or baby teeth, or deciduous teeth) are teeth that appear in the mouth of a child and stay there for some years before falling and leaving their place to permanent teeth Primary teeth • Primary teeth start to calcify (Calcification is the accumulation of calcium salts in a body tissue) in the fourth month of fetal life • Emerge in children at ages of 6months to 2-2 ½ years Mixed dentition • At the age of 6 years, gradually replaced by permanent teeth • Permanent teeth begin their calcification at birth Importance of primary teeth It is important to keep sound primary teeth: Efficient mastication of food Maintenance of a proper diet Formulation of clear speech avoidance of infection and concomitant pain Importance of primary teeth Maintenance of a normal face appearance Importance of primary teeth Maintenance of space and arch continuity for the permanent teeth • The development of adequate space is a significant factor in the development of normal occlusal relation in permanent teeth • A lack of space associated with premature loss of deciduous teeth is a significant factor in development of malocclusion Differences between deciduous and permanent teeth General 1. Deciduous teeth smaller in size 2. Whiter than permanent 3. Enamel and dentin layers are thinner than permanent 3. Pulp cavities are larger 4. Primary teeth have fewer anomalies on crown Primary permanent In anterior teeth crown Larger in cervicoincisal than wider in mesiodistal MD dimesion than cervicoincisal on crown Primary permanent
Cervical constriction is Less constriction
marked Primary permanent
Cervical ridge more Cervical ridge are less
prominent prominent Differences on crown Primary permanent
Occlusal surface of molar Less convergence of buccal
is narrow buccolingualy and lingual surface toward occlusal Differences on crown Primary teeth Permanent teeth
Molar occlusal anatomy Molar occlusal anatomy
is shallow (short cusps, is shallow pronounced ridges are not pronounced and fossae are not deep) Second molars larger First molars larger than than first molars second molars on root • Roots longer and narrower in proportion to crown length and width • Roots of deciduous molars are thin and slender • Root furcations are near the crown with little or no root trunk On the root • Roots of molar widely flared/diverge beyond outline of the crown to allow room for development of permanent teeth • 2nd molar roots spreader more than 1st deciduous molar Description of each primary tooth Maxillary deciduous teeth Central and lateral teeth: • Mesiodistal width is more than labiolingual dimension • Root: crown ratio, the root length is greater in comparison with crown length than permanent • From mesial aspect the crown appear thicker because of short crown Maxillary canine • Crown is more constricted at cervix • Long well developed sharp cusp • Mesial slop is longer than distal slope (opposite for permanent max canine) • Mesial and distal contact area at the same level 2x • Root is long more than twice crown length • From mesial aspect: crown appear thicker labiolingualy Maxillary first molar • There are 4 cusps, mesiolingual cusp is the largest, then mesiobuccal, distobuccal and distolingual is the smallest • Has three roots mesiobuccal, distobuccal and lingual Maxillary 2nd molar Has 5 cusps, 4 is well developed and one supplemental • Mesiolingual is the largest • Mesiobuccal • Distobuccal • Fifth cusp (distolingual) Has 3 roots: • Mesiobuccal • Distobuccal • lingual Maxillary 1st and 2nd molars Mandibular deciduous teeth Central and lateral 2x incisors: labiolingual width appears more due to short crown (Crown is wide in proportion to its length)
Root: crown ratio is
increased (root is twice the length of crown) Mandibular canine Labiolingual dimension is less than maxillary canine Cervical ridge is less pronounced than maxillary canine Distal slope of cusp is longer than mesial slope Mandibular deciduous 1 st molar • Has 4 cusps: mesiolingual is largest, mesiobuccal, distobuccal and distolingual • Has 2 roots (mesial and distal) Mandibular deciduous 2nd molar Has 5 cusps • Mesiobuccal, mesiolingual distolingual, distobuccal and distal Has 2 roots: • mesial • distal