This document discusses the root morphology and canal anatomy of several maxillary teeth, including lateral incisors, canines, premolars, and first molars. Some key points discussed include:
- Maxillary lateral incisors are typically single-rooted with one canal that is often displaced distolingually. Approximately 10% have accessory canals.
- Maxillary canines usually have one canal but may rarely have two canals that join in the apical third. Accessory canals are not uncommon.
- Maxillary first premolars most commonly have two roots but can also be single or three-rooted. Over 75% have two canals regardless of root morphology.
The document discusses the morphology of primary teeth. It describes the general features of primary teeth such as their short crowns, thin enamel and dentin layers, and larger pulps close to the surface. It then details the specific characteristics of each primary tooth type. Key differences between primary and permanent teeth are outlined. The clinical significance of understanding primary tooth morphology for procedures like restorations and extractions is also covered.
The document describes the anatomy and development of the maxillary second molar. It begins calcifying at age 3, the crown is completed by age 7-8, and it erupts around age 12. The crown has a rhomboid shape and four main cusps, though the distolingual cusp can be smaller giving it a heart-like appearance. The maxillary second molar resembles the first molar but rarely has a fifth cusp and usually has more grooves.
This document discusses the chronology of human dentition development. It begins by defining chronology as the study of the timing of tooth development stages from initiation to emergence. Key points made include that primary dentition typically emerges around 6-8 months, with the mandibular central incisor first, and takes about 3 years to fully develop. Nolla's stages and the typical sequence of primary tooth eruption are also outlined. The document provides information on understanding tooth development timing for diagnostic and treatment purposes.
The partial veneer crown , inlay and onlay.pptxMuddaAbdo1
This document discusses partial veneer crowns, inlays, and onlays. It defines these terms and outlines their indications, contraindications, advantages, disadvantages, and preparation techniques. For partial veneer crowns, it describes preparations for maxillary and mandibular premolars and molars, including 3/4 crowns, reverse 3/4 crowns, and proximal half crowns. It also covers pinledge preparations for maxillary canines and central incisors. Preparation techniques are provided for mesio-occlusal/distal inlays and mesio-occlusal-distal onlays. Materials include cast metals and tooth-colored options like porcelain and
The document discusses several direct and indirect factors related to tooth morphology that influence periodontal health. The direct factors include proximal contact areas, interproximal spaces, embrasures, and facial and lingual contours of tooth crowns. Indirect factors involve crown form, root form, angulation of crowns and roots, self-cleaning ability, cusp form, and continuity of marginal ridges and central grooves. Specific anatomical features like proximal maximal contour, root outline, and lingual angulation of posterior crowns are described in detail due to their significance. Maintaining proper tooth morphology through these factors helps prevent periodontal issues.
This document describes the anatomy of mandibular premolars. It notes that the mandibular first premolar generally has a longer crown and shorter root than the second premolar. The two main types of mandibular second premolars are two-cusped and three-cusped. The document outlines distinguishing characteristics of the premolars when viewed from the buccal, lingual, proximal, and occlusal aspects.
This document provides an overview of occlusion, including definitions, concepts, classifications, and development across different dentition stages. Some key points:
- Occlusion refers to the contact relationship between teeth during function or parafunction. Centric occlusion is the first tooth contact when mandible is in centric relation.
- Primary dentition occlusion involves each tooth contacting two teeth in the opposing jaw, except for central incisors. Mixed dentition begins around age 6 as permanent teeth erupt.
- Molar and canine relationships in primary dentition can influence permanent occlusion. A flush terminal plane is ideal, while distal or mesial steps increase risks of Class II or III malocclusion.
-
The document discusses the morphology of primary teeth. It describes the general features of primary teeth such as their short crowns, thin enamel and dentin layers, and larger pulps close to the surface. It then details the specific characteristics of each primary tooth type. Key differences between primary and permanent teeth are outlined. The clinical significance of understanding primary tooth morphology for procedures like restorations and extractions is also covered.
The document describes the anatomy and development of the maxillary second molar. It begins calcifying at age 3, the crown is completed by age 7-8, and it erupts around age 12. The crown has a rhomboid shape and four main cusps, though the distolingual cusp can be smaller giving it a heart-like appearance. The maxillary second molar resembles the first molar but rarely has a fifth cusp and usually has more grooves.
This document discusses the chronology of human dentition development. It begins by defining chronology as the study of the timing of tooth development stages from initiation to emergence. Key points made include that primary dentition typically emerges around 6-8 months, with the mandibular central incisor first, and takes about 3 years to fully develop. Nolla's stages and the typical sequence of primary tooth eruption are also outlined. The document provides information on understanding tooth development timing for diagnostic and treatment purposes.
The partial veneer crown , inlay and onlay.pptxMuddaAbdo1
This document discusses partial veneer crowns, inlays, and onlays. It defines these terms and outlines their indications, contraindications, advantages, disadvantages, and preparation techniques. For partial veneer crowns, it describes preparations for maxillary and mandibular premolars and molars, including 3/4 crowns, reverse 3/4 crowns, and proximal half crowns. It also covers pinledge preparations for maxillary canines and central incisors. Preparation techniques are provided for mesio-occlusal/distal inlays and mesio-occlusal-distal onlays. Materials include cast metals and tooth-colored options like porcelain and
The document discusses several direct and indirect factors related to tooth morphology that influence periodontal health. The direct factors include proximal contact areas, interproximal spaces, embrasures, and facial and lingual contours of tooth crowns. Indirect factors involve crown form, root form, angulation of crowns and roots, self-cleaning ability, cusp form, and continuity of marginal ridges and central grooves. Specific anatomical features like proximal maximal contour, root outline, and lingual angulation of posterior crowns are described in detail due to their significance. Maintaining proper tooth morphology through these factors helps prevent periodontal issues.
This document describes the anatomy of mandibular premolars. It notes that the mandibular first premolar generally has a longer crown and shorter root than the second premolar. The two main types of mandibular second premolars are two-cusped and three-cusped. The document outlines distinguishing characteristics of the premolars when viewed from the buccal, lingual, proximal, and occlusal aspects.
This document provides an overview of occlusion, including definitions, concepts, classifications, and development across different dentition stages. Some key points:
- Occlusion refers to the contact relationship between teeth during function or parafunction. Centric occlusion is the first tooth contact when mandible is in centric relation.
- Primary dentition occlusion involves each tooth contacting two teeth in the opposing jaw, except for central incisors. Mixed dentition begins around age 6 as permanent teeth erupt.
- Molar and canine relationships in primary dentition can influence permanent occlusion. A flush terminal plane is ideal, while distal or mesial steps increase risks of Class II or III malocclusion.
-
The document discusses posterior palatal seals (post dams) used in denture fabrication. It describes:
1) The ideal placement of the posterior palatal seal on the non-movable soft palate tissue just behind the hard palate.
2) Techniques for forming the seal during impression-making like using low-fusing compound or scraping the master cast.
3) The functions of the posterior palatal seal in improving denture retention, preventing food from getting under the denture, and diminishing irritation.
The document provides information on endodontic access cavity preparation for various types of teeth. It discusses the major objectives of straight-line access and conservation of tooth structure. It then describes the anatomy, root canal morphology, and preparation techniques for maxillary and mandibular anterior teeth, premolars, and molars. Common errors in cavity preparation are also highlighted, including inadequate removal of tooth structure, ledges, and perforations.
This document discusses the morphology of primary (deciduous) teeth. It provides background information on primary teeth and their importance. It then describes the morphology of each individual primary tooth, including their dimensions, root shape, pulp cavity shape, and features seen from different aspects. The teeth described include the maxillary and mandibular incisors, canines, and first molars.
The active supervision of the developing dentition is a responsibility of the pedodontist. Seeing things from the beginning is most advantageous. By making a detailed study of dentition from initiation through eruption till functional occlusion, we may be able to obtain a clear concept of how occlusion develops and how its development can be guided. Knowledge of the normal development of the dentition and an ability to detect deviation from the normal are essential pre-requisites for pedodontic diagnosis and a treatment plan.
This document discusses principles and guidelines for access cavity preparation in endodontic treatment. It outlines the basic principles established by G.V. Black, including outline form to establish complete access, convenience form to make procedures more convenient, and removal of remaining caries and defective restorations. Guidelines include centrality and concentricity of the pulp chamber floor, using the cementoenamel junction as a landmark, and symmetry of canal orifices. Specific access preparations are described for maxillary and mandibular molars and premolars. Considerations are provided for anatomical variations, extensive restorations, tilted/angled crowns, calcified canals, and teeth with minimal crowns.
The pulp cavity is the central cavity within a tooth and is entirely enclosed by dentin except at apical foramen.
It is divided into:
1. Coronal portion pulp chamber
2. Radicular portion root canal
PULP CHAMBER
ROOF OF PULP CAVITY: consists of dentin covering the pulp chamber occlussaly or incisally.
PULP HORN : Accentuation of the roof of pulp chamber directly under a cusp or developmental lobe.
FLOOR OF PULP CHAMBER: runs parallel to the roof and consists of dentin bounding the pulp chamber near cervical area of tooth, particularly dentin forming the furcation area.
CANAL ORIFICES: openings in the floor of pulp chamber leading to the root canals.
ROOT CANALS
Portion of the pulp cavity from the canal orifice to the apical foramen
Divided into 3 section( for convenience)
Coronal third
Middle third
Apical third
The root canal curvature
Straight canal extending with minimal apical curvature
Gradual curvature of canal with straight apical ending
Gradual curvature of entire canal
Sharp curvature of canal near the apex
Success of negotiating narrow curved canal depends on
Degree of curvature
Size and constriction of root canal
Size and flexibility of endodontic instrument blade
Skill of operator
Classification based on canal cross-section
Round/circular
Oval
Long oval
Flattened(flat/ribbon)
Irregular
Vertucci’s Classification
Weine’s Classification
ISTHMUS
A narrow passage or anatomic part connecting two larger structures (root canals)
APICAL FORAMEN
In young incompletely developed teeth the apical foramen is funnel shaped with wider portion extending outward
As root develops the apical foramen becomes narrower
Apical foramen is not the most constricted part of root apex\apical foramen is not always located at the centre of the root apex
LATERAL CANALS AND ACCESSARY FORAMINA
Lateral canals frequently occur in apical third of root
May occur in areas of bifurcation and trifurcation of multirooted teeth
With increasing age, number of accessory foramina reduce due to calcification of contained soft tissue
INFLUENCE OF AGING
METHODS OF DETERMINING PULP ANATOMY
CLINICAL METHODS
Anatomy studies
Radiographs
Explorations
High resolution compound tomography
Visualisation endogram
Fiberoptic endoscope
Magnetic resonance imaging
IN VITRO METHODS
sectioning of teeth
use of dyes
Contrasting media
Scanning electron microscope analysis
VARIATIONS IN INTERNAL ANATOMY
Variations in development
Gemination
Fusion
Concrescence
Taurodontism
Talon’s cusp
Dilaceration
Extra root canal
Dens invaginatus
Dens evaginatus
Maxillary Central Incisor
Maxillary Lateral Incisor
Maxillary Canine
Mandibular Central and Lateral Incisors
Mandibular Canine
Maxillary First Premolar
Maxillary Second Premolar
The typical second premolar has one
root and one canal and sometimes
has an apical distal curvature.
The Type I canal form is p
The document discusses modifications that can be made to class II cavity preparations in primary molars to decrease stresses. This includes using concave pulpal floors and rounded internal line angles. It also recommends a relatively wider isthmus width that is one-third the intercuspal distance, and conservative proximal extensions that cannot pass an explorer tip. The document provides details on techniques for class II cavity preparations, such as using a #330 bur then switching to a #245 bur for extensions. Matrices, bases, condensation, and carving of amalgam restorations are also outlined.
This document discusses the development of the mixed dentition period from ages 6 to 12 years. It notes there are three phases: the first transitional period involving emergence of the first permanent molars and replacement of deciduous incisors, an inter-transitional period of relative stability, and a second transitional period involving replacement of deciduous molars and canines by permanent premolars and cuspids. Key topics covered include molar relationships influenced by deciduous molar relationships, overcoming incisor liability through arch width increases and inclination changes, and the "ugly duckling stage" during canine eruption.
The document discusses root canal morphology, providing classifications of root and canal shapes, variations seen between populations, and details on individual tooth morphologies. Key points include:
- Weine's and Vertucci's classifications of canal configurations
- Accessory canals commonly seen in mandibular first molars
- Variations in root numbers, curves, and canal types between populations and teeth
- C-shaped canals are a rare variant seen in maxillary first molars
This document provides an overview of root canal anatomy, including the divisions of the pulp cavity, landmarks in the apical region, classifications of canal configurations, and detailed descriptions of canal morphology for different tooth types. Key points include:
- The pulp cavity is divided into the coronal pulp chamber and radicular root canals.
- Important apical landmarks include the apical constriction, foramen, cementodentinal junction, and accessory canals.
- Classification systems describe common canal morphologies, such as single versus multiple canals.
- Tooth-specific details are given for maxillary incisors, canines, premolars, and molars, including average canal numbers, lengths
This document discusses contact points and contours of teeth and their importance. It begins by defining contact points and how they change from a single point to a contact area with wear. Proper contacts are important for preventing food impaction and stabilizing teeth. Contour refers to the outline of teeth and proper contour is important for protecting soft tissues. The document outlines guidelines for locations of contact areas and contours on both maxillary and mandibular teeth. Improper contacts and contours can lead to various issues. Methods for achieving proper contacts and contours during restorative procedures are also discussed.
This document discusses different types of compensating curves used in dental prosthetics to establish balanced articulation during jaw movements. It describes the anteroposterior and mediolateral compensating curves that begin with the first replacement tooth and continue through the second molar. It also outlines the curve of spee from the mandibular canine through the condyle, the curve of Wilson to arrange the lower molars, and the curve of Monson connecting the curve of spee and Wilson to all cusps on a 4 inch radius.
The permanent maxillary lateral incisor resembles the central incisor in function and form, but is smaller in all dimensions except root length. It has a single tapered root that curves distally to a pointed apex. While similar to the central incisor, the lateral incisor has a more rounded crown that is shorter and narrower mesiodistally with a rounded distoincisal angle. Dental anomalies are most common in third molars, lateral incisors, and mandibular second premolars.
Root canals morphology and configurations - maxillary teethAbdElazim Badreldin
The document discusses the root canal anatomy of various maxillary teeth. It provides details on the typical root and canal morphology of each tooth, including number of roots and canals, root shape and length, canal configuration, and anatomical variations. It also discusses access cavity preparation and potential errors. The maxillary teeth described include central incisor, lateral incisor, canine, first and second premolars, and first and second molars. Diagrams are included illustrating tooth anatomy and root canal morphology.
This document discusses the anatomical landmarks of the dental crown, including elevations and depressions. It describes various lobes, tubercles, ridges, grooves, fissures, fossae, pits, and sulci that can be found on tooth crowns. Lobes are primary centers of calcification that form cusps, mamelons, and cingulums. Tubercles are localized enamel projections that can occur in various locations. Ridges are linear elevations classified by location. Depressions include developmental and supplemental grooves, central and marginal fissures, fossae in different areas, pits at groove endings, and sulci between cusp inclines. Crypts and sockets also described
The document discusses the anatomy of the dental pulp. It begins by defining the pulp as soft tissue located within the tooth. It then discusses the classification and parts of the pulp cavity, including the pulp chamber, pulp horns, root canals, lateral canals, and apical foramen. The document also provides detailed descriptions and diagrams of the pulp cavities of individual maxillary and mandibular teeth. It concludes by comparing differences between deciduous and permanent pulp cavities.
Maxillary premolars have several distinguishing anatomical features:
1) The maxillary first premolar has the widest crown of the eight premolars and its mesial and distal sides converge more noticeably.
2) The maxillary first premolar typically has two divided roots branching from a common trunk, whereas the second premolar root is usually longer.
3) Several features differentiate the maxillary first and second premolars when viewed from different aspects, including differences in cusp size, shape, and position as well as root morphology and cervical line curvature.
Stainless steel crowns in pediatric dentistry pptdrvinodini
This document provides an overview of stainless steel crowns (SSCs), including their history, composition, indications, contraindications, placement procedure, and modifications. SSCs were first described in 1950 as a semi-permanent restoration option for primary and young permanent teeth. They are made of stainless steel or nickel-chromium alloys. SSCs are indicated for restoring teeth with extensive decay, fractures, pulpotomies, or as a space maintainer. Placement involves tooth preparation, selection and fitting of the crown, contouring, crimping, cementation, and finishing. Modifications include altering crown size or adding material to accommodate deep caries or spacing issues. Studies have found SSCs to have low microleakage and
This document discusses different methods of dental age assessment, including Nolla's method. It describes the typical eruption sequence of primary and permanent teeth. It then outlines the characteristics used to determine dental age from ages 6 to 15 based on Nolla's stages of tooth formation and eruption. Key stages include eruption of the first molars at age 6, maxillary lateral incisors at age 8, and mandibular canines and premolars at age 11. Variations and the significance of dental age assessment are also discussed.
Morphology and internal anatomy of root canal systemAkansha Tilokani
The document discusses the morphology and anatomy of root canal systems. It describes the two main components - the pulp chamber located in the crown and the root canal located in the root. It then provides details on the structures within these components such as the roof, floor, canals and foramina. The document also classifies root canal configurations and discusses individual tooth anatomy for maxillary and mandibular teeth, describing their average lengths, pulp chamber and root/canal structures.
The document discusses the internal anatomy of teeth, including the pulp chamber, root canals, apical foramen, accessory canals, and other features. It describes the variations in anatomy between different types of teeth. The maxillary first molar generally has three roots and three canals, while premolars and other teeth often have one root and one canal but sometimes display additional canals or roots. The root canal anatomy can be complex and vary significantly between individuals.
The document discusses posterior palatal seals (post dams) used in denture fabrication. It describes:
1) The ideal placement of the posterior palatal seal on the non-movable soft palate tissue just behind the hard palate.
2) Techniques for forming the seal during impression-making like using low-fusing compound or scraping the master cast.
3) The functions of the posterior palatal seal in improving denture retention, preventing food from getting under the denture, and diminishing irritation.
The document provides information on endodontic access cavity preparation for various types of teeth. It discusses the major objectives of straight-line access and conservation of tooth structure. It then describes the anatomy, root canal morphology, and preparation techniques for maxillary and mandibular anterior teeth, premolars, and molars. Common errors in cavity preparation are also highlighted, including inadequate removal of tooth structure, ledges, and perforations.
This document discusses the morphology of primary (deciduous) teeth. It provides background information on primary teeth and their importance. It then describes the morphology of each individual primary tooth, including their dimensions, root shape, pulp cavity shape, and features seen from different aspects. The teeth described include the maxillary and mandibular incisors, canines, and first molars.
The active supervision of the developing dentition is a responsibility of the pedodontist. Seeing things from the beginning is most advantageous. By making a detailed study of dentition from initiation through eruption till functional occlusion, we may be able to obtain a clear concept of how occlusion develops and how its development can be guided. Knowledge of the normal development of the dentition and an ability to detect deviation from the normal are essential pre-requisites for pedodontic diagnosis and a treatment plan.
This document discusses principles and guidelines for access cavity preparation in endodontic treatment. It outlines the basic principles established by G.V. Black, including outline form to establish complete access, convenience form to make procedures more convenient, and removal of remaining caries and defective restorations. Guidelines include centrality and concentricity of the pulp chamber floor, using the cementoenamel junction as a landmark, and symmetry of canal orifices. Specific access preparations are described for maxillary and mandibular molars and premolars. Considerations are provided for anatomical variations, extensive restorations, tilted/angled crowns, calcified canals, and teeth with minimal crowns.
The pulp cavity is the central cavity within a tooth and is entirely enclosed by dentin except at apical foramen.
It is divided into:
1. Coronal portion pulp chamber
2. Radicular portion root canal
PULP CHAMBER
ROOF OF PULP CAVITY: consists of dentin covering the pulp chamber occlussaly or incisally.
PULP HORN : Accentuation of the roof of pulp chamber directly under a cusp or developmental lobe.
FLOOR OF PULP CHAMBER: runs parallel to the roof and consists of dentin bounding the pulp chamber near cervical area of tooth, particularly dentin forming the furcation area.
CANAL ORIFICES: openings in the floor of pulp chamber leading to the root canals.
ROOT CANALS
Portion of the pulp cavity from the canal orifice to the apical foramen
Divided into 3 section( for convenience)
Coronal third
Middle third
Apical third
The root canal curvature
Straight canal extending with minimal apical curvature
Gradual curvature of canal with straight apical ending
Gradual curvature of entire canal
Sharp curvature of canal near the apex
Success of negotiating narrow curved canal depends on
Degree of curvature
Size and constriction of root canal
Size and flexibility of endodontic instrument blade
Skill of operator
Classification based on canal cross-section
Round/circular
Oval
Long oval
Flattened(flat/ribbon)
Irregular
Vertucci’s Classification
Weine’s Classification
ISTHMUS
A narrow passage or anatomic part connecting two larger structures (root canals)
APICAL FORAMEN
In young incompletely developed teeth the apical foramen is funnel shaped with wider portion extending outward
As root develops the apical foramen becomes narrower
Apical foramen is not the most constricted part of root apex\apical foramen is not always located at the centre of the root apex
LATERAL CANALS AND ACCESSARY FORAMINA
Lateral canals frequently occur in apical third of root
May occur in areas of bifurcation and trifurcation of multirooted teeth
With increasing age, number of accessory foramina reduce due to calcification of contained soft tissue
INFLUENCE OF AGING
METHODS OF DETERMINING PULP ANATOMY
CLINICAL METHODS
Anatomy studies
Radiographs
Explorations
High resolution compound tomography
Visualisation endogram
Fiberoptic endoscope
Magnetic resonance imaging
IN VITRO METHODS
sectioning of teeth
use of dyes
Contrasting media
Scanning electron microscope analysis
VARIATIONS IN INTERNAL ANATOMY
Variations in development
Gemination
Fusion
Concrescence
Taurodontism
Talon’s cusp
Dilaceration
Extra root canal
Dens invaginatus
Dens evaginatus
Maxillary Central Incisor
Maxillary Lateral Incisor
Maxillary Canine
Mandibular Central and Lateral Incisors
Mandibular Canine
Maxillary First Premolar
Maxillary Second Premolar
The typical second premolar has one
root and one canal and sometimes
has an apical distal curvature.
The Type I canal form is p
The document discusses modifications that can be made to class II cavity preparations in primary molars to decrease stresses. This includes using concave pulpal floors and rounded internal line angles. It also recommends a relatively wider isthmus width that is one-third the intercuspal distance, and conservative proximal extensions that cannot pass an explorer tip. The document provides details on techniques for class II cavity preparations, such as using a #330 bur then switching to a #245 bur for extensions. Matrices, bases, condensation, and carving of amalgam restorations are also outlined.
This document discusses the development of the mixed dentition period from ages 6 to 12 years. It notes there are three phases: the first transitional period involving emergence of the first permanent molars and replacement of deciduous incisors, an inter-transitional period of relative stability, and a second transitional period involving replacement of deciduous molars and canines by permanent premolars and cuspids. Key topics covered include molar relationships influenced by deciduous molar relationships, overcoming incisor liability through arch width increases and inclination changes, and the "ugly duckling stage" during canine eruption.
The document discusses root canal morphology, providing classifications of root and canal shapes, variations seen between populations, and details on individual tooth morphologies. Key points include:
- Weine's and Vertucci's classifications of canal configurations
- Accessory canals commonly seen in mandibular first molars
- Variations in root numbers, curves, and canal types between populations and teeth
- C-shaped canals are a rare variant seen in maxillary first molars
This document provides an overview of root canal anatomy, including the divisions of the pulp cavity, landmarks in the apical region, classifications of canal configurations, and detailed descriptions of canal morphology for different tooth types. Key points include:
- The pulp cavity is divided into the coronal pulp chamber and radicular root canals.
- Important apical landmarks include the apical constriction, foramen, cementodentinal junction, and accessory canals.
- Classification systems describe common canal morphologies, such as single versus multiple canals.
- Tooth-specific details are given for maxillary incisors, canines, premolars, and molars, including average canal numbers, lengths
This document discusses contact points and contours of teeth and their importance. It begins by defining contact points and how they change from a single point to a contact area with wear. Proper contacts are important for preventing food impaction and stabilizing teeth. Contour refers to the outline of teeth and proper contour is important for protecting soft tissues. The document outlines guidelines for locations of contact areas and contours on both maxillary and mandibular teeth. Improper contacts and contours can lead to various issues. Methods for achieving proper contacts and contours during restorative procedures are also discussed.
This document discusses different types of compensating curves used in dental prosthetics to establish balanced articulation during jaw movements. It describes the anteroposterior and mediolateral compensating curves that begin with the first replacement tooth and continue through the second molar. It also outlines the curve of spee from the mandibular canine through the condyle, the curve of Wilson to arrange the lower molars, and the curve of Monson connecting the curve of spee and Wilson to all cusps on a 4 inch radius.
The permanent maxillary lateral incisor resembles the central incisor in function and form, but is smaller in all dimensions except root length. It has a single tapered root that curves distally to a pointed apex. While similar to the central incisor, the lateral incisor has a more rounded crown that is shorter and narrower mesiodistally with a rounded distoincisal angle. Dental anomalies are most common in third molars, lateral incisors, and mandibular second premolars.
Root canals morphology and configurations - maxillary teethAbdElazim Badreldin
The document discusses the root canal anatomy of various maxillary teeth. It provides details on the typical root and canal morphology of each tooth, including number of roots and canals, root shape and length, canal configuration, and anatomical variations. It also discusses access cavity preparation and potential errors. The maxillary teeth described include central incisor, lateral incisor, canine, first and second premolars, and first and second molars. Diagrams are included illustrating tooth anatomy and root canal morphology.
This document discusses the anatomical landmarks of the dental crown, including elevations and depressions. It describes various lobes, tubercles, ridges, grooves, fissures, fossae, pits, and sulci that can be found on tooth crowns. Lobes are primary centers of calcification that form cusps, mamelons, and cingulums. Tubercles are localized enamel projections that can occur in various locations. Ridges are linear elevations classified by location. Depressions include developmental and supplemental grooves, central and marginal fissures, fossae in different areas, pits at groove endings, and sulci between cusp inclines. Crypts and sockets also described
The document discusses the anatomy of the dental pulp. It begins by defining the pulp as soft tissue located within the tooth. It then discusses the classification and parts of the pulp cavity, including the pulp chamber, pulp horns, root canals, lateral canals, and apical foramen. The document also provides detailed descriptions and diagrams of the pulp cavities of individual maxillary and mandibular teeth. It concludes by comparing differences between deciduous and permanent pulp cavities.
Maxillary premolars have several distinguishing anatomical features:
1) The maxillary first premolar has the widest crown of the eight premolars and its mesial and distal sides converge more noticeably.
2) The maxillary first premolar typically has two divided roots branching from a common trunk, whereas the second premolar root is usually longer.
3) Several features differentiate the maxillary first and second premolars when viewed from different aspects, including differences in cusp size, shape, and position as well as root morphology and cervical line curvature.
Stainless steel crowns in pediatric dentistry pptdrvinodini
This document provides an overview of stainless steel crowns (SSCs), including their history, composition, indications, contraindications, placement procedure, and modifications. SSCs were first described in 1950 as a semi-permanent restoration option for primary and young permanent teeth. They are made of stainless steel or nickel-chromium alloys. SSCs are indicated for restoring teeth with extensive decay, fractures, pulpotomies, or as a space maintainer. Placement involves tooth preparation, selection and fitting of the crown, contouring, crimping, cementation, and finishing. Modifications include altering crown size or adding material to accommodate deep caries or spacing issues. Studies have found SSCs to have low microleakage and
This document discusses different methods of dental age assessment, including Nolla's method. It describes the typical eruption sequence of primary and permanent teeth. It then outlines the characteristics used to determine dental age from ages 6 to 15 based on Nolla's stages of tooth formation and eruption. Key stages include eruption of the first molars at age 6, maxillary lateral incisors at age 8, and mandibular canines and premolars at age 11. Variations and the significance of dental age assessment are also discussed.
Morphology and internal anatomy of root canal systemAkansha Tilokani
The document discusses the morphology and anatomy of root canal systems. It describes the two main components - the pulp chamber located in the crown and the root canal located in the root. It then provides details on the structures within these components such as the roof, floor, canals and foramina. The document also classifies root canal configurations and discusses individual tooth anatomy for maxillary and mandibular teeth, describing their average lengths, pulp chamber and root/canal structures.
The document discusses the internal anatomy of teeth, including the pulp chamber, root canals, apical foramen, accessory canals, and other features. It describes the variations in anatomy between different types of teeth. The maxillary first molar generally has three roots and three canals, while premolars and other teeth often have one root and one canal but sometimes display additional canals or roots. The root canal anatomy can be complex and vary significantly between individuals.
The success of endodontic treatment is directly related to the clinician’s ability to remove maximum number of bacteria from the root canal system.Some teeth are more difficult than others due to access limitations or anatomy, but the problem that faces all of us, in every tooth, is our inability to measure the absence of bacteria within the root canal and the potential for microanatomy to exist at any level of the root—whether it is a five-canal molar or a single-rooted anterior.
For more information, you can book an appointment at
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I 101, Ashok Vihar Phase 1, Delhi- 110052
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• Phone : +919818894041,01142464041
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The document discusses the internal anatomy of the pulp, including its classification, morphology, and factors that affect its structure. It describes the pulp cavity and root canals of different maxillary teeth in detail. Key variations are noted, such as additional canals, curves, and connections between canals. Understanding pulp anatomy is important for successful root canal procedures.
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The document provides details on the anatomy and root canal morphology of various maxillary and mandibular teeth, as well as guidelines for accessing the pulp chamber during root canal treatment. For maxillary and mandibular premolars and molars, it describes the average tooth length, pulp chamber shape, most common root and canal configurations, and recommended access opening technique. Specific anatomical features are highlighted, such as the narrow mesiodistal width but wide buccolingual width of the mandibular first premolar pulp chamber. Guidelines emphasize removing the roof of the pulp chamber without cutting into the floor or exposing just the pulp horn tips. References are provided for further information.
This document provides guidance on accessing tooth canals during root canal treatment. It discusses locating all canals, removing pulp tissue while conserving tooth structure. Access openings should be made under rubber dam isolation using high-speed instruments with good illumination. Tooth anatomy and pre-operative x-rays are used to determine the number and location of canals. Care must be taken to locate extra canals which may be present, especially in teeth with complex anatomy.
Root canal anatomy and configuration project mandibular teeth [autosaved]AbdElazim Badreldin
This document discusses the root canal anatomy of several mandibular teeth. It describes the typical root and canal morphology of the mandibular central incisor, lateral incisor, canine, first premolar, second premolar, and first and second molars. For each tooth, it provides information on the number of roots and canals, root lengths and shapes, canal configurations, and variations seen in different populations. It also includes descriptions and images of access cavity preparations for root canal treatment.
This document provides detailed information on the root canal morphology of various teeth. It describes the typical number of roots and canals, length, curvature, and other anatomical features. Key points include:
- Mandibular incisors usually have one root but can occasionally have two canals. Maxillary incisors and canines typically have one straight canal.
- Premolars and molars often have complex root canal anatomies with multiple roots and curved canals. Mandibular molars in particular frequently have 4 canals.
- Apical curvatures can be difficult to detect and increase the risk of complications during treatment if not properly addressed.
- Anatomical variations and changes due
Anatomy of pulp cavity of maxillary teeth (2)Humaira Tamanna
This document discusses the anatomy of the pulp cavity of maxillary teeth. It describes the typical pulp chamber and root canal morphology of different maxillary teeth. The maxillary central incisor typically has a single root canal that is straight or curved distally. The lateral incisor commonly has a single curved canal as well, though it may occasionally have two canals. Factors like age, pathology, and developmental anomalies can influence the shape of the pulp cavity. Understanding normal dental anatomy helps ensure safe and effective root canal treatment.
This document describes the internal anatomy of anterior teeth, including the shapes of root canals and variations. It discusses the average length, number of roots, root curvatures, and most common canal configurations of maxillary central incisors, lateral incisors, canines, mandibular central incisors, lateral incisors, and canines. For each tooth, it details the pulp chamber, root canal shape, common variations, and prevalence of lateral canals. The document emphasizes that root canal anatomy is complex and can feature branches, divisions, and accessory canals. A thorough understanding of pulp cavity morphology is important for endodontic treatment success.
This document discusses the anatomy and endodontic treatment of maxillary second molars. It begins with the external and internal anatomy, including descriptions of the crown, roots, root canals, pulp chamber, and anomalies. It then covers topics like eruption timing, root curvatures, access cavity preparation, working length determination, and management of complex anatomies like calcified canals. Case reports are also presented, such as a tooth with two canals in the palatal root. In summary, the document provides a comprehensive overview of maxillary second molar anatomy and its relevance to endodontic treatment.
This document provides information on the anatomy and morphology of the maxillary second molar tooth. It discusses the external features, internal anatomy including the pulp chamber and root canals, variations and anomalies that can be present. It also describes endodontic considerations and correlations for treatment, highlighting the importance of radiographs and magnification to locate canals due to complex root anatomies that can be present in these teeth.
This document provides information on pulpectomy procedures for primary teeth. It defines pulpectomy and discusses guidelines for the procedure. It outlines the indications and contraindications for pulpectomy. Details are given on access opening and root canal anatomy in primary teeth. The document discusses techniques for pulpectomy, including one-stage and two-stage procedures. It also covers working length determination, instruments used, and cleaning and shaping of the root canals.
This document provides information about the anatomy and root canal treatment of the mandibular second premolar tooth. It describes the external and internal anatomy of the tooth, including average measurements, root canal morphology, and anatomical variations that may be present. It also discusses errors that can occur during root canal treatment of this tooth and provides a case example of successfully treating a mandibular second premolar with three root canals.
This document provides information about the anatomy and root canal treatment of the mandibular second premolar tooth. It describes the external and internal anatomy of the tooth, including average measurements, root canal morphology, and anatomical variations that may be present. It also discusses errors that can occur during root canal treatment of this tooth and provides a case example of successfully treating a mandibular second premolar with three root canals.
This document discusses the anatomy of teeth, including the structures of the root apex, pulp chamber, canals, and foramen. It describes the typical anatomy of different types of teeth, such as incisors, premolars, and molars. It also discusses how anatomy changes with age, with features like pulp horns receding and canals becoming narrower due to secondary dentin deposition over time. Various root canal configurations and anatomical variations are presented. Methods for determining pulp anatomy like radiography and microscopy are also outlined.
This document discusses the anatomy of root canals and related structures. It begins with an introduction and overview, then discusses topics like pulp chamber anatomy, root canal classification systems, the apical foramen, accessory foramina, apical constriction, isthmuses, C-shaped canals, and anatomy of individual teeth. It also touches on developmental disturbances and references other research. The overall document provides an in-depth look at root canal anatomy, variations, related structures, and classification systems.
root canal treatment of plastic maxillary first premolarmazen doumani
This document discusses endodontic treatment procedures for the upper and lower first premolar teeth. It includes steps for rubber dam isolation, access cavity preparation, radiography, working length determination, canal instrumentation using files and Gates Glidden drills, obturation with gutta percha cones and lateral condensation technique. The document provides details on each step, lists required materials, and includes diagrams to demonstrate techniques and concepts.
A sinus tract is a chronic endodontic infection that drains through the gingiva to the oral cavity. It extends from the site of infection to a surface opening called a stoma. To locate the source of infection, the sinus tract can be traced by inserting a gutta-percha point into the stoma and taking a radiograph to follow its path. Palpation and percussion tests can also help identify areas of periradicular inflammation but do not determine the specific cause.
Mazen doumani instruments and equipment for tooth preparation copymazen doumani
This document describes different types of hand instruments used in tooth preparation. It discusses cutting instruments like excavators, chisels, and knives that remove tooth structure as well as non-cutting instruments. Excavators come in various shapes like hatchets, hoes, and spoons to remove decay or shape tooth walls. Chisels are used to form line angles and bevels and include straight, curved, and angled varieties. Other instruments like knives and files trim excess restorative materials. The document provides details on the components and uses of different instruments.
The document discusses dental anatomy, which is the study of tooth development, morphology, function, and relationships between teeth. It covers topics like the primary and permanent dentition, tooth anatomy including surfaces and roots, occlusion, and common dental terminology. Dental anatomy is important for all areas of dentistry as it provides a foundation for procedures like fillings, crowns, and orthodontics.
Introduction into operative dentistry.pdf mazen doumanimazen doumani
Operative dentistry involves procedures to diagnose, treat, eliminate, prevent, and restore defects in hard tooth structures. It originated in the 17th century and evolved with the development of dental education programs and standardized cavity preparation and filling techniques. Factors affecting operative treatment include indications like caries, malformations, and replacements, as well as considerations like infection control, diagnosis, treatment planning, materials selection, and biologic knowledge. More conservative approaches are now possible due to advances in prevention methods, materials, and techniques. The need for operative dentistry is projected to continue due to ongoing rates of new caries, replacement of existing restorations, and demand for esthetic enhancements.
Introduction to operative mazen doumanimazen doumani
This document appears to be a list of 34 dental tools and procedures prepared by Dr. Mazen Doumani for dentistry students. It includes definitions and descriptions of various mirrors, explorers, handpieces, burs, matrices, burnishers, excavators and other instruments used in examinations, procedures like fillings, and sharpening of dental tools. The document serves as an educational reference for dentistry students to learn about the various tools involved in examinations and common procedures.
MAZEN DOUMANI Access cavity and morphologymazen doumani
This document discusses tooth morphology and root canal anatomy. It describes the components of the root canal system and various pulp canal configurations that can occur. It provides guidelines for access cavity preparation, including objectives, evaluation of tooth anatomy, use of magnification and burs, orifice location and flaring. Morphology and specific preparation techniques are outlined for individual tooth types from anterior to posterior in both arches. Care must be taken during access preparation to locate all canals and avoid perforations.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
1. MAXILLARY LATERAL INCISOR
EXTERNAL ROOT MORPHOLOGY
• The overall average length of the maxillary lateral
incisor is 22 mm with an average crown length of 9 mm
and an average root length of 13 mm
• The maxillary lateral incisors are single-rooted, virtually
100% of the time
• Most reported cases of two-rooted maxillary lateral
incisors are a result of fusion or gemination and are
usually associated with a macrodont crown.
MAZEN DOUMANI 2014 1
2. MAXILLARY LATERAL INCISOR
• The root apex and the apical foramen were displaced
distolingually
• The coincidence of the apical foramen and the root
apex was found in only (6.7%) of the specimens.
Therefore, the exploration of the apical foramen and the
constriction with a fine precurved #10 size file tip
and the electronic apex locator, is essential to locate
the foramen.
MAZEN DOUMANI 2014 2
3. MAXILLARY LATERAL INCISOR
• the average diameter of the major foramen is 0.4 mm,
while the accessory foramina were 0.2 mm in
diameter.
• The average distance of the major apical foramen from
the anatomical root apex was found to be 0.3 mm.
• Approximately 10% of the maxillary lateral incisors
exhibited accessory foramina.
Apical foramen
Lateral foramen
MAZEN DOUMANI 2014 3
4. MAXILLARY LATERAL INCISOR
• An SEM investigation of 14 extracted maxillary
lateral incisors with radicular grooves concluded
that direct communication between the groove
and the pulp was evident in these specimens
and that accessory canals were the primary
mechanism of communication between the
periodontium and the pulp
MAZEN DOUMANI 2014 4
5. MAXILLARY LATERAL INCISOR
• An SEM investigation of 14 extracted maxillary
lateral incisors with radicular grooves concluded
that direct communication between the groove
and the pulp was evident in these specimens
and that accessory canals were the primary
mechanism of communication between the
periodontium and the pulp
MAZEN DOUMANI 2014 5
6. OEHLERS CLASSIFIED DENS INVAGINATUS INTO THREE TYPES BASED
ON THE SEVERITY OF THE DEFECT.
• Type 1 dens invaginatus is an invagination confined
to the crown.
• Type 2 extends past the cementoenamel junction but
• does not involve periapical tissues.
• Type 3 defect. The invagination extends past the
cementoenamel junction and may result in a second
apical foramen.
1 2 3
MAZEN DOUMANI 2014 6
7. In cases of dens invagination :
• Vitality of the pulp in the main canal has been
shown to be maintained while treating (surgically,
nonsurgically, or both) the accessory canal
system, when there has been no communication
between the two
Vital pulp Treatment is on this
accessory canal
MAZEN DOUMANI 2014 7
8. MAXILLARY CANINE
• A small percentage of maxillary canines have two
canals(3.5%)
• Of those having two canals, the majority (75%) join in
the apical third and exit through a single foramen
• Accessory (lateral) canals are not uncommon and
become evident radiographically after the completion of
RCT
• The majority of lateral canals occur in the apical third of
the tooth
Lateral canal
radicular-form of
dens invaginatus
type 3.
canine
MAZEN DOUMANI 2014 8
9. MAXILLARY CANINE
• One individual with an extremely long root
length was reported by Booth in 1988 with
canine teeth having an overall length of 41 mm.
• This patient was a 31-year-old female of Dutch
origin.
• The total incidence of dens evaginatus has been
shown to be approximately 1%
MAZEN DOUMANI 2014 9
10. MAXILLARY FIRST PREMOLAR
• The root anatomy of the maxillary premolar
can vary depending on whether one, two, or
three roots are present .
MAZEN DOUMANI 2014 10
11. MAXILLARY FIRST PREMOLAR
There are some common features to the various
forms of maxillary first premolars: The overall
length of the maxillary first premolar is 22.5 mm .
Prominent root concavities are present on both the
mesial and the distal surfaces of the root.
The mesial root concavity is more prominent and
extends onto the cervical third of the crown. This
results in a root that is broad buccolingually and
narrow mesiodistally with a kidney shape when
viewed in cross section at the cementoenamel junction
MAZEN DOUMANI 2014 11
12. MAXILLARY FIRST PREMOLAR
The majority of anatomical studies found that the
most common form of the maxillary first
premolar is the two-rooted form.
There was a wide variation
in the incidence of the
number of roots in the
anatomical studies cited.
(three canals in two fused buccal roots
and a lingual root.)
MAZEN DOUMANI 2014 12
13. MAXILLARY FIRST PREMOLAR
• The incidence of three-rooted maxillary first
premolars ranged from 0% to 6%
• Single-rooted maxillary first premolars are
the dominant form in Asian population, and
three-rooted forms are rare
MAZEN DOUMANI 2014 13
14. MAXILLARY FIRST PREMOLAR
• The majority of maxillary premolars were found to
have two canals, irrespective of whether the tooth
has a single or a double root.
• over 75% of the teeth studied had two canals.
• The incidence of a single canal was significantly
higher in Asian populations compared to the
mixed non-Asian population
MAZEN DOUMANI 2014 14
15. MAXILLARY FIRST PREMOLAR
• The Weine type IV root canal system, with a
wide buccolingual canal that branches into two
apical canals and foramina in the apical third,
may sometimes be confused as a taurodont-like
root canal anatomy, when it occurs in single-rooted
maxillary premolar teeth.
MAZEN DOUMANI 2014 15
16. MAXILLARY FIRST PREMOLAR
• The Weine type IV root canal system, with a
wide buccolingual canal that branches into two
apical canals and foramina in the apical third,
may sometimes be confused as a taurodont-like
root canal anatomy, when it occurs in single-rooted
maxillary premolar teeth.
MAZEN DOUMANI 2014 16
17. MAXILLARY SECOND PREMOLAR
• The root tip usually ends as a single blunt apex,
but it may be :fine and divide into two or more,
(rarely three, apices). The curvature in the apical
third is also not uncommon.
One Canal Dividing in Apical Third
MAZEN DOUMANI 2014 17
18. MAXILLARY SECOND PREMOLAR
• The overall average length of the maxillary
second premolar is 22.5 mm with an average
crown length of 8.5 mm and an average root
length of 14 mm .
• The most common form of the maxillary second
premolar is a single root.
• The incidence of two rooted maxillary second
premolars ranged from 5.5% to 20.4%while the
three-rooted form was a rare finding and ranged
from 0% to 1%
MAZEN DOUMANI 2014 18
20. MAXILLARY SECOND PREMOLAR
NOTICE
• Canal exploration of maxillary second premolar
teeth should be done with fine curved files,
keeping in mind the Vertucci or Weine
classification of two canals in one root that
may not be apparent on the radiograph.
MAZEN DOUMANI 2014 20
21. MAXILLARY SECOND PREMOLAR
Maxillary left second
premolar with a single
root and a single canal
Maxillary right second premolar
with a single root and single
canal; the apical third exhibits a
curvature to the mesial.
Maxillary left second
premolar with a single
root and a single
main canal; two lateral
(accessory) canals are
visible in the apical third
of the root.
MAZEN DOUMANI 2014 21
22. MAXILLARY FIRST MOLAR
• The maxillary first molar normally has three
roots .
• The mesiobuccal root is broad buccolingually
and has prominent depressions
MAZEN DOUMANI 2014 22
23. MAXILLARY FIRST MOLAR
• The internal canal morphology is highly variable,
• The majority of the mesiobuccal roots contain
two canals.
MAZEN DOUMANI 2014 23
24. MAXILLARY FIRST MOLAR
• The distobuccal root is generally rounded or
ovoid in cross section and usually contains a
single canal.
• The palatal root is more broad mesiodistally
than buccolingually and ovoidal in shape but
normally contains only a single canal
M
D
P
MAZEN DOUMANI 2014 24
25. MAXILLARY FIRST MOLAR
• The palatal root generally appears straight on
radiographs, there is usually a buccal curvature
in the apical third.
• The overall average length of the maxillary first
molar is 20.5 mm with an average crown length
of 7.5 mm and an average root length of 13 mm
MAZEN DOUMANI 2014 25
26. MAXILLARY FIRST MOLAR
• The maxillary first molar root anatomy is
predominantly a three-rooted form(95%), as shown
in all anatomical studies of this tooth
• The two rooted(3.8%) form is rarely reported and
may be due to the fusion of the distobuccal root to
the palatal root or the fusion of the distobuccal root
to the mesiobuccal root.
MAZEN DOUMANI 2014 26
27. MAXILLARY FIRST MOLAR
• The single root or the conical form of root
anatomy in the first maxillary molar is very
rarely reported.
• The four-rooted anatomy in its various forms
is also very rare
MAZEN DOUMANI 2014 27
29. MAXILLARY FIRST MOLAR
• The mesiobuccal root of the maxillary first
molar contains a double root canal system
more often than a single canal
MAZEN DOUMANI 2014 29
30. MAXILLARY FIRST MOLAR
• The mesiobuccal root of the maxillary first
molar contains a double root canal system
more often than a single canal
Pathways of the pulp tenth edition
MAZEN DOUMANI 2014 30
31. MAXILLARY FIRST MOLAR
The single-canal system and single apical
foramen in the palatal and the distobuccal root
of the maxillary first molar is the most
predominant form, as reported in all studies,
but multiple canals and more than one apical
foramen variation do exist in 1–3% of these
roots in the weighted studies reported
Two canals in both buccal roots with a
common foramen in each root.
Two separate canals in palatal root
MAZEN DOUMANI 2014 31
32. MAXILLARY FIRST MOLAR
Age was found to have an effect on the
incidence of MB2.
Fewer canals were found in the mesiobuccal
root due to increasing age and calcification.
The MB2 canal was found in (71.1%) when
using SOM and in(62.5%) when using
loupes
MAZEN DOUMANI 2014 32
33. MAXILLARY FIRST MOLAR
There are reports of :
1) two palatal canals in three-rooted teeth
2) three palatal canals in a reticular palatal root
3) five roots (two palatal, two mesiobuccal, and one
distobuccal)
4) C-shaped canals .
5) Of all the canals in the maxillary first molar, the
MB2 can be the most difficult to find and negotiate
in a clinical situation
MB
1 2 3
First molar: 6 canals
MAZEN DOUMANI 2014 33
34. MAXILLARY SECOND MOLAR
• The maxillary second molar normally has
three roots
• The relative shape of each of the roots is
similar to the maxillary first molar, but the
roots tend to be closer together and there is a
higher tendency toward fusion of two or three
roots.
MAZEN DOUMANI 2014 34
35. MAXILLARY SECOND MOLAR
• There is also usually more of a distal
inclination to the root or roots of this tooth
compared to the maxillary first molar
• The mesiobuccal root is broad buccolingually
and has prominent depressions or flutings on its
mesial and distal surfaces.
• The mesiobuccal root has almost an equal
incidence of one or two canals
MAZEN DOUMANI 2014 35
36. MAXILLARY SECOND MOLAR
• The distobuccal root is generally rounded or ovoid
in cross section and usually contains a single canal.
• The palatal root is more broad mesiodistally than
buccolingually and ovoidal in shape but normally
contains only a single canal.
• The overall average length of the maxillary second
molar is 19 mm with an average crown length of 7
mm and an average root length of 12 mm
MAZEN DOUMANI 2014 36
37. MAXILLARY SECOND MOLAR
• The majority of maxillary second molars (88.6%)
in the anatomical studies were found to be three
rooted.
• The closer proximity of the roots results in a
higher incidence of root fusion (25.8%).
• C-shaped canals(4.9%).
MAZEN DOUMANI 2014 37
40. MANDIBULAR CENTRAL INCISOR
• single-rooted.
• The external form of the root is broad labiolingually
and narrow mesiodistally.
• Longitudinal depressions are present on both the
mesial and the distal surfaces of the root
• A cross section of the root is ovoid to hourglass in
shape
• The overall average length 21.5 mm with an average
crown length of 9 mm and an average root length of
12.5 mm.
MAZEN DOUMANI 2014 40
41. MANDIBULAR CENTRAL INCISOR
• All of the anatomical studies reviewed reported that
100% of the mandibular central incisors studied were
single-rooted teeth.
• The canal system is either ovoid or ribbon shaped.
MAZEN DOUMANI 2014 41
42. MANDIBULAR CENTRAL INCISOR
• Approximately 12% of the mandibular exhibited
accessory foramina.
• average distance of the apical foramen from the
anatomical root apex was found to be 0.2 mm
Mandibular left central with two
canals and one apex.
MAZEN DOUMANI 2014 42
43. MANDIBULAR CENTRAL INCISOR
A few anomalies are reported for this tooth in the
literature:
A. two canals and two separate foramina
B. dens invaginatus
C. fusion
D. Gemination
E. dens evaginatus that includes a lingual talon cusp and a
labial talon cusp
MAZEN DOUMANI 2014 43
44. MANDIBULAR LATERAL INCISOR
The mandibular lateral incisor is single-rooted . and is
comparable in form to the mandibular central incisor.
The external form of the root is broad labiolingually and
narrow mesiodistally.
Longitudinal depressions are present on both the mesial and
the distal midroot surfaces of the root
A cross section of the root is ovoid or hourglass in shape due
to the developmental depressions on each side
The overall length is 23.5 mm with an average crown length
of 9.5 mm and an average root length of 14 mm
MAZEN DOUMANI 2014 44
45. MANDIBULAR LATERAL INCISOR
• All of the anatomical studies reviewed reported that 100%
of the mandibular lateral incisors studied were single-rooted
teeth,
• The shape of the canal system is comparable to the
mandibular central incisor and is either round or ribbon-shaped
two canals and one
apical foramen
MAZEN DOUMANI 2014 45