Anatomy & Physiology for the Dental Professionals (2)

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    Dental Anatomy

    and Masticatory Dynamics

    Welcome to DAMD

    Session I

    (August 1, 2005)

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    Today

    Intro faculty

    Distribute Manual / Discuss Resources

    Intro lecture

    Mock Quiz

    Review Quiz

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    Faculty

    Ilze Bekeny

    Francis Curd

    T. Roma Jasinevicius

    Jay Joseph

    Louis Juliano Tania Markarian

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    DAMD Offices

    Next to DentSim Clinic

    In BLUE manual

    Telephone numbers

    E-mail numbers

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    Text / Resources

    Notes

    CD

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    Lecture

    Welcome

    CWRU-

    Day 1 of

    yourprofessional

    career

    the rest o f

    your l i fe!!!

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    From Apprentice

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    eorge Washingtons Teeth

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    20thcentury dentures

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    From apprentice

    to

    professional

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    Restorative Dentistry

    on typodont

    Procedures executed by

    2ndyear Dental Student

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    Masticatory /

    Gnathological System

    Start

    notes

    from here

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    Masticatory /

    Gnathological system

    Masticatory: Pertaining to chewing

    Gnathology

    Science that deals withanatomy, histology,physiology, pathology ofthe jaws and masticatorysystem as a whole,

    including the applicablediagnostic, therapeuticand rehabilitativeprocedures

    Frontal view

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    Sagittal view of skull:

    Jaws:

    Maxilla

    non-movableMandible - movable

    Temporomandibular jt

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    Mixed Dentition:

    Primary /Deciduous and Permanent

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    Determination of age from teeth present

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    6 yearmolar

    LI CI

    8 yr 7 yr

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    Permanent Teeth

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    Maxillary

    ANTERIOR

    MandibularANTERIOR

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    Anterior Teeth

    Maxillary

    Central Incisor (2 right and left)

    Lateral Incisor (2 right and left)

    Canine (2 right and left)

    Mandibular

    Central Incisor(2 right and left)

    Lateral Incisor (2 right and left)

    Canine (2 right and left)

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    Maxillary

    PreMolars

    Mandibular

    PreMolars

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    Posterior Teeth - PreMolars

    Maxillary

    1stPremolar (2 right and left)

    2ndPremolar (2 right and left)

    Mandibular

    1stPremolar (2 right and left)

    2ndPremolar (2 right and left)

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    Maxillary

    Molars

    Mandibular

    Molars

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    Posterior Teeth - Molars

    Maxillary

    1stMolar (2 right and left)

    2ndMolar (2 right and left)

    3rdMolar (Wisdom tooth) (2 right and left)

    Mandibular

    1

    st

    Molar(2 right and left)

    2ndMolar (2 right and left)

    3rdMolar (Wisdom tooth) (2 right and left)

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    Division

    Arches Maxillary Mandibular

    Quadrants Maxillary Arch Mandibular Arch

    Right quadrant Right quadrant Left quadrant Left quadrant

    Sextants

    Maxillary Arch Mandibular Arch Right posterior sextant Right posterior sextant

    Anterior sextant Anterior sextant

    Left posterior sextant Left posterior sextant

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    Maxillary Arch

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    Left

    RIGHT

    LEFT

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    Maxillary ArchMax Right

    quadrant

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    Maxillary ArchMax Left

    quadrant

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    Maxillary Arch

    Max Left

    Posterior

    sextant

    Max Right

    Posteriorsextant

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    CROWN

    coronal

    ROOT

    radicular

    Cervical line

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    Incisal (ant)

    Occlusal (post)

    CROWN

    coronal

    ROOT

    radicular

    APEX

    apical

    Cervical line

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    Right Midline Left

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    Right Midline Left

    Mesial

    towards midine

    DistalAway from midline

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    Right Midline Left

    M

    D

    M

    D

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    Right Left8 9

    7 10

    6 11

    5

    4

    3 14

    2 15

    1 -missin missin 16

    UNIVERSAL

    SYSTEM

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    Mandible numbering system32 missing missing 17

    31 18

    30 19

    29

    28 20

    21

    27 2226

    25/24 23

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    Name / number the teeth

    Using Universal # System

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    Name / number the teeth

    Using Universal # System!

    4 5 6 7 8 9 10 11

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    8 9

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    More terminology

    FACIAL

    View

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    More terminology

    Views / aspects of teeth

    Facial

    Lingual Mesial (a proximal surface)

    Distal ( a proximal surface)

    Occlusal (posterior) / Incisal (anterior)

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    # 8

    Facial

    View

    INCISAL

    MESIALDISTAL

    midline

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    Apical

    Facial View

    Mesial Distal

    Incisal

    A i l

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    Apical

    Mesial Distal

    Incisal

    APICAL

    MIDDLE

    CERVICAL

    CERVICAL

    MIDDLE

    INCISAL

    A i l

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    Apical

    Mesial Middle Distal

    Incisal

    middle

    Mesial Middle Distal

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    Apical

    Facial Middle Lingual

    Cervical

    Cervical

    Facial Middle Lingual

    Incisal

    Proximal

    View

    Proximal Facial

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    Incisors

    PM Molars

    PM Molars

    Trapezoid

    Rhomboid

    Triangle

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    Facial of all teeth - trapezoidal

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    Break time10 minutes

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    Continue with terminology

    C t t

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    Contact areas

    Area on proximal surface of a tooth either

    M or D

    when teeth are in good alignmentwhich touches adjacent tooth

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    Variations yetcharacteristics for identification

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    Maxillary Incisors

    Purpose

    Along with mandibular incisors

    Esthetics

    Phonetics - speech

    Incising / cutting

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    Information* and Photos with black backgroundTooth Atlas

    * Information with asterisk from Tooth Atlas CD

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    Maxillary Central Incisor

    Development*

    The initiation of calcification is between 3

    and 4 months. The completion of enamel formation is 4 to

    5 years.

    The eruption is between 7 to 8 years. Root development complete at 10 years.

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    Why DA ?

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    5 views of teeth

    Facial

    Labial (anterior)

    Buccal (posteriors)

    Lingual

    Mesial

    Distal

    Incisal / Occlusal

    Ant / posterior

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    Maxillary Central - #8 -

    Facial view

    Crown:Root - 11mm: 13 mm

    M-Inc Corner - 90 degrees

    D-Inc Corner - rounded

    M contact - Incisal

    D contact - Junction

    (Incisal/Middle)

    D M

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    Maxillary Central - #8 -

    Facial view

    Size

    MD widest ANT tooth

    Inc-Cerv longest Crown

    M outline straight

    D outline sltly rounded

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    Maxillary Central - #8 -

    Facial view

    Size

    MD widest ANT tooth

    Inc-Cerv longest Crown

    M outline straight

    D outline sltly rounded

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    Maxillary Central - #8 -

    Lingual view

    Marginal ridges (MR) MMR > DMR

    Moderately pronounced

    Cingulum Moderately pronounced

    D located

    Fossa Moderate depth

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    Maxillary Central - #8 -

    Lingual view

    Marginal ridges (MR) MMR > DMR

    Moderately pronounced

    Cingulum Moderately pronounced

    D located

    Fossa Moderate depth

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    Maxillary Central - #8 -

    Mesial view

    Incisal Edge sltly F to .

    root axis

    Facial surface flat

    CEJ (cervical line) deeper on M

    Root:

    M surface flat w/ depression

    (D surface convex w/ no depression)

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    Maxillary Central - #8 -

    Distal view

    Incisal Edge sltly F to .root axis

    Facial surface flat

    CEJ (cervical line) deeper on M

    Root: M surface flat w/ depression

    (D surface convex w/ nodepression)

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    Maxillary Central - #8 -

    Incisal view

    Geometric

    Triangular

    MD > FL

    Facial

    flat

    Cingulum

    Distal location

    Maxillary Lateral Incisor

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    Maxillary Lateral Incisor

    Most variable ANTERIOR tooth

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    Maxillary Lateral - #7 -

    Facial view

    Crown:Root - 10mm: 13 mm

    M-Inc Corner - rounded

    D-Inc Corner - v. rounded

    M contact - Junction*

    D contact - Middle

    *(Incisal/Middle)

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    Maxillary Lateral - #7 -

    Facial view

    Crown:Root - 10mm: 13 mm

    M-Inc Corner - rounded

    D-Inc Corner - v. rounded

    M contact - Junction*

    D contact - Middle

    *(Incisal/Middle)

    ill l #

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    Maxillary Lateral - #7 -

    Facial view

    Size

    MD smaller than CI

    Inc-Cerv shorter CI

    M outline rounded

    D outline v. rounded

    M ill L l #7

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    Maxillary Lateral - #7 -

    Facial view

    Size

    MD smaller than CI

    Inc-Cerv shorter CI

    M outline rounded

    D outline v. rounded

    M ill L l d C l #7 #8

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    Maxillary Lateral and Central - #7 - #8 -

    Facial view

    M ill L l #7

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    Maxillary Lateral - #7 -

    Lingual view

    Marginal ridges (MR) MMR > DMR

    Moderately pronounced

    More than CI

    Cingulum More pronounced than CI

    Centered

    Fossa Moderate depth

    Pits / groove variation

    M ill L t l #7

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    Maxillary Lateral - #7 -

    Lingual view

    Marginal ridges (MR)

    MMR > DMR

    Moderately pronounced

    More than CI

    Cingulum

    More pronounced than CI

    Centered

    Fossa

    Moderate depth

    Pits / groove variation

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    M ill L t l #7

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    Maxillary Lateral - #7 -

    Mesial view

    Incisal Edge sltly F to .

    root axis

    Facial surface more rnd

    CEJ (cervical line) deeper on M

    Root: M surface flat w/ depression

    (D surface flat / no depression)

    M ill L t l #7

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    Maxillary Lateral - #7 -

    Distal view

    Incisal Edge sltly F to .root axis

    Facial surface more rnd

    CEJ (cervical line) deeper onM

    Root: M surface flat w/ depression

    (D surface flat / no depression)

    M ill L t l #7

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    Maxillary Lateral - #7 -

    Incisal view

    Geometric

    Rnded

    MD > FL

    Facial

    rnd

    Cingulum

    Centered

    Its been so lovely!!!

    N t i

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    Next session

    Quiz and bring typodonts (we will provide prep)

    For LAB: bring matches (lighter) and stockings!!!!