NEET MDS Lessons
Dental Anatomy
Introduction. The Jaws and Dental Arches
The teeth are arranged in upper and lower arches. Those of the upper are called maxillary; those of the lower are mandibular.
- The maxilla is actually two bones forming the upper jaw; they are rigidly attached to the skull..
- The mandible is a horseshoe shaped bone which articulates with the skull by way of the temporomandibular joint the TMJ.
- The dental arches, the individual row of teeth forming a tooth row attached to their respective jaw bones have a distinctive shape known as a catenary arch.
The very first histological evidence of tooth development appear during the second month of intrauterine life. Calcification of deciduous incisors begins at 3-4 months in utero.
CONTACT POINT.:-The point on the proximal surface where two adjacent teeth actually touch each other is called a contact point.
INTERPROXIMAL SPACE.:-The interproximal space is the area between the teeth. Part of the interproximal space is occupied by the interdental papilla. The interdental papilla is a triangular fold of gingival tissue. The part of the interproximal space not occupied is called the embrasure.
EMBRASURE. :-The embrasure occupies an area bordered by interdental papilla, the proximal surfaces of the two adjacent teeth, and the contact point (fig 4-18). If there is no contact point between the teeth, then the area between them is called a diastema instead of an embrasure.
OCCLUSAL
The occlusal surface is the broad chewing surface found on posterior teeth (bicuspids and molars).
OCCLUSION.:-Occlusion is the relationship between the occlusal surfaces of maxillary and mandibular teeth when they are in contact. Many patterns of tooth contact are possible. Part of the reason for the variety is the mandibular condyle's substantial range of movement within the temporal mandibular joint.
Malocclusion occurs when any abnormality in occlusal relationships exist in the dentition. Centric occlusion, is the centered contact position of the chewing surfaces of mandibular teeth on the chewing surface (occlusal) of the maxillary teeth.
OCCLUSAL PLANE.:-Maxillary and mandibular teeth come into centric occlusion and meet along anteroposterior and lateral curves. The anteroposterior curve is called the Curve of Spee in which the mandibular arch forms a concave (a bowl-like upward curve). The lateral curve is called the Curve of Wilson . The composite (combination) of these curves form a line called the occlusal plane, and is created by the contact of the upper and lower teeth
VERTICAL AND HORIZONTAL OVERLAP. :-Vertical overlap is the extension of the maxillary teeth over the mandibular counterparts in a vertical direction when the dentition is in centric occlusion Horizontal overlap is the projection of maxillary teeth over antagonists (something that opposes another) in a horizontal direction.
KEY TO OCCLUSION.:-The occlusal surfaces of opposing teeth bear a definite relationship to each other. In normal jaw relations and when teeth are of normal size and in the correct position, the mesiofacial cusp of the maxillary first molar occludes in the facial groove of the mandibular first molar. This normal relationship of these two teeth is called the key to occlusion.
PERMANENT DENTITION
The permanent dentition consists of 32 teeth. Each tooth in the permanent dentition is described in this section. It should be remembered that teeth show considerable variation in size, shape, and other characteristics from one person to another. Certain teeth show a greater tendency than others to deviate from the normal. The descriptions that follow are of normal teeth.
MANDIBULAR CENTRAL INCISORS
These are the first permanent teeth to erupt, replacing deciduous teeth, and are the smallest teeth in either arch
Facial Surfaces:-The facial surface of the mandibular central incisor is widest at the incisal edge. Both the mesial and the distal surfaces join the incisal surface at almost a 90° angle. Although these two surfaces are nearly parallel at the incisal edge, they converge toward the cervical margin. The developmental grooves may or may not be present. When present, they appear as very faint furrows.
Lingual: The lingual surface has no definite marginal ridges. The surface is concave and the cingulum is minimal in size.
Proximal: Both mesial and distal surfaces present a triangular outline.
Incisal: The incisal edge is at right angles to a line passing labiolingually through the tooth reflecting its bilateral symmetry.
Root Surface:-The root is slender and extremely flattened on its mesial and distal surfaces.
Types of dentitions:
1. Diphyodont. Teeth develop and erupt into their jaws in two generations of teeth. The term literally means two generations of teeth.
2. Monophyodont. a single generation of teeth.
3. Polyphyodont. Teeth develop a lifetime of generations of successional teeth
4. Homodont. all of the teeth in the jaw are alike. They differ from each other only in size.
5. Heterodont. There is distinctive classes of teeth that are regionally specialized.
MANDIBULAR THIRD MOLAR
Facial: The crown is often short and has a rounded outline.
Lingual: Similarly, the crown is short and the crown is bulbous.
Proximal: Mesially and distally, this tooth resembles the first and second molars. The crown of the third molar, however, is shorter than either of the other molars
Occlusal: Four or five cusps may be present. Occlusal surface is a same as of the first or second molar, or poorly developed with many accessory grooves. The occlusal outline is often ovoid and the occlusal surface is constricted. Occasionally, the surface has so many grooves that it is described as crenulated--a condition seen in the great apes
Contact Points; The rounded mesial surface has its contact area more cervical than any other lower molar. There is no tooth distal to the third molar..
Roots:-The roots, two in number, are shorter in length and tend to be fused together. they show a distinct distal curve
SURFACES OF THE TEETH
Facial, Mesial, Distal, Lingual, and Incisal Surfaces
- The facial is the surface of a tooth that "faces" toward the lips or cheeks. When there is a requirement to be more specific, terms like labial and buccal are used. The labial is the surface of an anterior tooth that faces toward the lips. The buccal is the surface of a posterior tooth that faces toward the cheek.
- The mesial is the proximal surface closest to the midline of the arch. The distal is the opposite of mesial. The distal is the proximal surface oriented away from the midline of the arch.
- The lingual is the surface of an anterior or posterior tooth that faces toward the tongue. Incisal edges are narrow cutting edges found only in the anterior teeth (incisors). Incisors have one incisal edge
- Proximal Surfaces
A tooth has two proximal surfaces, one that is oriented toward the midline of the dental arch (mesial) and another that is oriented away from the midline of the arch (distal).