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Published byLesley Cobb Modified over 9 years ago
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Premolars There are four maxillary and four mandibular premolars.
4 & 4 contact 3 & 3 mesially and 5 & 5 distally 5 & 5 contact 4 &4 mesially and 6 &6 distally.
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For easy teeth description
We have to speak about : Function (grinding). Chronology. Number of lobes (four lobes 3 buccally and 1 lingually or five lobes 3 buccally and 2 lingually). Geometric outline of the crown. Outlines of the crown and root. Surface anatomy of the crown and root. Pulp cavity.
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Chronology: Enamel organ appearance. Beginning of calcification.
Crown completed. Eruption. Root completed
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Maxillary first premolar
It has 5 aspects: Buccal Lingual Mesial Distal occlusal
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Geometric outline of the crown
Facial and lingual aspects have trapezoid out line. The smallest uneven side cervically.
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Facial Outlines Mesial and distal outlines are nearly concave
Mesial and distal cusp slopes are also slightly concave D M Contact areas: Mesially at the M third while Distally it’s occlusally positioned which is an exception from other permanent posterior teeth. B cusp pointed and long Cervical line: is convex root wise.
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Outline and surface anatomy of the root
The M and D outline of the roots tapered to a pointed apex that curved distally. If two roots, the buccal root hide the lingual root as it’s shorter and narrower than the buccal root. . The surface of the root is convex and smooth
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Surface anatomy of the crown
Elevations: The surface convex with maximum convexity at C 1/3 represent………. The middle lobe is prominent buccally forming BUCCAL ridge. Depressions: Shallow depressions were present mesial and distal to the B ridge
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Lingual outline and surface anatomy of the crown
M and D outlines are convex The L cusp is shorter by 1 mm but sharper than the B cusp The D slope of L cusp is longer than M slope M D Cervical line: is convex root wise. The surface is convex with maximum convixity at the M1/3
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Outline and surface anatomy of the root
The M and D outline of the roots tapered to a pointed apex that curved distally. If two roots, the lingual root appears shorter and narrower than the buccal root. The surface of the root is convex and smooth
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Smallest uneven sides occlusaly
Geometric outline of the proximal aspect Mesial aspect Distal aspect Trapezoid in shape Smallest uneven sides occlusaly
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Outlines of proximal aspect
Mesial aspect Distal aspect Buccal outline is convex with maximum convexity at C 1/3 represent ……. Lingual outline is convex with maximum convexity at M1/3 Cervical line curves occlusally and decreased distally
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B cusp is longer than L cusp by 1mm. Wide occlusal table.
Mesial aspect Distal aspect Occlusal outline: B cusp is longer than L cusp by 1mm. Wide occlusal table. B cusp tip is below the center of B root. L cusp tip is on line with L root MMR present at the junction of O 1/3 and M 1/3, while DMR more occlusal
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Proximal surface anatomy
Mesial aspect Distal aspect Contact area: Occlusally positioned and more buccally. At the middle third (OC dimension) and slightly buccal to midline (BL dimension) Mesial developmental groove is crossing MMR and located lingual to the contact area. Smooth and convex surface except for a small flat area cervical to contact area . Mesial Developmental depression in the crown and continue with that on the root (canine fossa).
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In case of two roots (61%). Root trunk about half the root length.
Mesial aspect Distal aspect In case of two roots (61%). Root trunk about half the root length. Root trunk is longer as bifurcation is near apical 1/3 Surface is smooth and convex except deep developmental depression below bifurcation. Surface is smooth and convex except shallow DD on the root trunk
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In case of one root. The B and L outlines tapered to a blunt apex on the center of the crown. The surface is smooth and convex except shallow depression in the center that is deeper mesially than distally.
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Geometric outline of the occlusal aspect
It’s hexagonal 2 equal buccal sides (MB, DB) M side shorter than D side. ML side shorter than DL side. Thickness is greater than width The crown is wider buccally than lingually. Why? D M
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Elevations: Depressions: Surface anatomy of occlusal aspect:
B triangular ridge. L triangular ridge. M & D marginal ridges Depressions: Central developmental groove M and D triangular fossae. M developmental groove
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Can you tell Which tooth, which aspect. 4 , occlusal aspect. Triangular ridge of B cusp. Triangular ridge of L cusp. M &D marginal ridges Central developmental groove M triangular fossa. D triangular fossa. Mesial developmental groove
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Pulp cavity. MD section BL section Root canals:
2 root canals (B&L) but rare 3 canals L canal is larger &more accessible Narrow Wider Pulp chamber:
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Maxillary second premolar
It has 5 aspects: Mesial Buccal Lingual Distal occlusal
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Geometric outline of the crown
Facial and lingual aspects have trapezoid out line. The smallest uneven side cervically.
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Facial Outlines and surface anatomy of the crown
4 5 D M D M B cusp is long and pointed B cusp is short and less pointed Longer M slope than D Shorter M slope than D Contact mesial A in the M1/3 while distally more occlusal. Contact mesial A in O1/3 while distally more cervically. Cervical line curved root wise. Cervical line less curved.
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4 5 D M D M Prominent B ridge Less prominent B ridge Narrow cervical portion. Wider cervical portion. Short root. Longer root.
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Lingual outline and surface anatomy of the crown
4 5 The L cusp is shorter by 1 mm than the B cusp. The L and B cusps are nearly of same height. 61% has 2 roots with L root is shorter than B root and its apex is pointed. Rare to has 2 roots In case of two roots the L root is shorter and its apex more blunt.
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Mesial aspect 4 5 The cusps are nearly at the same level.
The occlusal table is narrow. B cusp is longer than L cusp by 1mm The occlusal table is wide. The crown surface is smooth and convex while root has shallow developmental depression. Mesial DG and canine fossa.
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Mesial aspect 4 5 MMR at the junction of M1/3 &O1/3
MMR positioned more occlusal. Contact area: At the middle third (OC dimension) and slightly buccal to midline (BL dimension) At the occlusal third (OC dimension) and slightly buccal to midline (BL dimension)
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Distal aspect 4 5 DMR more occlusal than MMR
DMR more cervical than MMR CA occlusally positioned and more buccally than MCA. CA cervically positioned and more buccally than MCA. Smooth and convex surface except for a small flat area cervical to contact area. Smooth and convex surface.
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Distal aspect 4 5 Root trunk is long as the bifurcation is near apical 1/3 One root and if 2 the bifurcation will be more apically. Surface is smooth and convex except shallower DD on the root trunk than mesially. Surface is smooth and convex except deeper DD in the middle of the root than mesially.
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Occlusal aspect 5 4 It’s hexagonal It’s oval B & L triangular ridges.
M D M It’s hexagonal It’s oval B & L triangular ridges. B & L triangular ridges. M & D marginal ridges Thicker M & D MRs
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4 5 Long Central DG Shorter Central DG. Not present. M developmental groove M and D fossae. M and D fossae.
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