Morphology of Permanent Incisors Flashcards

(52 cards)

1
Q

Incisors

A

the two teeth (central and lateral)in each quadrant closest to the midline
-with the mesial surface of right central incisors
contacting the mesial of left central incisors
(unless a space or diastema exists)

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2
Q

diastema

A

space between maxillary or central incisors

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3
Q

primate spaces

A

present in primary teeth
-nothing to worry about, want spaces because teeth that will erupt there will be larger and need this space

Most commonly spaces are mesial to the maxillary canine and distal of the mandibular canine

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4
Q

maxillary central incisors

A

R 8 9 L

-crown: LONGEST incisor crown

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5
Q

maxillary lateral incisors

A

R 7 10 L

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6
Q

mandibular central incisors

A

R 25 24 L

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7
Q

mandibular lateral incisors

A

R 26 23 L

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8
Q

incisor functions

A
  • Cut food
  • Articulate speech
  • Support lips (esthetic)
  • Guide mandible during movement
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9
Q

Mamelons (incisors)

A

3 Mamelons reflect 3 Labial Developmental

lobes for incisors (before wear)

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10
Q

What characteristics do ALL incisors have from the Facial view?

A
• Relatively straight incisal edge
• Rectangular shape: longer
incisocervically than
mesiodistally
• Taper narrower from contact
to cementoenamel junction
(CEJ)
• CEJ curves toward apex
• Root tapers to apex and are
longer than the crown
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11
Q

Which characteristics are typical of ALL incisors from the Facial view (EXCEPT Mandibular centrals)?

A
• Distal crown surface is more convex than mesial
• Mesioincisal line angle is
sharper than distoincisal
• Distal contact is located
more cervically than on
mesial
• Incisal edges slope
cervically to distal
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12
Q

Characteristics of ALL incisors from the Lingual view

A
• Lingual surface
narrower (seen best
incisally)
• Marginal ridges
converge toward
cingulum
• Lingual fossa
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13
Q

Characteristics of ALL incisors from Proximal views

A
•Wedge shaped
(triangular) outline
• Height of contour in
cervical third facially and
lingually (cingulum)
• Lingual outline is “S”
• CEJ curves incisally
• Root tapers to apex
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14
Q

Characteristics of ALL incisors from the Incisal view

A
• Concave lingual fossa
incisal to cingulum
• Incisal edge runs across
between widest points
on mesial and distal
• Labial outline is broader
(less convex) than lingual
• Marginal ridges converge
toward cingulum
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15
Q

Arch Traits: Mandibular incisors

A
– Smaller crowns
– Flatter proximal
outlines
– Contacts closer to
incisal edge
– Roots relatively longer
(compared to crowns)
– Relatively wider crowns
faciolingually
– Smoother lingual
surfaces
– Incisal edges that are
more likely lingual to
midroot axis
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16
Q

Incisal Wear

A

More incisal ridge faceting on Labial of Mandibular incisors vs. Lingual of Maxillary incisors

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17
Q

Maxillary Incisors from the Labial view: Crown Shape

A
  • Maxillary central has wider (2.0), longer (.5) crown
  • Maxillary lateral is relatively narrower mesiodistally
  • Maxillary lateral is more often missing or PEG shaped
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18
Q

Maxillary Incisors from the Labial view: Proximo-incisal angle

A
-Maxillary central has
mesioincisal angle at
nearly right angle
-Maxillary lateral has
both mesioincisal and
distoincisal angles
more rounded than on
centrals
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19
Q

Maxillary Incisors from the Labial view: Proximal Contact Area

A

-Mesial contacts are in
incisal third, but lateral
contacts are more
cervical than central

-Maxillary central distal
contact is at junction
of incisal and middle
third, lateral is more
cervical: may be in
middle thir
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20
Q

Maxillary Incisors from the Labial view: Root-to-Crown Proportions/Ratios

A
-Maxillary central root
is not much longer
than crown
-Maxillary lateral root is
relatively longer than
on central
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21
Q

Maxillary Incisors from the Labial view: Root Shape

A
-Maxillary central root is
shorter, thicker, more
cone shaped (ice cream cone)
-Maxillary lateral root
more likely to bend
distally at apex; central
not as likely
-Centrals have triangular
shaped cross section and
laterals are more oval
22
Q

Maxillary Incisors from the Lingual View: Lingual Fossa

A

Maxillary laterals are more likely to have deeper lingual fossae and pits than centrals

23
Q

Maxillary Incisors from the Lingual View: Cingulum

A
-Maxillary central
incisor cingulum is
more developed and is
off center toward the
distal (best seen from
incisal view)
-cingulum
of maxillary lateral incisor is
more centered
24
Q

Maxillary Incisors from the Lingual View: Marginal Ridges

A
-Maxillary lateral incisor
has the distal marginal
ridge appear shorter than
mesial (more so than on
centrals) due to slope of
incisal edge toward distal
-on central this is also due
to distal placement of
cingulum
25
Variations in Maxillary Incisors
Shovel Shaped | and Double Shovel Shaped
26
Maxillary Incisors from the Lingual View: Accessory (Lingual) Ridges and Grooves
Possible on Maxillary Incisors | -smoke, drink coffee, easily stained
27
Maxillary Incisors from the Lingual View: Root Shape
Roots taper narrower | toward the lingual
28
Maxillary Incisors from the Proximal Views: Incisal Edge
``` -Incisal edge labial or at midroot axis line -Maxillary centrals (from distal view) may have distoincisal edge is lingual to the axis due to distolingual twist of incisal edge (shows better on incisal view) ```
29
Maxillary Incisors from the Proximal Views: Cervical Line
``` -As on all anterior teeth, the mesial CEJ curves more than the distal ( seen clearly here on a canine lingual view) - Largest CEJ curve for all teeth is mesial of maxillary central incisor (up to3.5 mm) ```
30
Maxillary Incisors from the Proximal Views: Height (Crest) of Contour
``` Both maxillary central and lateral incisors have the heights of contour (facial and lingual) in the cervical third ```
31
Maxillary Incisors from the Proximal Views: Root
*known for no depression on root surface; if slight depression, will be on MESIAL ``` -Maxillary central root has a flatter lingual outline in the cervical third, then tapers - Laterals have more overall uniform taper -No root depression on distal, rare shallow depression on mesial ```
32
Maxillary Incisors from the Incisal View: Crown Proportion Faciolingually vs. Mesiodistally
``` -Both maxillary incisors have mesiodistal greater than the faciolingual, but more so for the maxillary centrals -Laterals are closer to equal for FL and MD ```
33
Maxillary Incisors from the Incisal View: Outline Shape of Crowns
``` -Maxillary central has a triangular crown outline (because the facial surface is flatter) -Maxillary lateral has a more round or oval outline ```
34
Maxillary Incisors from the Incisal View: Incisal Ridge Contour
``` -Maxillary central exhibits a distolingual twist of the incisal edge; the lateral does not -Maxillary central has cingulum distal to root midroot axis line ```
35
Maxillary Incisors from the Incisal View: Labial Contour
Maxillary lateral has more labial curvature (is more convex) than the central incisor
36
Mandibular Incisors from the Labial View: Crown Shape
-Mandibular central is symmetrical, don't need to determine R vs L -Mandibular lateral is larger than central -3 mamelons (before wear) on mandibular incisors
37
Mandibular Incisors from the Labial View: Incisal Proximal Angles
``` -Mandibular central has mesioincisal angle = distoincisal angle -Lateral has distoincisal angle more rounded than mesioincisal angle ```
38
Mandibular Incisors from the Labial View: Proximal Contact Areas
``` -Mandibular central has mesial and distal contact at SAME level (incisal third close to incisal edge) • Mandibular lateral has mesial contact more incisal than distal (incisal third, more cervically than central) • All contacts in incisal third ```
39
Mandibular Incisors from the Labial View: Root-to-Crown Proportion
``` Mandibular incisor roots appear to be longer relative to the crown than maxillary incisor roots ``` 1.45 root crown ratio
40
Mandibular Incisors from the Labial View: Root Shape
``` -Distal bend of root tip is more common than mesial bend -Roots are narrow mesiodistally ```
41
Mandibular Incisors from the Lingual View: Lingual Anatomy (Marginal Ridges, Fossae, and Cingulum)
-All mandibular incisors have | minimal marginal ridges and fossa depth (compared to maxillary incisors)
42
Mandibular Incisors from the Lingual View: Cingulum
``` Mandibular lateral cingulum is more distal to the midroot axis than on centrals (best seen incisally) ```
43
Mandibular Incisors from the Lingual View: Root Shape
Both mandibular incisors roots are narrower from lingual and have mesial and distal root depressions (better appreciated comparing mesial and distal views)
44
Mandibular Incisors from the Proximal View: Incisal Edge
``` Mandibular lateral incisor (mesial view) has the distolingual corner of the incisal edge showing lingually due to the distolingual TWIST; centrals do not ```
45
Mandibular Incisors from the Proximal View: Cervical Line
CEJ curves toward incisal more on the MESIAL than distal
46
Mandibular Incisors from the Proximal View: Height (Crest) of Contour
``` -Buccal and lingual contours for both centrals and laterals are in the cervical third -All mandibular incisors have smooth lingual surfaces with shallow fossae ```
47
Mandibular Incisors from the Proximal View: Roots
``` -Mandibular roots are much wider faciolingually than mesiodistally, especially compared to maxillary incisors -Both mandibular incisors have mesial and distal root depressions (distal is deeper) -Both mandibular incisors cross sections of root are “Kidney” or “Bow” shaped ```
48
Mandibular Incisors from the Incisal View: Crown Proportions
ALL mandibular incisors have the faciolingual dimension greater than the mesiodistal
49
Mandibular Incisors from the Incisal View: Crown Outline
Mandibular central incisors are symmetrical; laterals are no
50
Mandibular Incisors from the Incisal View: Incisal Ridge Contour (Alignment)
Lateral incisor has an incisal edge with a distolingual TWIST; central does not
51
Mandibular Incisors from the Incisal View: Cingulum
Mandibular lateral incisor has a cingulum distal to midroot axis; central does not
52
Mandibular Incisors from the Incisal View: Labial Contour
All have convex facial contour and lingual contour decidedly convex (more curved)