

that of permanent teeth. primary and permanent
dentition is 1:2.
Mineralization Less mineralized More mineralized

Dentinal tubules Less regular More regular

Interglobular dentin It is absent in primary teeth Present

Density Less dense. More dense.

Dentin forming cells 360 days. 700 days.

 Dentinal tubules
Direction of dentinal tubules
Ground section of
dentin showing the
dentinal tubules in
which the
odontoblast
processes run.
HISTOLOGIC

Periodontal structures
 Primary Permanent

Thickness Cementum is very thin Secondary cementum is

and of primary type. present.
Secondary cementum is
absent
Atrophy Rare Alveolar atrophy occurs

Gingivitis Absent in healthy child. Common in adults

Recession is infrequent.
4.FUNCTIONAL
DIFFERENCES
 CAVITY PREPARATION

Class II
Cavity
Preparation
in primary
teeth
 Interproximal Wide Gingival
Box Seat
Primary Permanent

Acid Etching More time Less time

 BEVELS CAVITY
WALLS

PRIMARY

PERMANEN
T
Less More
Convergent Convergent
 Materials Used
Primary Permanent

Class I Glass ionomer cement Amalgam

Amalgam Composite resin

Composite

Class II Glass ionomer Glass ionomer

Amalgam Composite resin
Composite resin
Stainless steel crown
 CONCLUSION
Though when the child is born, there is no
presence of teeth in the oral cavity, but the
development of tooth had already initiated in
the alveolar process.

It is important to understand the normal

morphology of individual tooth and to
appreciate their role according to the
requirement, as primary teeth are smaller
than permanent teeth so that the adequate
space is available in smaller alveolar arch.
 References

Finn S; Morphology of Primary Teeth,

Clinical Pedodontics(4th edn) 45-70.

Tandon S; Morphology of Primary

Teeth, Textbook of Clinical
Pedodontics(1st edn) 274-275.
THANK
YOU