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AMIRA M. ELSHERBINI
1
3
24
Lingual
labial
Distal
Mesial
Cusp = pyramidal elevation
Maxillary canine=
Caspid?!
Lingual
labial
Distal
Mesial
Strategy?!
As a rule (For each tooth )
 Chronology
 Is it a successor (has a predecessor)?
Notation and Position.
Function
 Description of Tooth aspects
As a rule (For each tooth )
Anomalies
Clinical consideration
Drawing
Occlusion
Pulp cavity
Self assessment
DESCRIPTION OF TOOTH ASPECTS
I. Crown
5aspects (facial, lingual, mesial, distal, incisal)
For each aspect:
• Measurement
• Geometric outline
• Borders (4), maximum convexity.(Contact area
,crest of curvature).
• Surface structure.
Description of Tooth aspects
II. Root
 outline (No., inclination), surface st. (DD, DG)
 Called corner stone, Fangs,
Or Cuspid.
 The longest tooth.
 Most stable.
 Last to be lost.
 Canine carnivore.
Maxillary Canine
 Chronology
 Is it a successor (has a predecessor)??
Notation and Position.
Function
 Description of Tooth aspects
 Anomalies &Clinical consideration
Pulp cavities & occlusion
Drawing & Self assessment
Maxillary Permanent Canine
Formed of 4 lobes 3 labial and 1 lingual
First evidence of calcification.. 4-5 mo
Crown completed.. 6- 7 y
Eruption.. 11-13 y
Root completion.. 13-15 y
Maxillary Permanent Canine
Chronology
Maxillary Permanent Canine
Notation??
There are 3 numbering or notation systems:
A.Palmer numbering system.
B.International (two digit) system. 13, 23
C.Universal numbering system #6,#11
3 3,
Maxillary Permanent Canine
Position?
Maxillary Permanent Canine
Function
• Support the maxillary incisors.
• Incision (shearing and tearing
of food)
• Esthetics (Canine eminence)
• Stability of restorations.
• “Canine guidance” : guide the
tooth into intercuspal position
Maxillary Permanent Canine
 Chronology
 Is it a successor (has a predecessor)??
 Notation and Position.
 Function
 Description of Tooth aspects
 Anomalies &Clinical consideration
 Pulp cavities & occlusion
 Drawing & Self assessment
Labial Aspect [1]
I. Crown
Measurements
Geometric out line
Borders
I. The mesial outline
Contact area
II. The distal outline
 Contact area
⅓
½
½
2/3
Labial Aspect [2]
Borders
III. Cervical line
IV. The incisal outline
cusp
Mesial & Distal slopes
cusp tip
Labial cusp ridge (Labial ridge)
Labial Aspect [3]
 Surface description:
 Cervical ridge
 Labial ridge.
 2 developmental depressions on either side of the
labial ridge.
II.Root
slender, conical with distally curved apex
The root surface is smooth and convex at all points
PALATAL ASPECT [1]
I. crown
Outlines
Measurement
Lingual convergence
 Surface description (elevations and depression)
 Cingulum (lingual lobe)
 Marginal ridges
 Lingual ridge
 2 palatal fossae
PALATAL Aspect [2]
II. Root
convex, narrower
MESIAL ASPECT [1]
I. crown
Measurement
 Geometric out line
 Borders
I. Labial outline
 Crest of curvature
II. Lingual outline
 Crest of curvature
MESIAL ASPECT [2]
 Borders
III. Cusp (line bisecting the cusp is labial to the mid line)
IV. Cervical line
 Surface description
 II. Root
Measurements
Labial & Ling. Outline
Apex
Surface description (smooth except shallow DD)
Distal Aspect
 I. Crown
 Outlines
Similar in to the mesial aspect Except
I. Cervical line
II. contact area
III. Cusp region (incisional area)
IV. Marginal ridge
Surface description
 II. Root deeper DD
Incisal Aspect
 Crown superimposed on the root
 Measurements LL> MD & L>Ling
 I. Outline
 Geometric outline (Diamond)
 Labial outline.
 M&D contact.
 M&D sides.
 cingulum
 2 fossae
 Il. Cusp tip (labial and mesial )
1. Conservative treatment with esthetic restoration
should be the first choice to preserve the normal
facial shape.
2. Variations
o a cusp-like tubercle is found on the cingulum.
associated with Lingual pits or sharp pointed cusp tip
o The root varies in length
Clinical consideration
The canine may be malposed or impacted.
Pulp cavities
Anatomy of the pulp cavity
1. Pulp chamber
2. Pulp canal
3. Pulp horn
4. Apical foramen
5. Lateral (Accessory)canal
6. Supplementary canal
7. Anastomosis
General rules
1- The outline of the pulp cavity generally
corresponds to the external contour of the
tooth
2- Cusp anatomy  pulp horn
3- Root canal
several classifications but mostly at least one
root canal in each root /(branch)
Pulp cavities of maxillary canine
General out line
Description
Mesiodistal section (labial section)
I. pulp chamber & pulp canal
Labioligual section (Mesial section)
I. pulp chamber & pulp canal
Cervical cross section
Mid Root cross section
General out line
Pulp cavity of maxillary canine has LL>
MD measurement of any anterior tooth.
Longest root and longest root canal.
Labial section (Mesiodistal section)
• Pointed incisally represent the cusp, pulp
horn
• Widens near cervical limit and narrowest at
the cusp
Pulp chamber
• Same length from cervical third till apical zone
• Then taper to singleforamen
• Mesial or Distal curve may be presnt.
Pulp canal
Mesial section (labiolingual section)
• Pointed incisally
• Widens to the mid cingulumlevel
• Labial margin slightly convex
• Lingual marginbulging in cigulum
Pulp chamber
• LL>MD
• May taper gradually
• Or at apical third become greatly constricted while the
foramen is still larger than incisor.
• Foramen may be at the center or labial.
Pulp canal
Cervical section
 Ovoid and
wider LL
Mid root section
less ovoid,
sometimes circular
Clinical hint!
Questions??
At the age of ten years, the maxillary
lateral Incisor has its distal contact with which
of the following
a) Permanent Canine
C) deciduous Canine
d) Permanent premolar
e)No distal contact
As a rule the Distal cusp slope is longer
than the Mesial one in cuspid and
bicuspid teeth Except
a.upper first premolar and upper canine
b. upper first premolar and lower canine
c. upper first premolar and primary lower canine
d. upper first premolar and primary upper
canine
The maxillary left canine notation by FDI
a) 13
b) 23
c) 43
d) 63
Presentation  Maxillary canine

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Presentation Maxillary canine

  • 7. As a rule (For each tooth )  Chronology  Is it a successor (has a predecessor)? Notation and Position. Function  Description of Tooth aspects
  • 8. As a rule (For each tooth ) Anomalies Clinical consideration Drawing Occlusion Pulp cavity Self assessment
  • 9. DESCRIPTION OF TOOTH ASPECTS I. Crown 5aspects (facial, lingual, mesial, distal, incisal) For each aspect: • Measurement • Geometric outline • Borders (4), maximum convexity.(Contact area ,crest of curvature). • Surface structure.
  • 10. Description of Tooth aspects II. Root  outline (No., inclination), surface st. (DD, DG)
  • 11.  Called corner stone, Fangs, Or Cuspid.  The longest tooth.  Most stable.  Last to be lost.  Canine carnivore. Maxillary Canine
  • 12.  Chronology  Is it a successor (has a predecessor)?? Notation and Position. Function  Description of Tooth aspects  Anomalies &Clinical consideration Pulp cavities & occlusion Drawing & Self assessment Maxillary Permanent Canine
  • 13. Formed of 4 lobes 3 labial and 1 lingual First evidence of calcification.. 4-5 mo Crown completed.. 6- 7 y Eruption.. 11-13 y Root completion.. 13-15 y Maxillary Permanent Canine Chronology
  • 14. Maxillary Permanent Canine Notation?? There are 3 numbering or notation systems: A.Palmer numbering system. B.International (two digit) system. 13, 23 C.Universal numbering system #6,#11 3 3,
  • 16. Maxillary Permanent Canine Function • Support the maxillary incisors. • Incision (shearing and tearing of food) • Esthetics (Canine eminence) • Stability of restorations. • “Canine guidance” : guide the tooth into intercuspal position
  • 17. Maxillary Permanent Canine  Chronology  Is it a successor (has a predecessor)??  Notation and Position.  Function  Description of Tooth aspects  Anomalies &Clinical consideration  Pulp cavities & occlusion  Drawing & Self assessment
  • 18. Labial Aspect [1] I. Crown Measurements Geometric out line Borders I. The mesial outline Contact area II. The distal outline  Contact area ⅓ ½ ½ 2/3
  • 19. Labial Aspect [2] Borders III. Cervical line IV. The incisal outline cusp Mesial & Distal slopes cusp tip Labial cusp ridge (Labial ridge)
  • 20. Labial Aspect [3]  Surface description:  Cervical ridge  Labial ridge.  2 developmental depressions on either side of the labial ridge. II.Root slender, conical with distally curved apex The root surface is smooth and convex at all points
  • 21. PALATAL ASPECT [1] I. crown Outlines Measurement Lingual convergence  Surface description (elevations and depression)  Cingulum (lingual lobe)  Marginal ridges  Lingual ridge  2 palatal fossae
  • 22. PALATAL Aspect [2] II. Root convex, narrower
  • 23. MESIAL ASPECT [1] I. crown Measurement  Geometric out line  Borders I. Labial outline  Crest of curvature II. Lingual outline  Crest of curvature
  • 24. MESIAL ASPECT [2]  Borders III. Cusp (line bisecting the cusp is labial to the mid line) IV. Cervical line  Surface description  II. Root Measurements Labial & Ling. Outline Apex Surface description (smooth except shallow DD)
  • 25. Distal Aspect  I. Crown  Outlines Similar in to the mesial aspect Except I. Cervical line II. contact area III. Cusp region (incisional area) IV. Marginal ridge Surface description  II. Root deeper DD
  • 26. Incisal Aspect  Crown superimposed on the root  Measurements LL> MD & L>Ling  I. Outline  Geometric outline (Diamond)  Labial outline.  M&D contact.  M&D sides.  cingulum  2 fossae  Il. Cusp tip (labial and mesial )
  • 27. 1. Conservative treatment with esthetic restoration should be the first choice to preserve the normal facial shape. 2. Variations o a cusp-like tubercle is found on the cingulum. associated with Lingual pits or sharp pointed cusp tip o The root varies in length Clinical consideration
  • 28. The canine may be malposed or impacted.
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  • 32. Anatomy of the pulp cavity 1. Pulp chamber 2. Pulp canal 3. Pulp horn 4. Apical foramen 5. Lateral (Accessory)canal 6. Supplementary canal 7. Anastomosis
  • 33.
  • 34. General rules 1- The outline of the pulp cavity generally corresponds to the external contour of the tooth 2- Cusp anatomy  pulp horn 3- Root canal several classifications but mostly at least one root canal in each root /(branch)
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  • 39. Pulp cavities of maxillary canine General out line Description Mesiodistal section (labial section) I. pulp chamber & pulp canal Labioligual section (Mesial section) I. pulp chamber & pulp canal Cervical cross section Mid Root cross section
  • 40.
  • 41. General out line Pulp cavity of maxillary canine has LL> MD measurement of any anterior tooth. Longest root and longest root canal.
  • 42.
  • 43. Labial section (Mesiodistal section) • Pointed incisally represent the cusp, pulp horn • Widens near cervical limit and narrowest at the cusp Pulp chamber • Same length from cervical third till apical zone • Then taper to singleforamen • Mesial or Distal curve may be presnt. Pulp canal
  • 44. Mesial section (labiolingual section) • Pointed incisally • Widens to the mid cingulumlevel • Labial margin slightly convex • Lingual marginbulging in cigulum Pulp chamber • LL>MD • May taper gradually • Or at apical third become greatly constricted while the foramen is still larger than incisor. • Foramen may be at the center or labial. Pulp canal
  • 45. Cervical section  Ovoid and wider LL Mid root section less ovoid, sometimes circular
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  • 51. At the age of ten years, the maxillary lateral Incisor has its distal contact with which of the following a) Permanent Canine C) deciduous Canine d) Permanent premolar e)No distal contact
  • 52. As a rule the Distal cusp slope is longer than the Mesial one in cuspid and bicuspid teeth Except a.upper first premolar and upper canine b. upper first premolar and lower canine c. upper first premolar and primary lower canine d. upper first premolar and primary upper canine
  • 53. The maxillary left canine notation by FDI a) 13 b) 23 c) 43 d) 63