Dental School Notes!

Dental Anatomy 3: Lobes, Cusps, Inclinations, & more


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Occlusal Curvatures and axial positions 

  • Curve of spee: 2d curvature = buccal cusp tips of premolars and molars posteriorly, curvature begins @ tip of canines and curves upwards from anterior → posterior 

    • Max molar roots = inclined MESIALLY

    • Mandi molar roots = inclined DISTALLY 

    • Curve of Wilson: the medio-lateral curvature of the occlusal plane of posterior teeth → complements the paths of the condoles during mandible movement 

      • Also 2d 

      • Crowns of MANDI posterior teeth incline to the lingual (Lingual Lower)

      • Crowns of MAX posterior teeth incline toward buccal (Buccal Upper) 

      • Molars have greater inclination bc the curve  → deeper posterior 

      • Sphere of Monson AKA compensating occlusal curvature = 3d sphere shaped curvature for occlusal plane Concave curve for mandi, convex for maxillary = combo of curve and spee and curve of Wilson

      • Axial position/Root inclination


        • Axial position = the inclination of a tooth from vertical axis 

          • Normally described in mesiodistal and faciolingual direction (but a combo of the two) = opposite of BULL

          • Crown is normally inclined in the OPPOSITE direction = BULL


          • Crown surface form 

            • From facial/lingual aspects ALL permanent teeth = rougly trapezoidal 

            • Tooth 

              Shape of Crown

              Info

              Anterior

              Tringular 

              • Proximal view → triangular 

              • Base = cervical 3rd

              • Apex = incisal 3rd

              • Apex = wedge in tearing, biting, and incising food

              • Max posteriors

                Trapezoidal 

                • Proximal view → trapezoidal 

                • Base = cervical 

                • Wedge → aids in distribution of forces during mastication and self-cleaning process

                • Mandi posteriors

                  Rhomboidal 

                  • Proximal → rhomboidal 

                  • Crowns = inclined toward the lingual  = proper interlocking of the Mandi and max posterior teeth during mastication 

                  • Contact areas

                    • Increase in size with age = Abrasive contact in proximals broaden the area 

                      • Mesiodistal length of dental arches = get shorter = as teeth become narrower mesiodistally, they are moving closer to midline 

                      • Proper contact location = stabilizes dental arch and prevents food packing 

                      • Contact areas become more cervically located from anterior → posterior in each quad (basically just move down towards cervical 3rd from midline to molars) 

                      • Distal contact area normally = more cervical location than mesial contact 

                      • Relative size increases from anterior to posterior in each quad

                      • Posterior teeth → contact areas = normally located to the buccal of center in the faciolingual dimension 

                      • Cervical Line: Curvatures

                        • CEJ = cervical line = line around the tooth where enamel and cementum meet 

                          • Separates anatomical crown and root → only visible when not covered by soft tissue

                          • It is stable (unlike gingival line → everchanging)

                          • Gingival line = gingival margin/crest → imaginary line which marks the level of termination of nonattached soft tissue surrounding the tooth 

                            • Separates the clinical crown and root → is always visible 

                            • Epithelial attachment = actual attachment of the soft tissue of the mouth to the tooth 

                              • Can be distinguished From the PDL 

                              • Connection for soft gingival tissue 

                              • PDL = attachment of the hard tissue (bone_ to the tooths root structure 

                              • Usually a sulcus between gingival Marin and epithelial attachment 

                              • Cervical Line Countour Rules

                                • Cervical line normally curved (convex) or bulges TOWARD the apical on the → lingual and facial teeth surfaces

                                • CL is normally convex toward the incisal/occlusal on → the mesial and distal surfaces

                                • The amount (depth) of cervical line curvature on any tooth is normally GREATER on the MESIAL compared to distal 

                                • Cervical lines on adjacent prox. Surfaces of adj. teeth have → approx same depth of curvature

                                • Depth of curvature on all surfaces = greatest on → central incisors and decreases POSTERIORLY 


                                • ...more
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                                  Dental School Notes!By Je$$ie