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DENTAL ANATOMY, PHYSIOLOGY &
OCCLUSION
Dr Vijay Wadhwan
Prof. & Head
Oral & Maxillofacial Pathology
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
• 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
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
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
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
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
Classification of dentition & Cusp forms
• Monophyodont
• Diphyodont
• Polyphyodont
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Based on kind of teeth found
• Homodont or Isodont
• Specialized homodont
• Heterodont
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
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
Based on attachment to bone
• Acrodont
• Pleurodont
• Thecodont
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
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
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
Formulae for mammalian teeth
• Four classes of teeth: Denominations
• Incisors :( I )
• Canines :(C)
• Premolars: (P)
• Molars :(M)
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Formula for primary teeth
• I 2 C 1 M 2
2 1 2 =10
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Formula for permanent teeth • I 2 C 1 P 2 M 3
2 1 2 3 =16
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
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
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
Tissues of tooth
• Enamel
• Dentin Hard/Mineralised
• Cementum tissues
• Pulp Soft tissue
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
• 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
Other supporting tissues
• Periodontal ligament
• Alveolar bone
• Gingiva (Oral Mucous Membrane)
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
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
Division into thirds
Crown
• Cervico-Occlusally
• Faciolingually
• Mesiodistally
Root
• Cervicoapically
• Faciolingually
• Mesiodistally
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Line angle
• Formed by Union of Two surfaces
• Anterior 06 Line angles
• Posterior 08 Line angles
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Point angle
• Formed by Union of Three surfaces
• Anterior 04 Point angles
• Posterior 04 Point angles
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
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
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
Mamelon
• Any one of the three rounded protuberances on the incisal ridges of newly erupted incisor teeth.
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Tubercle
• It is a smaller elevation on the crown produced by extra formation of enamel.
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
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
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
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
Labial ridge
• Running cervicoincisally at the centre of the labial surface
• Prominent in maxillary canines
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Buccal ridge
• Running cervico-occlusally in premolars buccal aspect
• Prominent in first premolar
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Lingual ridge
• Running cervicoincisally at the centre of the lingual surface
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Linguoincisal ridge
• Running mesiodistally in the lingual surface at incisal third
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Cusp ridge
• Inclined surface that forms an angle at cusp tip
• Also known as Cusp Arm
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
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
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
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
Oblique ridge
• A ridge obliquely crossing the occlusal surfaces of maxillary molars & formed by the union of
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
Fossa
• It is an irregular depression /concavity .
Lingual fossae
Central fossae
Dr. Vijay Wadhwan, Subharti Dental College, SVSU
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
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
Pit
• It is a small pinpoint depression located at the junction of developmental grooves
Dr. Vijay Wadhwan, Subharti Dental College, SVSU