DENTAL DENTALNN UMBERING UMBERING SYSTEMS SYSTEMS Permanent Teeth There are are three different numbering systems usedused to identify the the teeth in dentistry. There three different numbering systems to identify teeth in dentistry. 1.The been adopted by the ADA in use by most TheUniversal UniversalNumbering NumberingSystem Systemhas was adopted by the ADA andand is inisuse by most general general dentists today. dentists today. Tooth number 1 is1the tooth farthest backback on the rightright sideside of your mouth in in thethe upper (maxTooth number is the tooth farthest on the of the mouth upper illary) jaw. Numbering continuescontinues along your upper the front across the to the (maxillary) jaw. Numbering along the teeth uppertoward teeth toward theand front and to across tooth farthest backback on the top top left left sideside number 16.The numbers continue by dropping down tooth farthest on the number 16.The numbers continue by dropping down to the lower (mandibular) jaw.jaw. Number 17 is17the tooth farthest backback on the left left sideside of your to the lower (mandibular) Number is the tooth farthest on the of the mouth on the bottom. Numbering continues again toward the the front andand across to the tooth mouth on the bottom. Numbering continues again toward front across to the tooth farthest backback on the bottom rightright sideside of you mouth number 32. 32. In this system, thethe teeth thatthat farthest on the bottom of the mouth number In this system, teeth should be there are are numbered. If you are are missing youryour third molars, youryour firstfirst number will be 2 should be there numbered. If you missing third molars, instead of 1,will acknowledging missing tooth. If you’ve had teeth removed teeth missing, number be 2 insteadthe of 1, acknowledging the missing tooth. If you’veorhad teeth removed the or missing willthe be missing numbered as will well.be numbered as well. teeth teeth missing, teeth 2.The ThePalmer PalmerNotation NotationNumbering NumberingSystem Systemis isused usedbybysome someorthodontists, orthodontists,pedodontists, pedodontists, andand oraloral surgeons. Originally called the the Zsigmondy system afterafter an Austrian dentist of that surgeons. Originally called Zsigmondy system an Austrian dentist of that name whowho developed the the ideaidea in 1861. name developed in 1861. TheThe mouth is divided intointo fourfour sections called quadrants.The numbers 1 through 8 and a a mouth is divided sections called quadrants.The numbers 1 through 8 and unique symbol is used to identify the the teeth in each quadrant.The numbering runsruns from the the unique symbol is used to identify teeth in each quadrant.The numbering from center of the mouth to the back. In the upper rightright quadrant tooth, number 1 is1the incisor. center of the mouth to the back. In the upper quadrant tooth, number is the incisor. TheThe numbers continue to the rightright andand backback to tooth number 8, which is the third molar.The numbers continue to the to tooth number 8, which is the third molar.The numbers sit inside an L-shaped symbol usedused to identify the the quadrant.The L isLright sideside up for numbers sit inside an L-shaped symbol to identify quadrant.The is right up for the the teeth in the upper rightleft quadrant.The teeth in in thethe upper leftright use use a backwards L. For the the teeth in the upper quadrant.The teeth upper a backwards L. For bottom quadrants, the the L isLupside down following the the same pattern from the the uppers. Letters bottom quadrants, is upside down following same pattern from uppers. Letters suchsuch as UR or URQ for for the the upper rightright or upper rightright quadrant maymay alsoalso identify the the quadas UR or URQ upper or upper quadrant identify rants. quadrants. 3.The TheFederation FederationDentaire DentaireInternationale InternationaleNumbering NumberingSystem System(FDI). (FDI).Internationally Internationally the the two-digit two- digitsystem systemisisused usedworldwide. worldwide.Every Everybranch branchofofdentistry dentistryuses usesthis thissystem. system. EachEach quadrant is assigned a number.The maxillary rightright quadrant is assigned the the number 1, the quadrant is assigned a number.The maxillary quadrant is assigned number 1, the maxillary left left quadrant is assigned the the number 2, the mandibular left left quadrant is assigned the the maxillary quadrant is assigned number 2, the mandibular quadrant is assigned number 3, and the the mandibular rightright quadrant is assigned the the number 4.The teeth within eacheach number 3, and mandibular quadrant is assigned number 4.The teeth within quadrant are are assigned a number from 1 through 8 with 1 being the the central incisor andand 8 being quadrant assigned a number from 1 through 8 with 1 being central incisor 8 being the the third molar. third molar. Justi Educational Department Dental Numbering Systems Perm - Rev. 9/03 P ERMANENT T EETH 2 DENTAL NUMBERING SYSTEMS ILLUSTRATED (R) Central Incisor (L) Central Incisor 11 (R) Lateral Incisor 1 12 13 (R) Second Bicuspid 7 2 18 8 1 32 47 7 31 (R) Second Bicuspid Lower (mandibular) (R) First Bicuspid (L) Second Molar (L) Third Molar 17 8 38 (L) Third Molar 7 37 (L) Second Molar 6 5 36 35 (L) First Molar (L) Second Bicuspid 4 4 22 27 26 43 25 24 1 41 (R) Central Incisor 34 3 23 1 (L) Cuspid 32 31 (L) Central Incisor (L) First Bicuspid 33 2 2 42 (R) Lateral Incisor Justi Educational Department Dental Numbering Systems Perm - Rev. 9/03 28 21 3 (R) Cuspid 8 20 28 44 16 19 29 5 27 18 30 6 45 RIGHT 8 15 7 (L) First Molar FDI 48 46 14 Upper (maxillary) 26 6 PALMER (R) First Molar 3 17 5 13 (L) Second Bicuspid 25 UNIVERSAL (R) Second Molar 12 (L) First Bicuspid 24 4 LEFT (R) Third Molar 6 3 11 4 UNIVERSAL (R) Third Molar 5 (L) Cuspid 23 10 5 PALMER (R) Second Molar 4 15 16 2 6 14 (L) Lateral Incisor 22 9 7 3 FDI (R) First Molar 1 8 2 (R) Cuspid (R) First Bicuspid 21 (L) Lateral Incisor