COLLEGE OF DENTISTRY DENTAL MORPHOLOGY [111 RDS] LAB MANUAL Dr. Mousa Abu Fadaleh Dept Head Dr. Saleem Shaikh Course Director CERTIFICATE This is to certify that Mr.______________________________________________ Reg No.____________Has satisfactorily carried out the work in DENTAL ANATOMY as Prescribed by College of Dentistry, Majmaah University for the year_______ Course director A. DENTAL STRUCTURES : 1. Enamel : The hard, mineralized tissue outer most covering of the e anatomical crown of a tooth. It is the hardest living body tissue, but is brittle, especially when not supported by sound underlying dentin. 2. Dentin : The hard tissue which forms the main body of the tooth. It surrounds the pulp cavity, and is covered by the enamel in the anatomical crown, and by the cementum in the anatomical root. The dentin constitutes the bulk, or majority, of the total tooth tissues, but because of its internal location, is not directly visible in a normal tooth. 3. Cementum : The outermost layer of anatomical root, it is hard, bonelike tissue which covers the dentin of the anatomical root. 4. Pulp : The living soft tissue which occupies the pulp cavity of a vital tooth. It contains the tooth’s nutrient supply in the form of blood vessels, as well as the nerve supply. SUPPORTING STRUCTURES : 1. Alveolar process (bone): The entire bony entity which surrounds and supports all the teeth in each jaw member. 2. Alveolus (plural-alveoli): The bony socket, or portion of the alveolar process, into which an individual tooth is set. 3. Periodontal ligament (membrane): The fibrous attachment of the tooth (cementum) to the alveolar bone. 4. Gingiva (Plural-gingivae) : The “gum” or “gums”, or the part of the mucous membrane that covers the alveolar processes and surrounds the necks of the teeth. RELATED TERMNOLOGY: Anatomical crown : The portion of tooth which is covered by enamel. Clinical crown : The portion of tooth which is visible in the mouth. The clinical crown may or may not, correspond to the anatomical crown, depending on the level of the tooth’s investing soft tissue. As can be seen from this description, the clinical crown may be an ever changing entity throughout life, while the anatomical crown is a constant entity. Cervical line : The cervical line separates the anatomical crown and the anatomical root, and is a constant entity. It also represents the cemento-enamel junction (CEJ). Its location is in the general area of the tooth spoken of as the neck or cervix. A. Crown Elevations : 1. Cusps :Cusp is an elevation or mold present on the crown of teeth which makes up a divisional part of the occlusal surface. Cusps are seen on all posterior teeth, and the incisal portion of canines. 2. Tubercles : Rounded or pointed projections found on the crowns of teeth. They are also variable in size and shape, but are usually smaller than cusps. Tubercles are often thought of as minicusps, and they are seen on the lingual surface of maxillary teeth, especially deciduous canines and molars. 3. Cingulum (plural-cingula) : A large rounded eminence on the lingual surface of all permanent and deciduous anterior teeth, which encompasses the entire cervical third of the lingual surface. 4. Ridges : Linear and usually convex elevations on the surface of the crowns of teeth, which are named according to their location. a. Marginal ridges : The linear elevations which are convex in cross section and are found at the mesial and distal terminations of the occlusal surface of posterior teeth. They are also found on anterior teeth, but are less prominent. Their location also differs, since on anterior teeth they form the lateral margins of the lingual surface. b. Triangular ridges : Linear ridges which descend from the tips of cusps of posterior teeth toward the central area of the occlusal surface. In cross-section, they are more or less triangular, hence their name. c. Transverse ridge : The combination of two triangular ridges, which transversely cross the occlusal surface on a posterior tooth to merge with each other. Thus a transverse ridge is simply a union of two triangular ridges of a posterior tooth, one from a buccal cusp and the other from a lingual cusp. d. Oblique ridge : A special type of transverse ridge, which crosses the occlusal surface of maxillary molars of both dentitions in an oblique direction from the distobuccal to mesiolingual cusps. e. Cusp ridges : Each cusp has four cusp ridges extending in different directions (mesial, distal, facial, lingual ) from its tip. They vary in size, shape, and sharpness. 5. Mamelons : Small, rounded projections of enamel which are found in varying sizes and numbers on the incisal ridges of recently erupted incisors. B. Crown Depressions : 1. Fossa (plural-fossae) : An irregular, usually rounded depression, or concavity, on the crown of a tooth. There is normally a rather large, shallow fossa on the lingual surface of anterior teeth, while posterior teeth exhibit two or more fossae of varying size and shape on the occlusal surface. 2. Development (primary) groove : A groove, or line, which usually denotes the coalescence of the primary parts, or lobes, of the crown of a tooth. 3. Supplemental (secondary) groove : An auxialliary groove which branches from a developmental groove. Its location is not related to the junction of primary tooth parts, and it is normally not as deep as a primary groove. 4. Pit : A small, depressed area where developmental grooves join or terminate. A pit is usually found in the deepest portion of a fossa. C. Miscellaneous Structures : 1. Contact area : The area on a proximal surface of the crown that contacts the adjacent tooth in the same arch, and is thus named mesial or distal by location. All teeth in each quadrant have two contact areas, except the most distal tooth which, of course, has no distal contact area. 2. Lobe : One of the primary anatomical divisions of the tooth crown, usually separated by identifiable developmental grooves. Crest of contour [Height of curvature; Crest of curvature]: Height of curvature in the tooth can be defined as the line encircling a tooth at its greatest bulge to a selected path of insertion. The heights of curvature have great functions to oral cavity 1. They allow the food to be deflected allowing proper degree of massage to the gingiva. 2. They prevent the food of being accumulated at the tooth. 3. Holding the gingiva under definite tension. • Primate spaces They exist between the upper lateral incisors and the canines (present mesial to maxillary deciduous canines) and lower canines and first deciduous molars (present distal to mandibular deciduous canines). These spaces are also known as anthropoid or simian spaces. • Physiologic/developmental spaces These spaces are present in between the primary teeth and play an important role in the normal development of the permanent dentition. The total space present may vary from 0 to 8 mm with an average 4 mm in the maxillary arch and 1 to 7 mm with an average of 3 mm in the mandibular arch. Primary Molar Relationship The relationship of the distal surface of the maxillary and mandibular second primary molars is one of the key factors that influences the future occlusion of the permanent dentition. i) Mesial step type : The distal surface of the lower molar is more mesial to that of the upper. Invariably it is favorable to guide the permanent molars into a class I relationship. ii) Distal step type : The distal surface of the lower molar is more distal to that of the upper. This relationship is prognostically unfavourable as it guides the permanent molars into Class II malocclusion. iii) Flush terminal or vertical plane type The distal surface of the upper and lower teeth are in a straight plane (flush) and therefore situated on the same vertical plane. Usually it is a favorable relationship to guide the permanent molars. iv) Anterior teeth relationship Overbite: It is the distance which the incisal edge of the maxillary incisors overlap vertically past the incisal edge of the mandibular incisors. The average overbite in the primary dentition is 2 mm Overjet: It is the horizontal distance between the Lingual aspect of the maxillary incisors and the labial aspect of the mandibular incisors, when the teeth are in centric occlusion. The average in primary dentition is 1-2 mm with a normal range of 2-6 mm. TOOTH NUMBERING SYSTEMS Dental formula for permanent dentition 2 1 2 3 ๐ผ = : ๐ถ = : ๐ = : ๐ = : (๐2 = 32 ๐ก๐๐ก๐๐ ๐ก๐๐๐กโ) 2 1 2 3 Dental Formula for decidious dentition 2 1 2 ๐ผ = : ๐ถ = : ๐ = : (๐2 = 20 ๐ก๐๐ก๐๐ ๐ก๐๐๐กโ) 2 1 2 Tooth Numbering System Universal System 1 2 Permanent 32 31 3 4 5 6 30 29 28 27 7 26 8 9 25 24 10 23 11 12 22 21 E P F O H M I L 13 14 20 19 15 16 18 17 Decidious A T B S C R D Q G N J K Zigmondy – Palmer Notation Permanent 8 8 7 7 6 6 5 5 4 4 3 3 2 2 1 1 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 Decidious E E D D C C B B A A A A B B C C D D E E 12 42 11 41 21 31 22 32 23 33 24 34 Federation dentair Internationals (FDI) Permanent 18 48 17 47 16 46 15 45 14 44 13 43 25 35 Decidious 55 85 54 84 53 83 52 82 51 81 61 71 62 72 63 73 64 74 65 75 26 36 27 37 28 38 MORPHOLOGY OF TEETH Traits: A trait is a distinguishing characteristic, quality, peculiarity or attribute. Set traits – distinguish teeth in the primary dentition from secondary dentition Arch traits – distinguish maxillary form mandibular teeth Class Traits – distinguish the four categories of teeth, namely incisors, canines, premolars, molars Type Traits – distinguish teeth within one class [ such as differences between central and lateral incisors or 1st and 2nd premolars or 1st, 2nd and 3rd molars. SUBDIVISIONS OF TOOTH AND CROWN: DENTAL MORPHOLOGY EVALUATION CRITERIA DURING WEEKLY PRACTICAL AND PRACTICAL EXAM During each practical the students will be given demonstration of carving of tooth specimen from wax blocks. The students are required to do the same during the practical hours and submit it for evaluation. The students are given a laboratory manual in which they have to write in brief important points regarding the tooth they have carved. The students will also be asked a few basic questions to assess their understanding of the subject and evaluate their cognitive skills. The students are then evaluated on the basis of: Sl. No 1 2 3 4 5 6 7 8 9 Total Criteria Overall shape, proportions and appearance Contact areas – shape and location Crest of contour – shape and location Occlusal detail Characteristic features of the particular tooth Finishing Answering questions related to tooth carved Completion of carving in stipulated time Cleanliness of work area and maintenance of instruments Score 5 2 2 2 1 1 4 1 2 20 During the practical exams: The students will be asked to carve a specific tooth in stipulated time [45 minutes]. The submitted carving will be evaluated according to the criteria mentioned above. Assesment Ex.NO Carving 1 Geometric shape 2 Permanent Maxillary incisor 3 Permanent Mandibular incisor 4 Permanent Maxillary canine 5 Permanent mandibular canine 6 Permanent Maxillary premolar 7 Permanent mandibular premolar 8 Permanent Maxillary molar 9 Permanent mandibular molar Date Grade Signature Exercise 1: Completion of carving of Geometric shape Date Grade Signature Exercise 2: PERMANENT MAXILLARY CENTRAL INCISOR: Dimensions in mm Length of crown Length of root 10.5 13.0 Mesiodistal Mesiodistal Labiolingual Labiolingual width of width of width of width of crown crown at crown crown at cervix cervix 8.5 7.0 7.0 6.0 Description: Carving of Incisor Date Grade Signature Exercise 3: PERMANENT MANDIBULAR CENTRAL INCISOR Dimensions in mm Length of crown Length of root 9.5 12.5 Mesiodistal Mesiodistal Labiolingual Labiolingual width of width of width of width of crown crown at crown crown at cervix cervix 5.0 3.5 6.0 5.3 Description: Date Grade Signature Exercise 4: PERMANENT MAXILLARY CANINE: Dimensions in mm Length of crown Length of root 10.0 17.0 Mesiodistal Mesiodistal Labiolingual Labiolingual width of width of width of width of crown crown at crown crown at cervix cervix 7.5 5.5 8.0 7.0 Description: Carving of Canine Date Grade Signature Exercise 5: PERMANENT MANDIBULAR CANINE Dimensions in mm Length of crown Length of root 11.0 16.0 Mesiodistal Mesiodistal Labiolingual Labiolingual width of width of width of width of crown crown at crown crown at cervix cervix 7.0 5.5 7.5 7.0 Description Date Grade Signature Exercise no 6: PERMANENT MAXILLARY PREMOLAR Dimensions in mm Length of crown Length of root 8.5 14.0 Mesiodistal Mesiodistal Labiolingual Labiolingual width of width of width of width of crown crown at crown crown at cervix cervix 7.0 5.0 9.0 8.0 Description: Carving of Premolar Date Grade Signature Exercise 7: PERMANENT MANDIBULAR PREMOLAR Dimensions in mm Length of crown Length of root 8.5 14.0 Mesiodistal Mesiodistal Labiolingual Labiolingual width of width of width of width of crown crown at crown crown at cervix cervix 7.0 5.0 7.5 6.5 Description: Date Grade Signature Exercise 8 PERMANENT MAXILLARY MOLAR Length of crown Dimensions in mm 7.5 Length of root 12-B 13-L Mesiodistal Mesiodistal Labiolingual Labiolingual width of width of width of width of crown crown at crown crown at cervix cervix 10.0 8.0 11.0 10.0 Description: Carving of Molar Date Grade Signature Exercise 9: PERMANENT MANDIBULAR MOLAR Dimensions in mm Length of crown Length of root 7.5 14.0 Mesiodistal Mesiodistal Labiolingual Labiolingual width of width of width of width of crown crown at crown crown at cervix cervix 11.0 9.0 10.5 9.0 Description: Carving of Molar Date Grade Signature