Dr. Rana Nagah
Lecturer of oral biology
Email: Dr.Rana.Nagah@gmail.com
Introduction
To
Dental Anatomy
1. Introduction to oral structures
2. Types of teeth
3. Classification of dentitions
4. Dental formula
5. Numbering system
6. Macro & micro anatomy
7. Surfaces of teeth
8. Line and point angles
What are our
Objectives?
1. Introduction to oral structures:
Teeth are arranged in the mouth in 2 jaws:
Upper jaw Maxilla Maxillary teeth.
Lower jaw Mandible Mandibular teeth
A midline divides the oral cavity vertically into 2
equal halves.
So the teeth in oral cavity are divided into
4 Quadrants.
Maxillary arch
& teeth
Midline
Mandibular arch
& teeth
Maxillary Right quadrant Maxillary Left quadrant
Mandibular Right quadrant Mandibular Left quadrant
What are our objectives?
1. Introduction to oral structures
2. Types of teeth
3. Classification of dentitions
4. Dental formula
5. Numbering system
6. Macro &microanatomy of teeth
7. Surfaces of teeth
8. Line and point angles
2. Types of teeth
There are 4 types of teeth:
Two types called Anteriors
The other 2 types are called Posteriors
Incisors
There are 2 incisors in each quadrant
1 central next to midline1 lateral
Biting, cutting & incising food
Canines
There is 1 canine in each quadrant
Has 1 cusp so called (cuspid)
Cutting, tearing & holding food
Anterior teeth
Posterior teeth
Premolars
• There are 2 in each quadrant
• 1st & 2nd premolars
• Mainly have 2 cusps, so sometimes
called bicuspid
• Tearing, holding & grinding
Molars
• There are 3 in each quadrant
• 1st, 2nd, 3rd
• The are multicuspid and multirooted
• Grinding.
What are our objectives?
1. Introduction to oral structures
2. Types of teeth
3. Classification of dentitions
4. Dental formula
5. Numbering system
6. Macro & micro anatomy
7. Surfaces of teeth
8. Line and point angles
3. Classification of dentition:
There are 2 types of dentition in humans:
Permanent dentition
Deciduous dentition
1. Deciduous dentition:
Named so because they shed like the leaves of
deciduous trees in autumn.
They are also called primary, milk, or temporary teeth.
The teeth start to appear at 6 months and continue to
erupt till age of 2.5-3 years.
They are 20 in number. 10 in each arch. 5 for each
quadrant.
2 Incisors.
1Canine.
2 Deciduous Molars.
These teeth are called (Predecessors)
2. Permanent dentition:
They are also called secondary or adult teeth
They start to erupt at 6 years till nearly 21 years with
eruption of permanent 3rd molar (wisdom tooth).
They last for long time and are not replaced.
They are 32 teeth (16 per arch, 8 per quadrant)
In each quadrant:
2 incisors central and lateral (1,2)
1 canine (3)
2 premolars (4, 5)
3 molars (6,7,8)
Succedaneous teeth:
20 decideous teeth are replaced by 20 permanent
teeth.
 2 D Incisors are replaced by 2 P Incisors
 1 D Canine is replaced by 1 P Canine
 2 D Molars are replaced by 2 Premolars
 With growth of dental arch, there is a space for
eruption of 3 more teeth in each quadrant.
 The 3 Permanent Molars are considered as
non-succedaneous teeth (have no predecessors)
M
M
Succedaneous
teeth
Dentition periods: 1. Primary dentition period:
• Only deciduous teeth are present.
• Extend from 6 months - to - 6 yrs.
• Ends with eruption of first permanent tooth normally
mandibular first molar.
2. Mixed dentition period (Transitional phase):
Both deciduous and permanent teeth are present.
Starts with eruption of 1st permanent molar at 6 yrs.
Ends at 12 yrs with the shedding of last deciduous tooth
normally primary maxillary second molar.
3. Permanent dentition period:
• Only permanent teeth are present.
• Begins at approximately 12 years and continues through
the rest of life.
What are our objectives?
1. Introduction to oral structures
2. Types of teeth
3. Classification of dentitions
4. Dental formula
5. Numbering system
6. Macro & micro anatomy
7. Surfaces of teeth
8. Line and point angles
4. Dental formula
A number and letter designation of the various types of teeth found in a
dentition.
It indicates the dentition of only one side of the mouth, but includes both
upper and lower Quadrants, so dental formula includes just half of the teeth
Deciduous Permanent
What are our objectives?
1. Introduction to oral structures
2. Types of teeth
3. Classification of dentitions
4. Dental formula
5. Numbering system
6. Macro & micro anatomy
7. Surfaces of teeth
8. Line and point angles
5. Numbering systems
It is used to serve as abbreviations instead of writing the entire
name of a tooth
These symbols will let us know whether the tooth is either
Deciduous or permanent
Upper or lower
Right or left
The tooth type
Quadrant
There are 3 numbering systems:
A. Palmer notation system.
B. International (Two Digit) system.
C.Universal numbering system.
A. Palmer notation system:
The system used simple bracket to
represent the four quadrants of the dentition
The permanent teeth are numbered from
1 - 8 on each side starting from midline.
So number 1 will be for central incisor.
while 8 will be for 3rd molar.
A. Palmer notation system
Permanent teeth:
Ex: This symbol denotes upper right canine.
What’s ?
This symbol denotes lower left 2nd
premolar.
3
5
Deciduous teeth:
It starts also from midline. But for
deciduous teeth we give alphabetic
letters.
 From deciduous central incisor A.
ending with deciduous second molar
E.
Each quadrant has only 5 teeth.
Examples:
6
Permanent upper left 1st molar
D
Deciduous lower right 1st molar
4
Permanent lower left 1st premolar
B. Two-Digit system (international):
We have 2 numbers
The one on the left is number of quadrant
The other on the right is for the tooth type
permanent dentition deciduous dentition
Left Right
Example:
45:
permanent lower right 2nd premolar.
63:
deciduous upper left canine
66
84
C. Universal system:
Permanent :
Teeth take numbers from 1-32.
Starting from upper right 3rd molar(1)
proceeding clockwise, and ending by
lower right third molar (32).
It is always preceded by # sign
Deciduous:
There are 2 ways
6 7 8 9 10
1 2 3 4 5
15 14 1312 11
20 19181716
R L
#15d
deciduous lower left
central incisor
#O is lower left
deciduous central incisor
Notice the difference between two-digit and universal systems:
What are our objectives?
1. Introduction to oral structures
2. Types of teeth
3. Classification of dentitions
4. Dental formula
5. Numbering system
6. Macro & micro anatomy
7. Surfaces of teeth
8. Line and point angles
6. Macro &micro anatomy:
Anatomical Crown is that part of the tooth that is covered by Enamel or
outer covering of the tooth. Its up to the cement-enamel junction.
Clinical crown is that part of tooth that is visible in the oral cavity.
Anatomical root portion of root covered by cementum, defined
by CEJ.
Clinical root: portion of tooth that is not visible in mouth.
 Dentin –
The hard tissue, forms the main body of the tooth.
 Enamel –
The hardest living body tissue, covers the dentin of the
anatomical crown of a tooth.
 Cementum –
The layer of hard, bonelike tissue, which covers the
dentin of the anatomical root of a tooth.
 Pulp –
The living soft tissue, which occupies the pulp cavity of a
vital tooth. It contains the tooth's nutrient supply in the
form of blood vessels as well as the nerve supply.
Micro-anatomy of tooth
PULP CAVITY: Consists of:
• Pulp canals: Located in the root(s) of tooth called root canal.
• Pulp chamber: located mostly in the anatomical crown of the tooth.
• Pulp horns: pointed elongation corresponding to incisal or occlusal
projections
• Apical foramen: is the tooth's natural opening, found at the root's
very tip—that is, the root's apex—whereby an artery, vein, and nerve
enter the tooth
Supporting structures:
1. Alveolar process: bone
surrounding and supporting
teeth.
2. Periodontal ligament:
fibrous attachment between
tooth cementum and
alveolar bone.
3. Gingiva: (gum) mucous
membrane covering alveolar
process and surrounding
neck of teeth
N.B : These 3 tissues +
cementum are called
periodontium
What are our objectives?
1. Introduction to oral structures
2. Types of teeth
3. Classification of dentitions
4. Dental formula
5. Numbering system
6. Macro & micro anatomy
7. Surfaces of teeth
8. Line and point angles
7. Surfaces of teeth
•Crowns of anterior teeth have 4 surfaces and edge.
•While those of posterior surfaces have 5 surfaces
1. Facial (Labial or Buccal)
2. Lingual or palatal
3. Proximal
(Mesial or Distal)
4. Masticatory surface
(Incisal or occlusal)
1. Facial surface
labial surface
The outside surface of
anterior teeth facing lip
Buccal surface
The outside surface of
posterior teeth facing
cheeks (buccinator
muscle)
2. lingual/ palatal surface:
The inner surface of teeth facing palate (palatal) in maxillary teeth or
tongue (lingual) in mandibular teeth .
Palatal
Lingual
Labial
Buccal
3. Proximal surfaces
 Mesial surface:
toward Midline
 Distal surface:
Distant from midline
Incisal edge
Biting edge of anterior
teeth
Occlusal surface
Chewing surface of
posterior teeth
Masticatory
surfaces
Divisions into Thirds
• Crowns and roots of teeth have been
divided into thirds.
• These thirds are named according to
the surface close to them.
• HORIZONTALY, the crown is divided
into an incisal or occlusal third,
middle third, and cervical third.
• The root is divided into a cervical
third, middle third, and apical third.
• VERTICALLY, Mesiodistally, the crown
is divided into the mesial, middle, and
distal thirds. Faciolingually, it is
divided into the labial or buccal,
middle, and lingual thirds.
Line and point angles:
Line angle: is the junction between 2
adjacent surfaces and it is named
according to the 2 surfaces sharing in its
formation.
Point angle: is the junction between 3
adjacent surfaces and it is named
according to the 3 surfaces sharing in its
formation meeting in a point
6 8
Line angles
4 4
Point angles
Thank
you

Introduction part 1

  • 1.
    Dr. Rana Nagah Lecturerof oral biology Email: [email protected] Introduction To Dental Anatomy
  • 2.
    1. Introduction tooral structures 2. Types of teeth 3. Classification of dentitions 4. Dental formula 5. Numbering system 6. Macro & micro anatomy 7. Surfaces of teeth 8. Line and point angles What are our Objectives?
  • 3.
    1. Introduction tooral structures: Teeth are arranged in the mouth in 2 jaws: Upper jaw Maxilla Maxillary teeth. Lower jaw Mandible Mandibular teeth A midline divides the oral cavity vertically into 2 equal halves. So the teeth in oral cavity are divided into 4 Quadrants. Maxillary arch & teeth Midline Mandibular arch & teeth
  • 4.
    Maxillary Right quadrantMaxillary Left quadrant Mandibular Right quadrant Mandibular Left quadrant
  • 5.
    What are ourobjectives? 1. Introduction to oral structures 2. Types of teeth 3. Classification of dentitions 4. Dental formula 5. Numbering system 6. Macro &microanatomy of teeth 7. Surfaces of teeth 8. Line and point angles
  • 6.
    2. Types ofteeth There are 4 types of teeth: Two types called Anteriors The other 2 types are called Posteriors
  • 7.
    Incisors There are 2incisors in each quadrant 1 central next to midline1 lateral Biting, cutting & incising food Canines There is 1 canine in each quadrant Has 1 cusp so called (cuspid) Cutting, tearing & holding food Anterior teeth
  • 8.
    Posterior teeth Premolars • Thereare 2 in each quadrant • 1st & 2nd premolars • Mainly have 2 cusps, so sometimes called bicuspid • Tearing, holding & grinding Molars • There are 3 in each quadrant • 1st, 2nd, 3rd • The are multicuspid and multirooted • Grinding.
  • 10.
    What are ourobjectives? 1. Introduction to oral structures 2. Types of teeth 3. Classification of dentitions 4. Dental formula 5. Numbering system 6. Macro & micro anatomy 7. Surfaces of teeth 8. Line and point angles
  • 11.
    3. Classification ofdentition: There are 2 types of dentition in humans: Permanent dentition Deciduous dentition
  • 12.
    1. Deciduous dentition: Namedso because they shed like the leaves of deciduous trees in autumn. They are also called primary, milk, or temporary teeth. The teeth start to appear at 6 months and continue to erupt till age of 2.5-3 years. They are 20 in number. 10 in each arch. 5 for each quadrant. 2 Incisors. 1Canine. 2 Deciduous Molars. These teeth are called (Predecessors)
  • 13.
    2. Permanent dentition: Theyare also called secondary or adult teeth They start to erupt at 6 years till nearly 21 years with eruption of permanent 3rd molar (wisdom tooth). They last for long time and are not replaced. They are 32 teeth (16 per arch, 8 per quadrant) In each quadrant: 2 incisors central and lateral (1,2) 1 canine (3) 2 premolars (4, 5) 3 molars (6,7,8)
  • 14.
    Succedaneous teeth: 20 decideousteeth are replaced by 20 permanent teeth.  2 D Incisors are replaced by 2 P Incisors  1 D Canine is replaced by 1 P Canine  2 D Molars are replaced by 2 Premolars  With growth of dental arch, there is a space for eruption of 3 more teeth in each quadrant.  The 3 Permanent Molars are considered as non-succedaneous teeth (have no predecessors) M M Succedaneous teeth
  • 15.
    Dentition periods: 1.Primary dentition period: • Only deciduous teeth are present. • Extend from 6 months - to - 6 yrs. • Ends with eruption of first permanent tooth normally mandibular first molar. 2. Mixed dentition period (Transitional phase): Both deciduous and permanent teeth are present. Starts with eruption of 1st permanent molar at 6 yrs. Ends at 12 yrs with the shedding of last deciduous tooth normally primary maxillary second molar. 3. Permanent dentition period: • Only permanent teeth are present. • Begins at approximately 12 years and continues through the rest of life.
  • 17.
    What are ourobjectives? 1. Introduction to oral structures 2. Types of teeth 3. Classification of dentitions 4. Dental formula 5. Numbering system 6. Macro & micro anatomy 7. Surfaces of teeth 8. Line and point angles
  • 18.
    4. Dental formula Anumber and letter designation of the various types of teeth found in a dentition. It indicates the dentition of only one side of the mouth, but includes both upper and lower Quadrants, so dental formula includes just half of the teeth Deciduous Permanent
  • 19.
    What are ourobjectives? 1. Introduction to oral structures 2. Types of teeth 3. Classification of dentitions 4. Dental formula 5. Numbering system 6. Macro & micro anatomy 7. Surfaces of teeth 8. Line and point angles
  • 20.
    5. Numbering systems Itis used to serve as abbreviations instead of writing the entire name of a tooth These symbols will let us know whether the tooth is either Deciduous or permanent Upper or lower Right or left The tooth type Quadrant
  • 21.
    There are 3numbering systems: A. Palmer notation system. B. International (Two Digit) system. C.Universal numbering system.
  • 22.
    A. Palmer notationsystem: The system used simple bracket to represent the four quadrants of the dentition The permanent teeth are numbered from 1 - 8 on each side starting from midline. So number 1 will be for central incisor. while 8 will be for 3rd molar.
  • 23.
    A. Palmer notationsystem Permanent teeth: Ex: This symbol denotes upper right canine. What’s ? This symbol denotes lower left 2nd premolar. 3 5
  • 24.
    Deciduous teeth: It startsalso from midline. But for deciduous teeth we give alphabetic letters.  From deciduous central incisor A. ending with deciduous second molar E. Each quadrant has only 5 teeth.
  • 25.
    Examples: 6 Permanent upper left1st molar D Deciduous lower right 1st molar 4 Permanent lower left 1st premolar
  • 26.
    B. Two-Digit system(international): We have 2 numbers The one on the left is number of quadrant The other on the right is for the tooth type permanent dentition deciduous dentition Left Right
  • 28.
    Example: 45: permanent lower right2nd premolar. 63: deciduous upper left canine 66 84
  • 29.
    C. Universal system: Permanent: Teeth take numbers from 1-32. Starting from upper right 3rd molar(1) proceeding clockwise, and ending by lower right third molar (32). It is always preceded by # sign
  • 30.
    Deciduous: There are 2ways 6 7 8 9 10 1 2 3 4 5 15 14 1312 11 20 19181716 R L #15d deciduous lower left central incisor #O is lower left deciduous central incisor
  • 31.
    Notice the differencebetween two-digit and universal systems:
  • 33.
    What are ourobjectives? 1. Introduction to oral structures 2. Types of teeth 3. Classification of dentitions 4. Dental formula 5. Numbering system 6. Macro & micro anatomy 7. Surfaces of teeth 8. Line and point angles
  • 34.
  • 35.
    Anatomical Crown isthat part of the tooth that is covered by Enamel or outer covering of the tooth. Its up to the cement-enamel junction. Clinical crown is that part of tooth that is visible in the oral cavity.
  • 36.
    Anatomical root portionof root covered by cementum, defined by CEJ. Clinical root: portion of tooth that is not visible in mouth.
  • 38.
     Dentin – Thehard tissue, forms the main body of the tooth.  Enamel – The hardest living body tissue, covers the dentin of the anatomical crown of a tooth.  Cementum – The layer of hard, bonelike tissue, which covers the dentin of the anatomical root of a tooth.  Pulp – The living soft tissue, which occupies the pulp cavity of a vital tooth. It contains the tooth's nutrient supply in the form of blood vessels as well as the nerve supply. Micro-anatomy of tooth
  • 39.
    PULP CAVITY: Consistsof: • Pulp canals: Located in the root(s) of tooth called root canal. • Pulp chamber: located mostly in the anatomical crown of the tooth. • Pulp horns: pointed elongation corresponding to incisal or occlusal projections • Apical foramen: is the tooth's natural opening, found at the root's very tip—that is, the root's apex—whereby an artery, vein, and nerve enter the tooth
  • 40.
    Supporting structures: 1. Alveolarprocess: bone surrounding and supporting teeth. 2. Periodontal ligament: fibrous attachment between tooth cementum and alveolar bone. 3. Gingiva: (gum) mucous membrane covering alveolar process and surrounding neck of teeth N.B : These 3 tissues + cementum are called periodontium
  • 41.
    What are ourobjectives? 1. Introduction to oral structures 2. Types of teeth 3. Classification of dentitions 4. Dental formula 5. Numbering system 6. Macro & micro anatomy 7. Surfaces of teeth 8. Line and point angles
  • 42.
    7. Surfaces ofteeth •Crowns of anterior teeth have 4 surfaces and edge. •While those of posterior surfaces have 5 surfaces 1. Facial (Labial or Buccal) 2. Lingual or palatal 3. Proximal (Mesial or Distal) 4. Masticatory surface (Incisal or occlusal)
  • 43.
    1. Facial surface labialsurface The outside surface of anterior teeth facing lip Buccal surface The outside surface of posterior teeth facing cheeks (buccinator muscle)
  • 44.
    2. lingual/ palatalsurface: The inner surface of teeth facing palate (palatal) in maxillary teeth or tongue (lingual) in mandibular teeth .
  • 45.
  • 46.
    3. Proximal surfaces Mesial surface: toward Midline  Distal surface: Distant from midline
  • 47.
    Incisal edge Biting edgeof anterior teeth Occlusal surface Chewing surface of posterior teeth Masticatory surfaces
  • 48.
    Divisions into Thirds •Crowns and roots of teeth have been divided into thirds. • These thirds are named according to the surface close to them. • HORIZONTALY, the crown is divided into an incisal or occlusal third, middle third, and cervical third. • The root is divided into a cervical third, middle third, and apical third. • VERTICALLY, Mesiodistally, the crown is divided into the mesial, middle, and distal thirds. Faciolingually, it is divided into the labial or buccal, middle, and lingual thirds.
  • 50.
    Line and pointangles: Line angle: is the junction between 2 adjacent surfaces and it is named according to the 2 surfaces sharing in its formation. Point angle: is the junction between 3 adjacent surfaces and it is named according to the 3 surfaces sharing in its formation meeting in a point
  • 51.
  • 52.
  • 54.