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 Washingtons Teeth
20
th
century dentures
From apprentice
to
professional
Restorative Dentistry
on typodont
Procedures executed by
2
nd
year Dental Student
Masticatory /
Gnathological System
Start
notes
from here
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
1
st
Premolar (2 right and left)
2
nd
Premolar (2 right and left)
Mandibular
1
st
Premolar (2 right and left)
2
nd
Premolar (2 right and left)

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

RIGHT

LEFT
Maxillary Arch
Max Right
quadrant
Maxillary Arch
Max Left
quadrant
Maxillary Arch
Max Left
Posterior
sextant
Max Right
Posterior
sextant
CROWN
coronal


ROOT
radicular
Cervical line
Incisal (ant)
Occlusal (post)

CROWN
coronal



ROOT
radicular


APEX
apical
Cervical line
Right Midline Left
Right Midline Left
Mesial towards midine

Distal
Away from midline
Right Midline Left
M
D
M

D
Right Left



8 9
7 10
6 11

5
4

3 14


2 15

1 -missing missing 16
UNIVERSAL
SYSTEM
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!
4 5 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



Facial
View
INCISAL
MESIAL
DISTAL
midline
Apical
Facial View










Mesial Distal



Incisal
Apical











Mesial Distal



Incisal
APICAL

MIDDLE


CERVICAL

CERVICAL


MIDDLE

INCISAL
Apical











Mesial Middle Distal



Incisal
middle
Mesial Middle Distal
Apical

Facial Middle Lingual

Cervical


Cervical

Facial Middle Lingual


Incisal
Proximal
View
Proximal Facial



Incisors







PM Molars




PM Molars

Trapezoid














Rhomboid

Triangle
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 M
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
Its been so lovely!!!
Next session
Quiz and bring typodonts (we will provide prep)
For LAB: bring matches (lighter) and stockings!!!!