Dental Anatomy

and Masticatory Dynamics

Welcome to DAMD
Session I
(August 1, 2005)
Today

 Intro faculty
 Distribute Manual / Discuss Resources
 Intro lecture
 Mock Quiz
 Review Quiz
Faculty

 Ilze Bekeny
 Francis Curd
 T. Roma Jasinevicius
 Jay Joseph
 Louis Juliano
 Tania Markarian
DAMD Offices

 Next to DentSim Clinic

 In BLUE manual
– Telephone numbers
– E-mail numbers
 Text / Resources
 Notes
 CD
Lecture
 Welcome
CWRU-
 Day 1 of
your
professional
career
the rest of
your life!!! –
From Apprentice
George Washington’s ‘Teeth’
20th century dentures
From apprentice
to
professional
 Restorative Dentistry
on typodont
Procedures executed by
2nd year Dental Student
Start
notes Masticatory /
from here Gnathological System
 Masticatory /
Gnathological system
 Masticatory:
– Pertaining to chewing
 Gnathology
– Science that deals with
anatomy, histology,
physiology, pathology of
the jaws and masticatory
system as a whole,
including the applicable
diagnostic, therapeutic and
rehabilitative procedures Frontal view
 Sagittal view of skull:
Jaws:
Maxilla – non-movable
Mandible - movable

Temporomandibular jt
Mixed Dentition:
Primary /Deciduous and Permanent
Determination of age from teeth present
6 year molar

LI + CI
8 yr 7 yr
Permanent Teeth
Maxillary
ANTERIOR

Mandibular
ANTERIOR
Anterior Teeth
 Maxillary
– Central Incisor (2 – right and left)
– Lateral Incisor (2 – right and left)
– Canine (2 – right and left)
 Mandibular
– Central Incisor (2 – right and left)
– Lateral Incisor (2 – right and left)
– Canine (2 – right and left)
Maxillary
PreMolars

Mandibular
PreMolars
Posterior Teeth - PreMolars

 Maxillary
– 1st Premolar (2 – right and left)
– 2nd Premolar (2 – right and left)
 Mandibular
– 1st Premolar (2 – right and left)
– 2nd Premolar (2 – right and left)
Maxillary
Molars

Mandibular
Molars
Posterior Teeth - Molars
 Maxillary
– 1st Molar (2 – right and left)
– 2nd Molar (2 – right and left)
– 3rd Molar (Wisdom tooth) (2 – right and left)
 Mandibular
– 1st Molar(2 – right and left)
– 2nd Molar (2 – right and left)
– 3rd Molar (Wisdom tooth) (2 – right and left)
 Division
 Arches
– Maxillary Mandibular

 Quadrants
– Maxillary Arch Mandibular Arch
• Right quadrant Right quadrant
• Left quadrant Left quadrant

 Sextants
– Maxillary Arch Mandibular Arch
• Right posterior sextant Right posterior sextant
• Anterior sextant Anterior sextant
• Left posterior sextant Left posterior sextant
Maxillary Arch
RIGHT

LEFT

Left
 Maxillary Arch
Max Right
quadrant
Maxillary Arch
Max Left
quadrant
 Maxillary Arch
Max Right Max Left
Posterior Posterior
sextant sextant
CROWN
coronal
Cervical line

ROOT
radicular
Incisal (ant)
Occlusal (post)

CROWN
coronal
Cervical line

ROOT
radicular

APEX
apical
Right Midline Left
Right Midline Left

Mesial – towards midine

Distal
Away from midline
Right Midline Left

M
D

D
 Right 8 9 Left

UNIVERSAL 7 10
SYSTEM 6 11

5
4

3 14

2 15

1 -missing missing 16
Mandible numbering system
32 missing missing 17

31 18

30 19

29
28 20
21
27 22
26
25/24 23
Name / number the teeth
Using Universal # System
Name / number the teeth
Using Universal # System!

45 6 7 8 9 10 11
8 9
More terminology
FACIAL
View
More terminology

 Views / aspects of teeth

– Facial
– Lingual
– Mesial (a proximal surface)
– Distal ( a proximal surface)
– Occlusal (posterior) / Incisal (anterior)
 #8 midline
DISTAL
MESIAL
INCISAL
Facial
View
 Apical
Facial View

Mesial Distal

Incisal
 Apical

APICAL

MIDDLE

CERVICAL

CERVICAL

Mesial Distal
MIDDLE

INCISAL
Incisal
 Apical

Mesial Middle Distal

middle

Mesial Middle Distal

Incisal
Proximal
View
Apical

Facial Middle Lingual

Cervical

Cervical

Facial Middle Lingual

Incisal
 Proximal Facial
Trapezoid
Triangle

Incisors

PM Molars

Rhomboid
PM Molars
Facial of all teeth - trapezoidal
Break time – 10 minutes
Continue with terminology…
Contact areas
 Area on proximal surface of a tooth – either
M or D – when teeth are in good alignment
– which touches adjacent tooth
Contact areas
 Area on proximal surface of a tooth – either
M or D – when teeth are in good alignment
– which touches adjacent tooth
Variations yet
characteristics for identification
Maxillary Incisors

Purpose
Along with mandibular incisors

– Esthetics
– Phonetics - speech
– Incising / cutting
Information* and Photos with black background – Tooth
Atlas

* Information with asterisk from Tooth Atlas CD

Maxillary Central Incisor

Development*
 The initiation of calcification is between 3
and 4 months.
 The completion of enamel formation is 4 to
5 years.
 The eruption is between 7 to 8 years.
 Root development complete at 10 years.
Why DA ?
5 views of teeth
 Facial
– Labial (anterior)
– Buccal (posteriors)
 Lingual
 Mesial
 Distal
 Incisal / Occlusal
– Ant / posterior
 Maxillary Central - #8 -
Facial view
 Crown:Root - 11mm: 13 mm

 M-Inc Corner - 90 degrees

 D-Inc Corner - rounded

 M contact - Incisal
 D contact - Junction

(Incisal/Middle)

D
 Maxillary Central - #8 -
Facial view
 Size
– MD widest ANT tooth
– Inc-Cerv longest Crown

 M outline straight
 D outline sltly rounded
 Maxillary Central - #8 -
Facial view
 Size
– MD widest ANT tooth
– Inc-Cerv longest Crown

 M outline straight
 D outline sltly rounded
Maxillary Central - #8 -
Lingual view

 Marginal ridges (MR)

– MMR > DMR
– Moderately pronounced

 Cingulum
– Moderately pronounced
– D located

 Fossa
– Moderate depth
Maxillary Central - #8 -
Lingual view

 Marginal ridges (MR)

– MMR > DMR
– Moderately pronounced

 Cingulum
– Moderately pronounced
– D located

 Fossa
– Moderate depth
 Maxillary Central - #8 -
Mesial view
 Incisal Edge sltly F to .
root axis

 Facial surface flat

 CEJ (cervical line) deeper on M

 Root:
– M surface – flat w/ depression
– (D surface – convex w/ no depression)
 Maxillary Central - #8 -
Distal view

 Incisal Edge sltly F to .

root axis

 Facial surface flat

 CEJ (cervical line) deeper on M

 Root:
– M surface – flat w/ depression
– (D surface – convex w/ no
depression)
Maxillary Central - #8 -
Incisal view

 Geometric
– Triangular
– MD > FL
–
 Facial
– flat

 Cingulum
– Distal location
Maxillary Lateral Incisor
Most variable ANTERIOR tooth
 Maxillary Lateral - #7 -
Facial view

 Crown:Root - 10mm: 13 mm

 M-Inc Corner - rounded

 D-Inc Corner - v. rounded

 M contact - Junction*
 D contact - Middle

*(Incisal/Middle)
 Maxillary Lateral - #7 -
Facial view

 Crown:Root - 10mm: 13 mm

 M-Inc Corner - rounded

 D-Inc Corner - v. rounded

 M contact - Junction*
 D contact - Middle

*(Incisal/Middle)
 Maxillary Lateral - #7 -
Facial view

 Size
– MD smaller than CI
– Inc-Cerv shorter CI

 M outline rounded
 D outline v. rounded
 Maxillary Lateral - #7 -
Facial view

 Size
– MD smaller than CI
– Inc-Cerv shorter CI

 M outline rounded
 D outline v. rounded
Maxillary Lateral and Central - #7 - #8 -
Facial view
Maxillary Lateral - #7 -
Lingual view

 Marginal ridges (MR)

– MMR > DMR
– Moderately pronounced
– More than CI

 Cingulum
– More pronounced than CI
– Centered

 Fossa
– Moderate depth
– Pits / groove variation
Maxillary Lateral - #7 -
Lingual view
 Marginal ridges (MR)
– MMR > DMR
– Moderately pronounced
– More than CI

 Cingulum
– More pronounced than CI
– Centered

 Fossa
– Moderate depth
– Pits / groove variation
 Maxillary Lateral - #7 -
Mesial view

 Incisal Edge sltly F to .

root axis

 Facial surface more rnd

 CEJ (cervical line) deeper on M

 Root:
– M surface – flat w/ depression
– (D surface – flat / no depression)
 Maxillary Lateral - #7 -
Distal view

 Incisal Edge sltly F to .

root axis

 Facial surface more rnd

 CEJ (cervical line) deeper on

M

 Root:
– M surface – flat w/ depression
– (D surface – flat / no depression)
Maxillary Lateral - #7 -
Incisal view

 Geometric
– Rnded
– MD > FL
–
 Facial
– rnd

 Cingulum
– Centered
 It’s been so lovely!!!
Next session –
Quiz and bring typodonts (we will provide prep)
For LAB: bring matches (lighter) and stockings!!!!
stockings