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Permanent anterior teeth

Cliff Lee

(2.3) • Calcification dates • Anteriors show first evidence of calcification before age 1 • Eruption sequence • • • • • • Mandibular centrals = 6-7 Mandibular laterals = 7-8 Maxillary centrals = 7-8 Maxillary laterals = 8-9 Mandibular canines = 9-10 Maxillary canines = 11-12 . M 3/3) • 𝟐. (P 2/2.(2.𝟏.𝟏. C 1/1.3) 𝟐.Generalities • Dental formula for anteriors: • I 2/2.

Distal-incisal angle is more “rounded” • From a facial/lingual view. anterior teeth have crown shaped like a triangle/wedge .Shapes • Mesio-incisal angle is more “square”. with the short side gingival • From proximal view. all teeth have crown shaped like a trapezoid.

Contact points Inciso-gingival contact points maxillary central maxillary lateral maxillary canine Mesial incisal jxn of incisal & mid jxn of incisal & mid Distal junction of incisal & middle middle middle mandibular central mandibular lateral mandibular canine incisal incisal incisal incisal incisal mid 1/3 All teeth have facio-lingual contact points in the middle third of the crown .

4. 2. Largest b/w maxillary canine and lateral Mandibular canine and lateral Maxillary lateral and central Maxillary centrals Mandibular lateral central Mandibular centrals . 3. 6. 5.Embrasures • Facial embrasures narrower than lingual embrasures on all teeth except maxillary first molar and between mandibular centrals (F=L) • Incisal embrasures (anteriors) 1.

Incisors • Mamelons are bumps found on incisal edges of permanent incisors • Three = mesial. and a small “middle” lobe • Usually worn away as you get older • Cingulum = lingual lobe • Centered: • Max lateral • Max canine • Mand central • Distal: • Max central • Mand lateral • Mand canine • One root. distal. typically one canal .

mesio-distally • Mandibular first molar widest overall • The only tooth with pulp wider mesio-distally than facio-lingually • The only tooth with a cross section through CEJ that appears triangular • SECOND tallest crown in the mouth • Mandibular canine #1. maxillary canine #3 .Maxillary central incisors • Widest ANTERIOR tooth.

but straight root. DMR.Maxillary central incisors • “Fan” shaped crown • Short. cingulum • Incisal view = triangle shape . blunt apex • Cingulum displaced distally • Lingual anatomy = MMR. LF.

Maxillary lateral incisors • Best developed lingual anatomy • Most likely to have dens-in-dente • Second most congenitally malformed or missing (#1 = third molars. #3 = mandibular 2nd premolar) • Peg-shaped .

DMR. cinugulum • Incisal view = oval . LF.Maxillary lateral incisors • Crown smaller than max central • Root as long or longer than max central • Lingual anatomy = MMR.

Mandibular central incisors • Smallest tooth • Narrowest tooth mesio-distally • Most symmetric tooth • “Only” mandibular anterior w/ both its mesial and distal inciso-gingival contact points at the same level • First succedaneous tooth • Smallest facial and incisal embrasure .

DMR. LF.Mandibular central incisors • Facial CEJ different level than lingual CEJ • Incisal edge is lingual to long axis of tooth • Lingual anatomy = MMR. cinuglum • 40% have two root canals • Incisal edge lingual to axis .

Mandibular lateral incisors • Incisal edge is twisted on its apex • Sloped incisal ridge • Smooth/shallow lingual anatomy • Poorly defined lingual fossa/marginal ridge • Incisal edge lingual to axis .

DMR. cingulum.Canines • No mamelons • Long crowns. MF. DF • Wider bucco-lingually than incisors . long roots • Lingual anatomy = MMR. LR.

Maxillary canines • Widest ANTERIOR tooth facio-lingually • Longest tooth inciso-apically • Has the longest root • Third longest crown (#1 = mand canine. #2 = max central) .

LR. MF. cingulum. DF • Mesial cusp slope shorter than distal • Incisal edge facial to axis . DMR.Maxillary canines • Lingual anatomy = MMR.

Mandibular canines • Longest crown (#2 = max central. #3 = max canine) • Second longest tooth (#1 = maxillary canine) • Second longest root (#1 = maxillary canine) • Anterior tooth most likely to have bifurcated root • Only tooth that has mesial inclination of root (but can also be distal) .

cingulum. LR.Mandibular canines • Lingual anatomy = MMR. DF • Incisal edge lingual/centered over axis . MF. DMR.