Maxillary Third Molars

RIGHT THIRD MOLAR

LEFT THIRD MOLAR

PALMERS

8 1

UNIVERSAL

16

2-DIGIT

18

28

CALCIFICATION AND ERUPTION FIRST EVIDENCE OF CALCIFICATION ENAMEL COMPLETED ERUPTION ROOT COMPLETED

Years
7-9

12-16 17-21 18-25

Often called wisdom teeth because they erupt when the young adult is passing into manhood or womanhood Often appears as a developmental anomaly Vary considerable in size, contour, and relative position to the other teeth

Crown is shorter cervico-occlusally and narrower mesiodistally

D M

Crown is shorter cervico-occlusally and narrower mesiodistally

D M

Mesiofacial cusp width mesiodistally is proportionately wider when compared to the width of distofacial cusp D M

Roots are usually fused, functioning as one large root, and they are shorter cervicoapically
D M

Fused roots end in a taper at the apex

D M

Roots have a distinct slant to the distal, giving the apices of the fused root a more distal relation to the center of the crown

Only one large lingual cusp is present, and therefore no lingual groove is evident

D D

Other maxillary third molar:

The mesiolingual cusp tip is more centered mesiodistally. The mesiolingual cusp dominates the mesiodistal width of the crown

Often the distolingual cusp is so short, narrow and rounded that the lingual groove is evident as a mere fold in the enamel and the cusp seems to have little height at all
Difference in root curvature and divergence

D D

Other maxillary third molar:

The mesiolingual cusp tip is more centered mesiodistally. The mesiolingual cusp dominates the mesiodistal width of the crown

Often the distolingual cusp is so short, narrow and rounded that the lingual groove is evident as a mere fold in the enamel and the cusp seems to have little height at all
Difference in root curvature and divergence

D D

Other maxillary third molar:

The mesiolingual cusp tip is more centered mesiodistally. The mesiolingual cusp dominates the mesiodistal width of the crown

Often the distolingual cusp is so short, narrow and rounded that the lingual groove is evident as a mere fold in the enamel and the cusp seems to have little height at all
Difference in root curvature and divergence

D D

Other maxillary third molar:

The mesiolingual cusp tip is more centered mesiodistally. The mesiolingual cusp dominates the mesiodistal width of the crown

Often the distolingual cusp is so short, narrow and rounded that the lingual groove is evident as a mere fold in the enamel and the cusp seems to have little height at all
Difference in root curvature and divergence

D D

Taper to the fused roots and a bifurcation usually in the region of the apical third

L M D D

Taper to the fused roots and a bifurcation usually in the region of the apical third

L M D D

More of the occlusal surface may be seen from this aspect because of the more acute angulation of the occlusal surface in relation to the long axis of the root
Measurement from the cervical line to the marginal ridge is short

FL M

F L D D

From the occlusal view, the crown outline is described as heart shaped

The occlusal anatomy is similar to that of other maxillary molars. This is particularly true of the Primary Cusp Triangle (Trigon) area. The distolingual cusp and distal marginal ridge will be dissimilar in the following ways: The distolingual cusp will be shorter and narrower (mesiodistally). The distal outline will be more rounded. It is often difficult to distinguish definite, separate cuspal and triangular ridges on the distolingual cusp. Often, the distolingual cusp is seen as only a minor elevation or Talon. Often, the distal marginal ridge is hardly discernible. Likewise, definite lingual, distal oblique and distolingual grooves are hard to distinguish. Often, this whole area of the crown becomes a single convex roll of enamel from the crest of the oblique ridge onto the distal surface.

FL M

F L D D

From the occlusal view, the crown outline is described as heart shaped

The occlusal anatomy is similar to that of other maxillary molars. This is particularly true of the Primary Cusp Triangle (Trigon) area. The distolingual cusp and distal marginal ridge will be dissimilar in the following ways: The distolingual cusp will be shorter and narrower (mesiodistally). The distal outline will be more rounded. It is often difficult to distinguish definite, separate cuspal and triangular ridges on the distolingual cusp. Often, the distolingual cusp is seen as only a minor elevation or Talon. Often, the distal marginal ridge is hardly discernible. Likewise, definite lingual, distal oblique and distolingual grooves are hard to distinguish. Often, this whole area of the crown becomes a single convex roll of enamel from the crest of the oblique ridge onto the distal surface.

FL M

F L D D

From the occlusal view, the crown outline is described as heart shaped
The occlusal anatomy is similar to that of other maxillary molars. This is particularly true of the Primary Cusp Triangle (Trigon) area. The distolingual cusp and distal marginal ridge will be dissimilar in the following ways: The distolingual cusp will be shorter and narrower (mesiodistally). The distal outline will be more rounded. Often, the distal marginal ridge is hardly discernible. Likewise, definite lingual, distal oblique and distolingual grooves are hard to distinguish. Often, this whole area of the crown becomes a single convex roll of enamel from the crest of the oblique ridge onto the distal surface.

FL M

F L D D

From the occlusal view, the crown outline is described as heart shaped
The occlusal anatomy is similar to that of other maxillary molars. This is particularly true of the Primary Cusp Triangle (Trigon) area. The distolingual cusp and distal marginal ridge will be dissimilar in the following ways: The distolingual cusp will be shorter and narrower (mesiodistally) The distal outline will be more rounded. Often, the distal marginal ridge is hardly discernible. Likewise, definite lingual, distal oblique and distolingual grooves are hard to distinguish.

FL M

F L D D

Often, this whole area of the crown becomes a single convex roll of enamel from the crest of the oblique ridge onto the distal surface.

From the occlusal view, the crown outline is described as heart shaped
The occlusal anatomy is similar to that of other maxillary molars. This is particularly true of the Primary Cusp Triangle (Trigon) area. The distolingual cusp and distal marginal ridge will be dissimilar in the following ways: The distolingual cusp will be shorter and narrower (mesiodistally) The distal outline will be more rounded. Often, the distal marginal ridge is hardly discernible. Likewise, definite lingual, distal oblique and distolingual grooves are hard to distinguish.

FL M

F L D D

Often, this whole area of the crown becomes a single convex roll of enamel from the crest of the oblique ridge onto the distal surface.

From the occlusal view, the crown outline is described as heart shaped
The occlusal anatomy is similar to that of other maxillary molars. This is particularly true of the Primary Cusp Triangle (Trigon) area. The distolingual cusp and distal marginal ridge will be dissimilar in the following ways: The distolingual cusp will be shorter and narrower (mesiodistally) The distal outline will be more rounded. Often, the distal marginal ridge is hardly discernible. Likewise, definite lingual, distal oblique and distolingual grooves are hard to distinguish.

FL M

F L D D

Often, this whole area of the crown becomes a single convex roll of enamel from the crest of the oblique ridge onto the distal surface.

From the occlusal view, the crown outline is described as heart shaped
The occlusal anatomy is similar to that of other maxillary molars. This is particularly true of the Primary Cusp Triangle (Trigon) area. The distolingual cusp and distal marginal ridge will be dissimilar in the following ways: The distolingual cusp will be shorter and narrower (mesiodistally) The distal outline will be more rounded. Often, the distal marginal ridge is hardly discernible. Likewise, definite lingual, distal oblique and distolingual grooves are hard to distinguish.

FL M

F L D D

Often, this whole area of the crown becomes a single convex roll of enamel from the crest of the oblique ridge onto the distal surface.

DECIDUOUS MAXILLARY ST MOLAR 1

Most atypical of all primary or permanent molars : it looks diff. n very atypical, doesnt look like premolar or molar. Intermediate between a premolar & a molar : it is someway intermediate between premolar and molar. Smallest molar in all deciduous: every dimension is the smallest except the BL diameter.

RIGHT FIRST MOLAR

LEFT FIIRST MOLAR D

PALMERS

UNIVERSAL

B 54

I 64

2-DIGIT

CALCIFICATION AND ERUPTION Hard Tissue Formation ENAMEL COMPLETED ERUPTION ROOT COMPLETED 15 weeks 6 months

(13-19)boys (14-18) girls

2 years

Buccal Aspect
o

Mesial part is higher OC than Distal because its more projected cervically onto the root area bigger distance that the cervical line goes apically than mesially . Marked cervical constriction. That means the cervical is more constricted

Lingual Aspect
o

Mesiolingual cusp is more prominent The distolingual cusp is poorly defined distobuccal cusp is longer and better develop The lingual root is longer

Mesial Aspect
o

Cervical third is greater than the occlusal third (dimension) Mesiolingual cusp is longer and sharper than the mesiobuccal cusp Pronounced convexity on the buccal outline The mesiobuccal roots and lingual roots are visible

Occlusal Aspect

Trapezoidal : the occlusal shape is trapezoidal M & D profiles are straight & slightly L convergent o B cusp > L : Buccal cusp is bigger than the lingual cusp Buccal triangular ridge more prominent than L : buccal one is bigger than lingual one B groove separates DB cusp from MB : Buccal developmental groove separates between MB n DB cusp. Not located at mid portion of crown MD.Located closer to the distal part of crown.why? because the MB cusp is bigger

Central pit : B groove ends in mid portion of crown. At the end we have Central groove : start from M pit to D pit Transverse ridge or oblique ridge? between B groove & D MR : in max molars. We know that oblique ridge runs from tip of ML cusp to tip of DB. H-shaped pit/groove pattern : groove pattern is H shaped we have Central groove We have Triangular supplemental grooves: at triangular fossa M & D marginal grooves : crossing the mesial and distal marginal ridges

Deciduous Maxillary nd Molar 2

RIGHT FIRST MOLAR

LEFT FIIRST MOLAR E

PALMERS

UNIVERSAL

A 55

J 55

2-DIGIT

Morphologically considered a model for the permanent 1st maxillary molar : this tooth exactly looks like the that erupts behind it. What is the tooth? Permanent Max. 1st molar. To differentiates between them is to use only the set traits. The similarity btwn the anatomy is called isomorphy. The tooth look alike. but the tooth doesnt like the tooth that replace it. If the 2nd deci max molar has a very prominent cusps of carebelli, the 1st parm. Max molar will also have the same prominent cusps of carebelli.

Set traits Cervical constriction Cervical 1/3 bulging Little root trunk Roots thinner