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DENTAL ANATOMY, PHYSIOLOGY & OCCLUSION Dr Vijay Wadhwan Prof. & Head Oral & Maxillofacial Pathology Dr. Vijay Wadhwan, Subharti Dental College, SVSU

DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

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Page 1: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

DENTAL ANATOMY, PHYSIOLOGY &

OCCLUSION

Dr Vijay Wadhwan

Prof. & Head

Oral & Maxillofacial Pathology

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 2: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

• The morphology of various teeth in the human dentitions.

• Shape, form, structure, color, & function of teeth in relation with each other, in the same arch & in opposite arch.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 3: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Anatomy

– Greek word- Anatome

• Ana- apart Tome- To cut open /apart

• Deals with structure of living things

• Importance related to basic sciences Physiology, Microbiology and Pathology and applied sciences like Medicine & Surgery

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 4: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Physiology

• Deals with the normal functions of living organisms and their parts.

• All the physical and chemical processes that take place in organisms

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 5: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

occlusion

• Simply means contact between teeth.

• Technically, it is the relationship between the maxillary and mandibular teeth when they approach each other, as occurs during chewing or at rest.

• Occlusion is also termed as articulation.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 6: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

components of oral cavity Hard tissues

• Perioral bones

– Mandible

– Maxilla

– Skull bones

– Aveolus/Alveolar process

• Dentition

– Primary

– Permanent

– Mixed dentition

• Soft tissues

– Tongue

– Cheeks

– Soft palate

– Lips

– Salivary glands

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 7: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Classification of dentition & Cusp forms

• Monophyodont

• Diphyodont

• Polyphyodont

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 8: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Based on kind of teeth found

• Homodont or Isodont

• Specialized homodont

• Heterodont

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 9: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

HOMODONT

• Functionally & Anatomically similar but size may vary. Eg Amphibian, Reptiles

SPECIALIZED HOMODONT

• Functional specialization is required like venomous fangs. Eg Venomous snakes

HETERODONT

Four different types for cutting, tearing, grinding Eg Mammals

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 10: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Based on attachment to bone

• Acrodont

• Pleurodont

• Thecodont

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 11: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

ACRODONT

• Teeth attached on top surface of jaw bone by fibrous membrane. No roots. Lost easily Eg. Fish, Amphibians

PLEURODONT

• Teeth attached on inner side and upper side. Stronger attachment Eg Lizards

THECODONT

Root is fixed firmly to the jawbone in socket with the help of cementum. Eg Mammals

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 12: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Development

• Primary dentition

Development : 6-7 weeks IU –postnatal age of 3

Eruption : 6 month of age -28 ± 4 months

• Transition /Mixed dentition: 6-12 years of age

• Permanent Dentition:6 – 18-25 years of age

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 13: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Formulae for mammalian teeth

• Four classes of teeth: Denominations

• Incisors :( I )

• Canines :(C)

• Premolars: (P)

• Molars :(M)

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 14: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Formula for primary teeth

• I 2 C 1 M 2

2 1 2 =10

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 15: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Formula for permanent teeth • I 2 C 1 P 2 M 3

2 1 2 3 =16

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 16: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Crown & Root

• Crown-The portion of tooth visible in the oral cavity

• Root –the portion of tooth embedded in the bone

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 17: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Anatomical & Clinical Crown

• Anatomical crown-from the incisal edge /tip of cusp to the cervical line

• Clinical crown -from the incisal edge /tip of cusp to the gingiva (exposed portion)

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 18: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Tissues of tooth

• Enamel

• Dentin Hard/Mineralised

• Cementum tissues

• Pulp Soft tissue

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 19: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

• Crown covered by Enamel

• Root covered by Cementum

• Crown & root joined at cemento-enamel junction (CEJ) /Cervical line

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 20: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Other supporting tissues

• Periodontal ligament

• Alveolar bone

• Gingiva (Oral Mucous Membrane)

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 21: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Surfaces & Ridges

According to their positions & uses: • Facial surfaces Labial surfaces- towards the lip Buccal surfaces- towards the cheek • Lingual surfaces-towards the tongue • Proximal surfaces-towards adjoining teeth Mesial Distal • Occlusal –towards opposite jaw (occlusion)

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 22: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Division into thirds

Crown

• Cervico-Occlusally

• Faciolingually

• Mesiodistally

Root

• Cervicoapically

• Faciolingually

• Mesiodistally

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 23: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Line angle

• Formed by Union of Two surfaces

• Anterior 06 Line angles

• Posterior 08 Line angles

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 24: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Point angle

• Formed by Union of Three surfaces

• Anterior 04 Point angles

• Posterior 04 Point angles

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 25: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Landmarks

• Cusp • Tubercle • Cingulum • Ridge Marginal ridge Triangular ridge Transverse ridge Oblique ridge

• Fossa • Sulcus • Groove Developmental groove Supplemental groove • Pit • Lobe

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 26: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Cusp

• A cusp is an elevation or mound on the crown portion of a tooth making up a divisional part of the occlusal surface.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 27: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Mamelon

• Any one of the three rounded protuberances on the incisal ridges of newly erupted incisor teeth.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 28: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Tubercle

• It is a smaller elevation on the crown produced by extra formation of enamel.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 29: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Cingulum

• A cingulum or girdle is the lingual lobe of an anterior tooth & makes up the bulk of the cervical third of the lingual surface.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 30: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Lobe

• It is one of the primary section of formation in the development of the crown.

• Cusps & mamelons are representative of lobes.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 31: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Ridge

• A ridge is any linear elevation on the surface of a tooth & is named according to its location. (buccal, marginal, or incisal)

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 32: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Labial ridge

• Running cervicoincisally at the centre of the labial surface

• Prominent in maxillary canines

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 33: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Buccal ridge

• Running cervico-occlusally in premolars buccal aspect

• Prominent in first premolar

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 34: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Lingual ridge

• Running cervicoincisally at the centre of the lingual surface

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 35: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Linguoincisal ridge

• Running mesiodistally in the lingual surface at incisal third

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 36: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Cusp ridge

• Inclined surface that forms an angle at cusp tip

• Also known as Cusp Arm

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 37: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Marginal ridges

• Marginal ridges are those rounded borders of enamel that form the mesial & distal margins of the occlusal surfaces of premolars & molars,& lingual surfaces of incisors & canines.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 38: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Triangular ridge

• Ridges that descend from the tips of the cusps of molars & premolars toward the central part of the occlusal surfaces.

• Slopes of each side of the ridge are inclined to resemble two sides of a triangle.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 39: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Transverse ridge

• A transverse ridge is the union of two triangular ridges transversely crossing .the surface of a posterior tooth .

• Form by joining buccal & lingual triangular ridges.

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 40: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Oblique ridge

• A ridge obliquely crossing the occlusal surfaces of maxillary molars & formed by the union of

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 41: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Fossa

• It is an irregular depression /concavity .

Lingual fossae

Central fossae

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 42: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Sulcus

• It is a long depression or valley on the surface of a tooth between ridges & cusps, the inclines of which meet at an angle

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 43: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Developmental groove

• It is a shallow groove or line between the primary parts of the crown or root.

Supplemental grooves

Buccal groove

Lingual groove

Dr. Vijay Wadhwan, Subharti Dental College, SVSU

Page 44: DENTAL ANATOMY, PHYSIOLOGY & OCCLUSIONdental.subharti.org › oral_path › Introduction to DADH.pdf · Anatomy –Greek word- Anatome •Ana- apart Tome- To cut open /apart •Deals

Pit

• It is a small pinpoint depression located at the junction of developmental grooves

Dr. Vijay Wadhwan, Subharti Dental College, SVSU