Maxillary and Mandibular Anteriors
Maxillary and Mandibular Anteriors
INCISAL RIDGE
- portion of the crown which makes Contact Area:
up complete incisal portion o Mesial (MCA) – approaching
- Newly erupted incisors: incisal the mesioincisal or very near
portion is rounded and merges with mesioincisal angle
mesioincisal and distoincisal; and o Distal (DCA) – higher than
labial & lingual surfaces MCA, near the junction of the
incisal and middle third
INCISAL EDGE
- Implies an angle formed by the A. LABIAL ASPECT
merging of two flat surfaces - crown is trapezoidal
- Exits only after incisal wear created longest uneven (incisal)
a flattened surface linguoincisally, *shortest uneven (cervix)
and forms an angle with the labial *two even sides proximal
surface - Labial face is convex giving crown
a squared or rectangular
I. MAXILLARY CENTRAL - Enamel surface is relatively smooth
INCISORS
Mesial outline – only
slightly convex
Distal outline –
more convex
- Mesioincisal angle
– maybe sharp
- Distoincisal angle
– more convex
Incisal outline – usually regular & Mesial side trifle longer than
straight MD Distal
Contact Area:
o Mesial (MCA) – incisal 3rd or
near the junction of the
middle and incisal 3rd
o Distal (DCA) – junction of
middle & incisal 3rd or center of
the middle 3rd
- crown is narrower MD, about * faults of enamel is often
2mm narrower than centrals presence in the deep portions
and shorter by 2 -3mm
cervicoincisally C. MESIAL ASPECT
- root is usually as long if not - similar to centrals
longer than centrals except that crown
- root length is greater in appears shorter, root is
proportion to its crown relatively longer
length than centrals - heavy development of
- Root is often about 1 ½ the incisal ridge, thus IR
times the length of the appears thicker than
crown. central incisor
- root tapers evenly from - marked curvature of CEJ
CEJ up to two thirds of its - root appears as a
length, curves sharply in tapered cone with a
a distal direction, ends in bluntly rounded apical
a pointed apex end/ or pointed (varies)
- Root curvature distally is - root axis line bisects the incisal
typical, some are ridge of the crown.
straight, or curves
mesially
* shows considerable D. DISTAL ASPECT
variance in both crown - width of crown appears
and root thicker distally than
mesially from MR to
labial face bec. of
B. LINGUAL ASPECT placement of crown on
- well-defined lingual the root
anatomy - CEJ curves a millimeter
MMR and DMR are less than mesial
marked, - common to find a
cingulum (centered) is developmental
usually prominent with groove extending on
tendency toward deep the root for part or all
developmental grooves of its length.
within the lingual fossa
(distal side) , may E. INCISAL ASPECT
extend up to the root - resembles central / small canine
- Tubercle at the tip of the - cingulum (centered) maybe large
cingulum and incisal ridge maybe large also
- linguoincisal ridge is well- than central
developed and more concave - labiolingual >
lingual fossa (lingual pit) mesiodistal
- tooth tapers lingually - exhibits more
- Common to find deep convexity labially and
developmental grooves at lingually than maxillary
the side of cingulum distally central
, which may extend to part - common to find a fold
or all of the root length. at the cingulum
Permanent MANDIBULAR
Incisors
MANDIBULAR INCISORS
- develops from 4 lobes
- smallest MD dimension than any
teeth
- smaller in all dimension than max
incisors
- central smaller than lateral, which
is a reverse in the maxilla
- teeth have similar form and have
smooth crown surfaces
- show few traces of developmental
lines
- Mamelons on incisal ridges are
worn off soon after eruption
- Contact areas are near incisal
ridges mesially and distally; and
are nearly the same level
- Anatomical form differs entirely
from maxillar incisors
I. MANDIBULAR
CENTRAL INCISOR
Terminologies:
– Cuspids
– Fangs A. LABIAL ASPECT
– eye-tooth - crown and root narrower MD
most stable teeth (LL thickness, long roots than max central incisor
provide extra anchorage in the jaws) - crown outline is trapezoid
crowns are shaped in a manner that promotes - CEJ is convex towards the root
self-cleansing quality - Contact Area:
Self-cleansing quality and efficient anchorage Mesial – approximately
tends to preserve canines throughout life. at the junction of
When teeth are lost, canines are usually the middle & incisal 3rd
last teeth to go are very valuable teeth, when Distal – center of
considered either as units of the natural dental middle 3rd
arches or as possible assistants in stabilizing *contact areas are at
replacements of lost teeth in fabrication of different levels
prosthesis cervicoincisally
Has a cosmetic value - Mesial outline: convex from
presence bony ridge over the labial surface of cervix to the center of MCA or
the roots of canine helps form a foundation slight concavity above CA
that ensures normal facial expression at the - Distal outline: usually concave
corners of the mouth called the “canine between CEJ and DCA
eminence” - has a cusp on its incisal ridge
When lost, extremely difficult, if not - cusp tip is in line with the
impossible, to make replacements that restore center of the root (RAL)
the natural appearance of the face for any - cusp present a mesial and distal
length of time. slope (cusp ridge)
* Mesial cusp slope shorter
FUNCTIONS: than distal cusp slope
– supports the incisors and premolars *both cusp slopes shows
– Providing support to the facial muscles tendency toward concavity
– cut, pierce, or shear food (notch) before wear has taken
– are good anchor teeth (abutments) for - labial face of crown is smooth ,
a fixed dental bridge or removable presents 2 shallow depressions
partial denture attachments (clasps) mesially and distally
when other teeth have been lost. - Middle labial lobe – heavy in
development with labial ridge at
the center
- labial ridge is curved inclined
mesially at the center
- root appears slender , conical in D. DISTAL ASPECT
form with a bluntly pointed apex - same as mesial except:
- root may curve sharply at the *less curvature of CEJ
apical 3rd, curves mesially or *DMR is heavier; more irregular
distally. in outline
- labial surface of root is smooth and * distal surface exhibits more
convex at all points. concavity above DCA
- Root is usually longest of any root * more pronounced root
(maxillary) developmental depression
- Bony ridge (canine eminence) at
the center of the labial surface of the root.
E. INCISAL ASPECT
- labiolingual dimension is
B. LINGUAL ASPECT greater than the mesiodistal
- crown outline is trapezoidal - tip of cusp is
- CEJ shows a more even curvature, *labial to center of crown
maybe straight for a short interval labiolingually
- cingulum is centered, large & *mesial to the center
sometimes pointed like a small mesiodistally.
cusp - crown portion with greater
- strongly developed marginal LL bulk mesially
ridges - when cut cross-sectionally,
- well-developed lingual ridge at the crowns gives impression of
incisal 3rd of crown having all the distal portion
- mesial and distal lingual fossae stretched to contact first
- lingual portion of root narrower premolar
than labial, thus much of mesial - ridge of middle labial lobe is
and distal surface of root is very noticeable
visible - Crown broader labially,
- developmental depressions M and narrower lingually
D of roots may be seen, - Cingulum development
extending most of root length makes up the cervical 3rd, is
- lingual ridge is rather narrow, centered.
smooth and convex at all points - Line bisecting cusp and cusp
from CEJ to apical end ridges drawn mesiodistally is almost always
straight and bisects the mesial and distal contact
C. MESIAL ASPECT areas
- crown outline is triangular
- shows greater labiolingual
measurement (cervical 3rd) than
any of the anterior teeth II. MANDIBULAR CANINES
- CEJ curves approximately 2.5mm - crown is narrower MD than maxillary, longer by 0.5
- crown outline is triangular to 1.00mm in most instances
- shows greater labiolingual - Lingual surface is smoother, less cingulum
measurement (cervical 3rd) than development, less bulk marginal ridges
any of the anterior teeth - Cusp not well-developed, cusp ridges are thinner
- labial face is slightly convex from - root maybe as long, but usually shorter than max.
crest of cervical 3rd to tip of cusp canine
- lingual outline is convex line - variation: bifurcated roots (facial, lingual)
(cingulum), straight middle 3rd
and convex incisal 3rd.
- CEJ curves approximately 2.5mm
- root outline is conical, tapered or
blunt pointed apex
- root curve labially towards apex
- a line bisecting the cusp is labial
to a line bisecting the root
- mesial surface of root appears
broad with shallow developmental
depression that help to anchor
the teeth in the alveoli & help
prevent rotation &
displacement
A. LABIAL ASPECT - developmental depressions is more pronounced
- crown outline is traperzoidal and sometime quite deep than maxillary canine
- mesiodistal less than maxillary - more pointed root tip than maxillary canine
canine, but broader than
mandibular incisors D. DISTAL ASPECT
- appears longer than maxillary - same as mesial except:
because of narrowness of crown less curvature of CEJ
MD less pronounced cingulum,
- mesial outline of crown is nearly less depressions on the root surface.
straight with mesial outline of
root
- cusp ridges if not worn, cusp tip
is on line with center of root E. INCISAL ASPECT
- Mesial slope shorter. - mesiodistal less than
- higher contact areas labiolingual
- Contact Areas: - less curve mesial surface
Mesial –just below the - distolingual twist of incisal
incisal angle / near the angle ridge
Distal – near junction of - cingulum is off centered to
middle and incisal 3rd. distal
* contact areas not at same - cusp tip and MCR more likely
level to be inclined in a lingual
- CEJ semicircular apically direction, with the DCR and
- crown slight bend distally on its’ DCA extension distinctly
root base inclined lingually (max canine
- root is shorter by 1 or 2mm than more nearly straight)
maxillary, apex more sharply - Labiolingual dimension is
pointed greater mesial than distal
- root rarely curve, if so, mesial
direction
B. LINGUAL ASPECT
- crown is trapezoidal
- flatter lingual surface similar to mand incisors
- cingulum smooth, poorly
developed, off-centered to
distal
- marginal ridges are less distinct
(same as lower incisors)
- lingual ridge raised towards
cusp tip at the incisal 3rd only
- Lingual surface of crown is
smooth and regular
- root is narrower by a little more
half the width of the labial
portion
C. MESIAL ASPECT
- crown outline is triangular
- less curvature of crown labially
- less pronounced cingulum
- incisal portion is thinner
labiolingually, thus cusp
appears more pointed, cusp
ridges more slender
- tip of cusp more nearly
centered over root, in some
cases lingually same as lower
incisors
- mesial CEJ curves more toward
the incisal portion than
maxillary canine
PERMANENT PREMOLARS
- Succeed deciduous molars
- Numbers of premolars in an adult jaw? 8
- Exact location: posterior to canines and
immediately anterior to the molars
- Terminology
Premolar: named because of their location,
anterior to molars succeed deciduous molars
Bicuspids: presence of two cusps, Misleading
term for human premolars
- Functions:
together with the molars, makes them more
efficient as grinding teeth or mastication of
food and maintain the vertical dimension of the
face
first premolars, assist the canines in shearing
or cutting food
provide support at the corners of the mouth
and cheeks to keep them from sagging
I. MAXILLARY FIRST
PREMOLARS
- succedaneous teeth
- develops from 4 lobes:
3 buccal lobes
mesio buccal lobe
middle buccal lobe – BUCCAL CUSP
disto buccal lobe
1 lingual lobe – LINGUAL CUSP
- well-developed and functioning cusps
- (B cusp longer than L cusp)
- two well-developed roots (common) with two pulp
canals (birooted)
- crown is angular
- buccal line angle (MB & DB) are prominent
- crown and roots shorter than maxillary canines
- Has some characteristics common to all posterior
teeth
- PITS:
1.) Mesial Developmental Pit
E. OCCLUSAL ASPECT - Pin point depression at the
- DMR more cervically located than MMR junction of CDG, MBDG and MMDG
- occlusal outline is roughly a 2.) Distal Developmental Pit
six-sided or hexagonal figure - Pin point depression at the
- figure is not equilateral junction of CDG and DBDG.
*MB nearly equal DB
* ML shorter DL - FOSSAE:
* M shorter D 1.) Mesial Triangular Fossa
- crown is wider on the buccal -located distal to the MMR, a
than on the lingual triangular depression occlusally that
- more of the buccal surface is harbors the MBDG, terminal end of
visible than the lingual CDG, part of the MMDG and MDP.
surface. 2.) Distal Triangular Fossa
- BL dimension is much greater -located mesial to the DMR, a
than MD dimension triangular depression occlusally that
- Perimeter occlusally: harbors the DBDG, terminal end of
MB cusp ridge CDG and DPP.
DB cusp ridge
in alignment, - TRIANGULAR RIDGES:
in a DB direction 1.) Buccal Triangular Ridge
MMR at right angle - a prominent ridge arising near
with MB cr the center of CDG and converging
DMR at acute angle with the tip of the buccal cusp
with DB cr 2.) Lingual Triangular Ridge
ML cusp ridge - a less prominent ridge arising
DL cusp ridge near the center of
semicircular outline CDG and converges with the tip of
- Occlusal anatomy the lingual cusp.
GROOVES:
a.) Central Dev’tal G If a central groove is shallow, BTR
- well-defined groove at the and LTR can form TRANSVERSE RIDGE
centered, divides crown
evenly into buccal and lingual - Buccal ridge is also visible occlusally.
half - Lingual cusp is pointed more sharply than the
- located at the bottom of the buccal cusp
sulcus, extends just mesial to
the DMR to the MMR. - SUMMARY of the OCCLUSAL Anatomy:
b.) Mesial Marginal Dev’tal
G Cusps
- originated from the terminal Cusps Ridges
end of the CDG crosses the Marginal Ridges
MMR and ends at the mesial Grooves
surface of the crown. Pits
Fossae
Triangular Ridges
III. MAXILLARY SECOND D. DISTAL ASPECT
- No outstanding variation noted in the crown.
PREMOLARS - DMR is closer to the cervix.
- Supplement max first premolar in function - Rule: MMR in almost all posterior
- Closely resembles max first premolar teeth is higher (near occlusal plane)
- Less angular, giving a more rounded appearance of than DMR
crown in all aspect - Distal root depression is deeper
- Crown is noticeably smaller cervico-occlusally and than mesial
mesiodistally (max first premolar depression is
- Single root, slightly longer than first premolar on mesial)
- Clinical Significance: knowledge
of depression facilitates periodontal
instrumentation during scaling and
root planning.
E. OCCLUSAL ASPECT
- SAME AS THAT OF MAX FIRST PREMOLAR
EXCEPT:
- crown is more rounded or oval (first PM is
angular –hexagonal)
- central DG is shorter and irregular with tendency
toward multiple supplementary grooves
(WRINKLED)
A. BUCCAL ASPECT
- crown is trapezoidal - SUMMARY OF ANATOMY OF OCCLUSAL
- Buccal cusp SURFACE:
- not as long as that of first Cusps
premolar Cusps ridges
- appears less pointed Marginal Ridges
- mesial slope shorter than distal Grooves
(opposite in first premolar) Pits
- sometimes, crown and root thicker at Fossae
the cervical portions Triangular Ridges
- less prominent buccal ridge Transverse Ridge
- single root is usually as long as the
first premolar, at time longer.
B. LINGUAL ASPECT
- crown is trapezoidal
- lingual cusp longer, making crown longer on lingual
side as compare to the first premolar
C. MESIAL ASPECT
- crown outline is trapezoidal
- cusp length shorter than first PM;
both Buccal and Lingual cusps
more nearly of the same length
- there is greater distance between
cusp tip- widens occlusal table
buccolingually
- no deep developmental
depression, instead crown
surface is convex
- a shallow developmental groove
may appear on a single tapered
root
- no developmental groove crossing the MMR (if
present shallow)