5. How to identify the upper.
Central???
The large mesiodistalmesiodistal
width.
Note the sharpsharp
mesioincisalmesioincisal angle and the
rounded distoincisarounded distoincisal angle.
Single conical root.
5
11. In lower central
Crown is inclined lingually.Crown is inclined lingually.
Both incisal anglesincisal angles are sharp but thesharp but the
distoincisal angle is barely more rounded.distoincisal angle is barely more rounded.
Constricted neck (fan shaped).Constricted neck (fan shaped).
Less developed features.Less developed features.
11
13. Lower lateral.
Both incisal anglesincisal angles are
rounded.rounded.
The incisal edgeincisal edge is sloppedslopped in a
distaldistal direction.
The cingulum is twisted
distolingually from the incisal
aspect.
13
17. Upper canine.
The cusp tip is located labially to theThe cusp tip is located labially to the
root axis from mesial aspect.root axis from mesial aspect.
Note the level of the contact area
“higher cervical” .“higher cervical” .
The mesial outlinemesial outline of the crown is
convex.convex.
Prominent labial and lingual ridges.Prominent labial and lingual ridges.
17
20. Lower canine.
The tip of the cusp is located lingually.
Both contact areascontact areas are higher incisalincisal
so the crown appears longer.
The mesial outlinemesial outline of the crowncrown isis
straightstraight with the root outline.root outline.
Less prominent labial and lingualLess prominent labial and lingual
ridges.ridges.
20
23. How to know the tooth is
upper or lower ??
Through the OVERHANG…..OVERHANG…..
If there is no overhangno overhang, the tooth is
upper premolarupper premolar.
If there is a lingual overhangoverhang, the tooth
is lower premolarpremolar.
23
30. Why it is upper 4 ?
The only premolaronly premolar with 2 roots2 roots.
There is mesial marginal groovemesial marginal groove.
The hexagonalhexagonal outline of the occ.occ.
Aspect.
The lingual cusplingual cusp is shortershorter than the
buccal Cuspbuccal Cusp.
30
33. Why it is upper 5???
There is no mesial marginal grooveis no mesial marginal groove.
Less angularLess angular occ. Outline “ovaloval”.
BothBoth lingual and bucc. CuspsCusps at the
same levelsame level.
Wrinkled appearance of occ. aspect as
many supplemental grooves.
Single rootSingle root.
33
39. Why it is lower 4???
Lingal over hang.
There is mesiolingual developmental
depression “MLDD”.
The lingual cusp is 23s of the crown
length .
Small sized lingual cusp (marked
lingual convergence).
39
44. Why lower 5???
Lingual over hang.
There is no “MLDD”.no “MLDD”.
The lingual cusps are more than 2/3slingual cusps are more than 2/3s
of the crown length.
The 2 lingual cusps2 lingual cusps separated with a
lingual groovelingual groove.
The rectangular outlinerectangular outline of the occ.occ.
Aspect.
44
51. Why upper. 6???
The BL width is longer than MD width.The BL width is longer than MD width.
The Occ. OutlineOcc. Outline is rhomboidalrhomboidal in shape
with 2 obtuse angles “ML&DB”.
The obliqe ridge between ML and DB
cusps.
The largest cusplargest cusp is the MLML and the smallestsmallest
is the DBDB.
3 roots.
There may be 55thth
cusp (cusp of Carabelli).cusp (cusp of Carabelli).
51
56. Why upper.7???
The Occ. OutlineOcc. Outline is MORE rhomboidalMORE rhomboidal
with 2 obtuse angles ML&DB.
The largest cusplargest cusp is the MLML and the
smallestsmallest is the DL.DL.
No 5No 5thth
cusp.
56
61. Why upper.8???
The Occ. OutlineOcc. Outline is heart shapeheart shape as the
ling. Cusps are not well developed.
The 3 roots3 roots are fusedfused.
61
65. Why lower 6???
Lingual over hang.
The MD width is longer than BLThe MD width is longer than BL
width.width.
The occ.occ. aspect has 5 cusps5 cusps.
The MBMB cusp is the largestlargest and the DD
cusp is the smallestsmallest.
2 developmental grooves2 developmental grooves on the bucc.bucc.
Aspect.Aspect.
2 roots.2 roots. 65
75. How to know if the tooth is
Right. Or Left.???”1”
You have to know the distaldistal and mesialmesial sides of the
tooth by…
…Roundation of angles (if incisors).Roundation of angles (if incisors).
…The contact areas position.contact areas position.
……The cusp slopes.The cusp slopes.
……The marginal ridges.The marginal ridges.
……Occ. Land mark “cusp”cusp”
……The direction of root.The direction of root.
…The cervical line curvaturecervical line curvature “the mesial is deeper”. NOT
important. 75
76. How to know if the tooth
is Right. Or Left.???”2”
Now hold the tooth in a correct
position…
… The bucc.bucc. is facing outsideoutside and the lingling.
is facing insideinside.
…The occ.occ. is downwarddownward if upp. toothupp. tooth or
upwardupward if lower tooth.lower tooth.
76
77. How to know if the tooth
is Right. Or Left.???”3”
Hold the tooth with the mesial sidemesial side
you identified towardtoward the midlinemidline.
77