PERMANENT MANDIBULAR INCISORS

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PERMANENT MANDIBULAR INCISORS (Central and Lateral) DR.AHMED AL-JOBORY LEC. 5

PERMANENT MANDIBULAR INCISORS ARE 4 IN NUMBER : 2 CENTRAL (RIGHT &LEFT) AND 2 LATERAL INCISORS (RIGHT &LEFT).

CHARACTERISTIC FEATURES OF PERMANENT MANDIBULAR INCISORS 1- THE MANDIBULAR INCISORS HAVE SMALLER MESIODISTAL DIMENSION THAN OF THE OTHER TEETH. 2- THE CONTACT AREA ARE NEAR THE INCISAL RIDGES MESIALLY AND DISTALLY. 3-THE LINGUAL SURFACE IS RELATIVELY SMOOTH AND FEATURELESS WITH THE MARGINAL RIDGES AND THE CINGULUM BEING NOT WELL DEVELOPED. 4-THE LABIAL SURFACE INCLINED LINGUALLY SO THAT THE INCISAL RIDGE IS LINGUAL TO A LINE BISECTING THE ROOT.

PERMANENT MANDIBULAR CENTRAL INCISOR

PRINCIPAL IDENTIFYING FEATURES OF MANDIBULAR CENTRAL INCISORS 1- IT IS THE SMALLEST TOOTH IN THE PERMANENT DENTITION. 2- THE INCISAL RIDGE IS LINGUALLY INCLINED. 3- WELL DEFINED DEVELOPMENTAL DEPRESSION IS SEEN ON THE ROOT MESIALLY &DISTALLY.

THE LABIAL ASPECT

1- THE INCISAL RIDGE IS STRAIGHT AND NEARLY AT A RIGHT ANGLE TO THE LONG AXIS OF THE TOOTH. 2- THE DISTO-INCISAL ANGLE IS MORE ROUNDED THAN THE MESIO_INCISAL ANGLE. 3- THE CONTACT AREAS ARE INCISAL TO THE JUNCTION BETWEEN INCISAL AND MIDDLE THIRD. 4-THE MESIAL & DISTAL ROOT OUTLINE ARE STRAIGHT WITH A DISTALLY CURVED APEX. 5- THE LABIAL SURFACE OF THE CROWN IS SMOOTH, BEING FLAT AT INCISOR THIRD AND BECOMING MORE CONVEX AS IT GOES CERVICALLY.

LINGUAL ASPECT

1- THE LINGUAL SURFACE OF THE CROWN IS SMOOTH WITH VERY SLIGHT CONCAVITY AT THE INCISAL THIRD. 2- NO DEVELOPMENTAL GROOVES ARE FOUND NEAR THE CINGULUM.

MESIAL ASPECT

1- THE LABIAL OUTLINE OF THE CROWN ABOVE THE CERVICAL CURVATURE IS STRAIGHT. 2- THE LINGUAL OUTLINE OF THE CROWN SHOWS A SHALLOW CONCAVITY AND THE INCISAL RIDGE IS ROUNDED AND ITS CENTER IS USUALLY LINGUAL TO THE CENTER OF THE ROOT. 3- THE CURVATURE LABIALLY AND LINGUALLY ABOVE THE CERVICAL LINE IS LESS THAN FOUND ON MAXILLARY INCISORS. 4- THE CURVATURE OF CERVICAL LINE CURVES INCISALLY ABOVE ONE THIRD THE LENGTH OF THE CROWN. 5-THE MESIAL SURFACE OF THE ROOT HAVE A BROAD DEVELOPMENTAL DEPRESSION FOR MOST OF THE ROOT LENGTH.THE DEPRESSION USUALLY ARE DEEPER AT THE JUNCTION OF MIDDLE & APICAL THIRD.

DISTAL ASPECT

1- THE CERVICAL LINE CURVATURE IS LESS THAN THAT MESIALLY ABOUT 1 MM LESS. 2- THE DEVELOPMENTAL DEPRESSION IN THE ROOT IS MORE MARKED THAN THAT ON THE MESIAL SIDE WITH A DEEPER &MORE WELL DEFINED DEVELOPMENTAL GROOVE IN ITS CENTER.

INCISAL ASPECT

1-THE MESIAL HALF OF THE CROWN IS ALMOST IDENTICAL TO THE DISTAL HALF (BILATERAL SYMMETRY) 2- THE INCISAL EDGE IS AT RIGHT ANGLE TO A LINE BISECTING THE CROWN LABIO_LINGUALLY (MARK OF IDENTIFICATION). 3-AT THE INCISAL THIRD,THE LABIAL SURFACE OF THE CROWN IS SLIGHTLY CONVEX &THE LINGUAL SURFACE IS SLIGHTLY CONCAVE. 4- MORE OF THE LABIAL SURFACE MAY BE SEEN THAN OF THE LINGUAL SURFACE FROM THIS ASPECT (THE LINE OF VISION WITH THE LONG AXIS OF THE TOOTH) 5- LABIO_LINGUAL DIAMETER OF THE CROWN GREATER THAN MESIO_DISTAL ONE.

PERMANENT MANDIBULAR LATERAL INCISOR Lec. 6 Dr. Ahmed Al-Jobory

PRINCIPLE IDENTIFYING FEATURES 1- ITS FORM CLOSELY RESEMBLE THE MANDIBULAR CENTRAL INCISOR BUT IT'S SOMEWHAT LARGER. 2-THE CROWN IS SLIGHTLY LARGER,BUT THE ROOT IS CONSIDERABLE LONGER THAN THE MANDIBULAR CENTRAL INCISORS. 3-THE MESIAL SIDE OF THE CROWN IS LONGER THAN THE DISTAL SIDE CAUSING THE INCISAL RIDGE TO SLOPE DOWNWARD IN A DISTAL DIRECTION. 4-THE DISTAL CONTACT AREA IS MORE TOWARD THE CERVICAL AREA THAN THE MESIAL CONTACT AREA TO CONTACT PROPERLY THE MESIAL CONTACT AREA OF MANDIBULAR CANINE. 5-FAINT MARGINAL RIDGES BUT MORE PROMINENT THAN IN MANDIBULAR CENTRAL INCISOR.

6-THE ROOT FORM IS SIMILAR TO THAT OF MANDIBULAR CENTRAL INCISOR INCLUDING THE DEVELOPMENTAL DEPRESSION MESIALLY AND DISTALLY. 7- NO MARKED DIFFERENCE IS EVIDENT BETWEEN HE MESIAL AND DISTAL SURFACE OF CENTRAL &LATERAL INCISOR EVEN THE CURVATURES OF CERVICAL LINE MESIALLY & DISTALLY ARE SIMILAR IN EXTENT. 8-THE INCISAL EDGE IS NOT AT RIGHT ANGLES TO A LINE BISECTING THE CROWN AND ROOT LABIO-LINGUALLY AS WAS FOUND WHEN OBSERVING THE MANDIBULAR CENTRAL INCISOR,THE EDGE FOLLOWS THE CURVATURE OF THE MANDIBULAR DENTAL ARCH GIVING THE CROWN OF MANDIBULAR LATERAL INCISOR THE APPEARANCE OF BEING TWISTED SLIGHTLY ON ITS ROOT BASE.

SOME DIFFERENCES BETWEEN MAXILLARY & MANDIBULAR CENTRAL INCISOR

features Location of incisal ridge Labial outline(from mesial aspect) Lingual aspect Maxillary central incisor Centered over the root Curvature is more labially&lingually Featurefull Mandibular central incisor More lingually positioned Curvature is less labially&lingually featureless Contact area More cervically More incisally Size Larger Smaller