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  • 8/2/2019 Dental Anatomy 7

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    {Dental. A}Page 2

    buccal eruption and sometime lingually , So they do not appear in the

    arch because all the teeth come before it and occupy the space.

    What is the function of the canines!

    and also it'sof foodimportant tooth for tearingThe canine is very

    very strong tooth.

    Q) Why we consider the canine strong tooth?

    root.very longecause it have aB-12- They are located at the corner of the mouth and the bone at that area

    very thick that's why these teeth are among the last teeth to be lost.

    important for maintaining the muscle ofverythese teeth areAlso

    You can notice that when you look to an old man face who has.the face

    lost his upper canine you can see that the canine area "the corner of

    the mouth " going inside.

    Once Again!

    The function of the canine:

    1. Piercing of food because it's very strong tooth because it

    has very long root and they are located in the corner of the

    mouth and the bone in that area is very thick so the canine

    is last tooth to be lost.

    2. This tooth is very important to maintain the muscle of the

    face. So, who lost his upper canine will have a muscle

    retorted in. (maintain integrityand balance of facial

    muscle).

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    Note:

    There is no type trait because we have one canine.

    Class traits The most stable Longest & thickest roots LL Single conical cusp Only cusped teeth occlusal surface.- Tooth with one cusp: canine

    - Tooth with two or three cusp: is pre molar

    - Tooth with three or more cusp: molar

    - Tooth with incisal edge: incisor

    Support the arch and facial musculature.

    Arch trait: to distinguished between

    upper and lower.

    Arch traits

    Upper larger than lower Smaller IC / MD proportion

    In maxillary canine

    {IC= incisocervical, MD= mesiodistal}

    Md in upper canine is larger than lower canine.

    {Md= Mesio-distal}

    Notes:

    - The mesio-incisal and desto-incisal is larger in

    maxillary than mandibular.

    - The height of contour is lower (close to cervical line)

    than mandibular canine.

    Quotes in the Lecture!

    - "Canine is the only tooth has

    a cusp but it hasnt occlusal

    sur0face."

    -"Premolar has (2-3) cusp and

    occlusal surface."

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    {Dental. A}Page 4

    - The longest root is the root for canine.

    - The longest crown is the crown for canine (11mm).

    Labial aspects

    Cusp tip is on a line bisecting the tooth MD so, if you drawmidline it will pass throws the cusp. Incisal outline has 2 sloping ridges Mesial ridge sloping less markedly and shorter than distal MI angle is higher and more rounded than DI angle Mesial HOC is close to the incisal margin, in the junction

    between the incisal third and middle third.

    Distal HOC is at the middle portion of the crown

    *So the distal angle is more prominent (more hanging out).*

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    What about mesial outline!

    The mesial outline is slightly convex but the distal outline starts

    concave at first then it continue to the distoincisal angle, the cervical

    line is slightly convex incisaly, it is less convex than the convexity of themaxillary central incisor, and also the labial surface itself has a very

    prominent ridge, called the labial ridge.If you remember, in the maxillary central incisor and also in all incisors

    we did not see such a ridge, so this tooth have a ridge on a labial surface

    running from a tip of a cusp to nearly more than tow third of the crown

    incisaly.

    Then what are we going to Have!As a result of having this ridge, we see here two depression at the sides

    of the ridge, these are labial depression remember these are not fossa

    just slight depression.

    The root is long and narrow, from the lingual aspect as you see here you

    see here a cingulum. The cingulum is very prominent and you see two

    marginal ridges and you see here a lingual ridge because of that, instead

    of have one lingual fossa we have two lingual fossa (mesiolinguinal and

    disto lingual fosse) you have to be able to distinguish between them.

    Features of that tooth!

    All these features that are prominent, the cingulum, the marginal ridge

    and the lingual ridge, all of these are more prominent than the same

    features in incisors. If you remember

    the most prominent feature in incisor

    are for the maxillary lateral incisor ,

    but here these features are more

    prominent than those in incisors will

    elevated marginal ridges and this is an

    arch trait because in the mandibular

    canine this features tend to be less

    prominent.

    Could you Imagine!

    -So if you hold a canine and see a

    very prominent marginal ridges

    most probably that the tooth you

    are holding is a maxillary canine

    not a mandibular canine.

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    the maxillary canine features cont.--->

    Lingual aspect

    o Crown & root narrower lingually

    o Well-elevated marginal ridges (arch trait)

    o Accentuated lingual cingulum (arch trait)

    it is very prominent.

    o Pronounced lingual ridge (arch trait)

    it separates the fossa onto two fossa so we have

    a mesiolingual and distolingual fossa

    o ML & DL fossa

    you have to be able to distinguish between

    these two fossa. "See the incisal aspect part "

    o A lingual pit and/or developmental grooves

    marking the inner boundaries of marginal

    ridges.

    o We can see the labial sides of the root from the

    lingual aspect but we can't if we look from the

    labial aspect; that means it is wider labialy than

    lingualy for the MD dimension.

    Max. Right

    canine

    (lingualy)

    Figure 3.3 max. Left canine(lingualy)

    13 -lingual cingulum

    66 -distal margin ridge

    65 -mesial margin ridge

    28 - distolingual fossa

    27 - mesiolingal fossa

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    Comparison:

    Between canines & incisors: all that features that are prominent

    (the cingulum and the marginal ridges and the lingual ridges) are

    more prominent than all features in incisors.Between incisors: they are more prominent for the maxillary

    Lateral incisors than the other incisors.

    Between canines: the same features tend to be less prominent in

    the mandible canines than maxillary Canines.

    So if you grape a tooth that has a very prominent cingulum and

    marginal ridges most probably the tooth you are holding are a

    maxillary Canine not a mandible Canine.

    Mesial aspect

    o Cusp tip labial to a line bisecting the tooth LL

    if we draw a line from the tip of the root this line

    will not be pass throw the tip of the cusp but it

    will be slightly lingual to the tip of the cusp (the

    tip of the cusp is located labial to the bisecting

    line labiolingualy), this is an important type trait.

    Comparison:

    between canines (type trait): in the mandible

    Canines the bisecting line pass through the tip of

    the cusp or the tip of the cusp is lingual to the

    bisecting line, but the maxillary Canine always

    the tip of the cusp is labial to the bisecting line.

    o Thick cervical third

    or the labiolingual dimension is thick in this

    tooth.

    o HOC is between cervical and middle thirds & close to cervical line

    the height of contour labialy and lingualy are located very close to the

    cervical line nearly at the same level between cervical and middle

    thirds

    Max. Right

    canine

    (mesialy)

    Figure max. left canine(mesialy)

    13 -lingual cingulum

    72 -lingual ridge

    65 -mesial margin ridge

    1 -the mesial sloping ridge

    16 - HOC

    47 - labial outline48 -cervical line

    14 -longitudinal concavity

    9 -tip of the root

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    o From HOC outline is straight toward cusp tip of the cusp in straight

    line

    o In the Lingual outline it will start cervically convex then slightly

    concave then convex again

    o Thick incisal ridge LL (arch trait)

    this tend to be thicker in maxillary Canine than mandible Canine.

    o Root is wide with a slight longitudinal

    the root is wider labiolingualy (LL) and its look very and thicker in

    the mesial and distal view than labial or lingual ones.

    then when you look to the cross section of the root it's not circular

    it tend to be wider dimension labiolingualy (FL) than mesiodistaly (MD)

    o Concavity and blunt apex

    Notice the cusp tip or the cusp of the tooth is thick.

    o Some time we tend to see depression on the root which is deeper

    distally than mesialy.

    Comparison:

    between canines & incisors: the incisors have a thin incisal edge but

    canines have thick cusp "dr. wanted here to compare between their

    occlusal thirds thickness"

    Between canines: the incisal ridge labiolingualy is

    thicker in the maxillary Canine than the mandible

    Canine.

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    Distal aspect

    it is the same as the mesial aspect but Deeper and longer

    longitudinal concavity on the root

    Incisal aspectthere is a question or two on this topic in the exam!

    o Asymmetry

    the mesial part is thick LL the distal part is

    thinner LL the mesial part is shorter MD the

    distal part is longer MD ; so please remember

    that cause it helps you identifying the two

    surfaces of the tooth; so you can be able toanswer the Q that requires to identify the lingual

    fossa names depending on this piece of info.

    Mesial_half Distal_half

    LL thick thin

    MD Short Long

    o Distal half is wider & has a concavity on the

    labial outline

    o Mesial part of the labial outline is convex

    o Prominent convexity of the cingulum which is

    more convex than the labial out line we have the

    labial ridge can be visible from the incisal aspect

    and 3 distinct lobes (the middle, mesial & distal)

    that fuse together to form the incisal part of the

    canine.

    Max. Right

    canine

    (distally)

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    Pulp

    o Double convex lens shape or cigar shape in LL

    section.

    o widest near cervix, Narrow in MD section{Double convex lens = "" }

    Q: what is the possibility of having two root canals

    in the maxillary canine?

    A: Zero %; all the time we have one root canal which is

    very big.

    Q: what is the possibility of having two root canals in the

    mandibular canine?

    A: 30%

    THE MANDIBULAR CANINEo Mandible canine is narrower MD and LL than

    the maxillary canine (arch trait)

    o Also the mandible Canine's has smaller

    MD/IC proportion than the maxillary

    (Arch trait) causes the width of the

    crown is smaller than the height ofthe crown.

    Labial surface

    o Cusp is not as long & pointed as in

    maxillary (arch trait) causes the HOC

    are high this makes the slope of the cusp more horizontal

    opposite to the maxillary canine HOC are lower this make theslopes less horizontal and a pointed cusp .

    Max. Right canine

    (incisaly)

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    Q. So, the labial surface is not pointed why?

    Because the height of contour is high, this makes the slope of the cusp

    more horizontal.

    Note: the maxillary canine is pointed.

    Story of than the height of contour!

    The mesial cusp ridge is height and it is located adjacent to the cusp

    ridge. And its HOC is located higher than the height of contour in the

    maxillary canine. Because of that the mesial height of contour is locatedvery height, at the junction between the incisal quarter and the second

    quarter.

    The incisal outline is 1/4 or 1/5 of the height, which means if we divided

    the crown to 5 divisions; the incisal portion occupies 1/4 or 1/5 of that.

    This makes the height of contour looks higher than the maxillary canine.

    What about mesial outline!distal outline is slightly convex. Asis straight, but themesial outlineThe

    you see the DI angle is more culminant than the MI. We can see labial

    lobes, we can see the labial ridge, and we can see the two depressions.

    But remember that these depressions are less culminant in the

    mandibular canine than the maxillary canine. While the root is conical,

    with blunted root as we see it from the labial view. Sometimes we can

    see mesial inclination, the doctor said don't worry about this point.

    Lingual Aspect!

    From the lingual aspect we see similar features for those in the maxillary

    canine, but all of these features are less prominent, so the marginal

    ridges and the lingual ridges and the cingulum, all of these are less

    prominent.

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    Concentrate Here!

    The marginal and lingual ridges in the Cingulum have an important

    characteristic; it is Less prominent .The fosses are shallower.

    Mesial aspect!

    In the mesial aspect, the cusp tip is lined

    by the root, so if you draw a line in the

    central of the root it will pass throughthe central of the cusp. This isn't the

    case for the maxillary canine. The

    height of contour is located close to

    the cervical line. Also we can see

    dispersion in the center of the root.

    Distal aspect!

    The same as mesial aspect.

    The root is conical with

    blunted root as we see it from

    labial view.

    (*Note: The Dr. said forgets about

    the last two points in this slide.)

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    Incisal aspect !

    The tooth look more symmetrical, But in the maxillary canine it's not

    symmetrical. And the Lingual out line is less rounded and less bulky

    appearance of the incisal edge. The vertical lobe grooves are less

    marked.

    The pulp!

    The pulp is similar to maxillary canine

    But remember that the percentage.

    of having two root canal can reach

    section inIf you make a cross.to 30%the root you will get something

    rectangular which make the L L

    than M Dgreaterdimension

    dimension.

    MD> mesiaodistal}LL >libiolingual{

    The canine relationship!

    Because upper incisor are wider than lower incisor, And upper canine

    are wider than lower canine .So this make the upper canine occluding

    the lower canine.behind

    relationship:Class one-

    When the tip of the cusp of the upper canine is exactly located between

    the mandibular canine and the mandibular 1st premolar.

    :relationshipsClass two-

    When the tip of the cusp of the upper canine is located anterior to this

    location.

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    {Dental. A}Page 14

    :relationshipsClass three-

    When the tip of the cusp of the upper canine is located posterior to this

    location.

    *Notice:

    This lecture is included in the exam.-

    -The videos that we see in dental lap are included in the exam.

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    {Dental. A}Page 15

    TEN VIP!

    1- The lower permanent canines erupted before the upper ones, also it's

    very important for piercing of food.

    2- The permanent canines have the longest, thickest roots and the only

    cusped teeth without occlusal surface.

    3- The crown of maxillary canine is larger than the mandibular canine in

    the same dentition.

    4- A lingual pit and/or grooves are common features in the maxillary

    canine while there are no lingual pits or grooves in the mandibular

    canine.

    5- There is marked asymmetry of the mesial and distal halves of the

    crown from the incisal aspect in the maxillary canine while they are

    more symmetrical in the mandibular canine.

    6- Characteristics of maxillary canine :

    Distal aspect:Mesial aspect :Lingual aspect:Labial aspect:

    - Deeper end

    longer longitudinal

    concavity on the

    root.

    - Thick cervicalthird.

    - HOC between

    cervical and

    middle third.

    -root is wide.

    -slightly concave atmidpoint.

    -ML & DL fossae.

    - a lingual pit

    and/or grooves .

    -has 2 sloping

    ridges.

    -mesial outline

    slightly convex,

    distal one

    markedly convex.-root is long &

    narrow.

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    {Dental. A}Page 16

    7- Characteristics of mandibular canine:

    Distal aspect:Mesial aspect:Lingual aspect:Labial aspect:

    - Deeper end

    longerlongitudinal

    concavity on the

    root.

    -long axis of thetooth.

    -narrower cervical

    third.

    -narrower root.

    - Marginal, lingual

    ridges.

    -shallower ML &

    DL.

    - Rare pits or

    grooves.

    -straight

    mesialoutline &

    convex

    distal

    -3 lobes,2

    depression

    -conical root

    TesT yourself!

    Questions

    1-the biggest gap in time between the emergence of a lower

    tooth and upper tooth is for:

    A) Incisors

    B) Canines

    C) Premolars

    D) Molars

    2- The last successor tooth to erupt is :

    A) Mandibular canine

    B) Mandibular lateral incisor

    C) Maxillary central incisor

    D) Maxillary canine

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    3-all of the following sentences are CORRECT about the mandibular

    canine EXEPT:

    A)Distal cusp ridge is low when viewed from the labial view.

    B) 3 lobes & 2 depressions on the labial surface.

    C) The Cervical third is wider from the mesial aspect.

    D)ML & DL are shallower from the lingual aspect.

    4-all of the following sentences are FALSE about the maxillary

    canine EXEPT:

    A) The crown of the maxillary canine is larger than the

    mandibular.

    B) There are no pits or grooves on it .

    C) There is marked symmetry of the mesial and distal halves of

    the crown.

    D) The pulp is wider in MD section .

    5-the last permanent tooth to erupt is:

    A) Maxillary canine

    B) Third molar

    C) Mandibular canine

    D) Second molar

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    {Dental. A}Page 18

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