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Morphology of
primary teeth


   Rajesh Bariker
   1st yr Postgraduate
   Dept of Pedodontics
   MMDC, Belgaum
Contents
1.   Background Information
2.   Importance of morphology
3.   Introduction to Deciduous (Primary) teeth
4.   Morphology of Anterior teeth
       -Primary Maxillary Central Incisor
       -Primary Maxillary Lateral Incisor
       -Primary Maxillary Canine
       -Primary Mandibular Central Incisor
       -Primary Mandibular Lateral Incisor
       -Primary Mandibular Canine
5.    Morphology of Posterior teeth
      -Primary Maxillary First molar
      -Primary Maxillary Second Molar
      -Primary Mandibular First Molar
      -Primary Mandibular Second Molar
6.   References
BACKGROUND INFORMATION
• Primary teeth are often called as deciduous teeth
• Deciduous comes from the latin word ,meaning to fall off
  or are shed(like leaves from a deciduous tree) and are
  replaced by the adult teeth that succeed them
• Common nick names for them are ‘’milk teeth
  or temporary teeth’’ which, unfortunately denote a lack of
  importance.
• The dentition that follows the primary teeth may be called
  permanent dentition, but since many of the so-called
  permanent teeth are lost due to disease, trauma, or other
  causes, the authors have chosen to call it the secondary
  dentition (or adult dentition)
Importance of morphology
A. Overview. 
• You will recall that we are diphyodont,
   that is, with two sets of teeth. The term
   deciduous means literally 'to fall off.'
• -There are twenty deciduous teeth that
   are classified into three classes.
Do you recall the term
            heterodont?
• Type of dentitition where the
  teeth have different
  morphologies (human)

• There are ten maxillary teeth
  and ten mandibular teeth.
• The dentition consists of
  incisors, canines and molars.
  -The dental formula is as
  follows.
B. Role in development.
•  A person 70 years old will have spent 91% of his/her life
  chewing on permanent teeth, but only 6% of his/her
  chewing career with the deciduous dentition.
• Although the deciduous teeth are in time replaced by the
  succedaneous teeth, the deciduous teeth play a very
  important role in the proper alignment, spacing, and
  occlusion of the permanent teeth.
• The deciduous incisor teeth are
  functional in the mouth for
  approximately five years, while the
  deciduous molars are functional for
  approximately nine years. They
  therefore have considerable functional
  significance.
• When second deciduous molars are lost
  prematurely, this can be very
  detrimental to the alignment of the
  permanent teeth.
• Premature loss of deciduous teeth
  because of dental caries is preventable
  and is to be avoided
• The primary teeth are 20 in
  number

  -10 in each jaw

• They are classified as follows:

  -four incisors,

  -two canines, and

  -four molars in each jaw as
  numbered with the universal
  system of notation
The Dimensions
                                Maxillary (In millimetres)
Tooth     Length    length   Length    M-D           M-D           Labio/     Labio/
          overall   of       of root   diameter of   diameter of   bucco –    bucco –
                    crown              crown         crown at      lingual    lingual
                                                     cervix        diameter   diameter
                                                                   of crown   at cervix


Central   16.0      6.0      10.0      6.5           4.5           5.0        4.0
incisor
Lateral   15.8      5.6      11.4      5.1           3.7           4.0        3.7
incisor
canine    19.0      6.5      13.5      7.0           5.1           7.0        5.5
First     15.2      5.1      10.0      7.3           5.2           8.5        6.9
molar
Second    17.5      5.7      11.7      8.2           6.4           10.0       8.3
molar
The Dimensions
                               Mandibular (In millimetres)
Tooth     Length    length    Length    M-D           M-D           Labio/     Labio/
          overall   of        of root   diameter of   diameter of   bucco –    bucco –
                    crown               crown         crown at      lingual    lingual
                                                      cervix        diameter   diameter
                                                                    of crown   at cervix


Central   14.0*     5.0       9.0       4.2           3.0           4.0        3.5
incisor
Lateral   15.0      5.2       10.0      4.1           3.0           4.0        3.5
incisor
canine    17.5      6.0       11.5      5.0           3.7           4.8        4.0
First     15.8      6.0       9.8       7.7           6.5           7.0        5.3
molar
Second    18.8      5.5       11.3      9.9           7.2           8.7        6.4
molar
Primary Maxillary Central Incisor

Labial Aspect
• Smooth labial surface
• The M-D diameter is greater than the
  cervicoincisal length.
• Incisal edge is nearly straight.
• Developmental lines are usually not seen.
• The root is cone-shaped with even,
  tapered sides.
• The root length is greater than crown
  length than that of the permanent central
  incisor.
Lingual Aspect

•   Well-developed marginal ridges ,highly
    developed cingulum seen
•   The cingulum extends up toward the incisal
    ridge ,practically dividing it into a mesial and
    distal fossa.
•   The root narrows lingually ,whereas its flat
    surface labially..
Mesial and Distal Aspects
•   Similar
•   The measurement of the crown at the cervical
    third shows the crown to be wide in relation
    to its total length.

•   The curvature of the cervical line is curving
    towards the incisal ridge

•   The cervical curvature distally is less than
    the curvature mesially

•   The root is cone-shaped with even, tapered
    sides, apex is blunt

•   Usually Mesial has a developmental groove
    and distal is generally Convex
The Pulp Cavity
•   Consist of 3 slight projections on incisal
    border i.e 3pulp horns
•   Chamber tapers in M-D diameter cervically,
    widest at cervical region Labiolingually
•   Pulp chamber and Canal are larger than
    perm’ ones,
•   No distinct demarcation betw canal
    &chamber
•   Pulp canal tapers evenly untill ending in
    apical foramen
Incisal Aspect


• The incisal edge is centered over the
  main bulk of the crown and is relatively
  straight.

• The labial surface is much broader and
  also smoother than the lingual surface.

•    The lingual surface tapers towards the
    cingulum.
Primary Maxillary Lateral Incisor
• Similar to the central incisor from all
  aspects, but its dimensions differ width.

• The disto-incisal angles of the crown are
  more rounded than those of the central
  incisor.
Primary Maxillary Lateral Incisor


• The pulp chamber follows the

    contour of the tooth, as does the

    canal




•   The root has similar shape, but is

    longer, thinner & tapering
PRIMARY MANDIBULAR CENTRAL INCISOR
Labial Aspect
•   Flat face ,No developmental grooves
•   Mesial and distal sides of the crown are tapered evenly
    from the contact areas, with the measurement being less
    at the cervix.
•   Crown is wide in proportion to its length
•   The heavy root trunk permanent maxillary lateral
    incisor.
•   The root is long and evenly tapered down to the apex,
    which is pointed.
•   The root is almost twice the length of the crown
Lingual Aspect

• The marginal ridges, cingulum - located
    easily

•       middle third      may hav a

        incisal third     flattened surface/
                          slight concavity

                          *lingual fossa.

• Lingual Convergence of the crown and root

    is seen
Mesial Aspect
• The incisal ridge is centered over the
    center of the root

• The convexity of the cervical contours
    labially and lingually at the cervical third
    is Most pronounced

•   More pronounced by far than the
    prominences found on a permanent
    mandibular central incisor.

•   These cervical bulges are important.

• The mesial surface of the root is nearly flat
    and evenly tapered; the apex blunt .
Distal Aspect

•   Outline : Opp of mesial

•   Cervical line is less curved.

•   Developmental depression is

    evident on the distal side of the root

Pulp Cavity

•   Widest mesiodistally at the roof

•   Labiolingually the is widest at the cingulum

•   Oval in appearance, tapers as it reaches apex

•   Definate demarcation betw’n chamber and
    canal
Incisal Aspect

• The incisal ridge is straight and bisects the crown
    labiolingually.

•   A definite taper is evident toward the cingulum

    on the lingual side.

• The labial surface from this view presents a flat
    surface that is slightly convex, whereas the
    lingual surface presents a flattened surface that is
    slightly concave.
MANDIBULAR LATERAL INCISOR

• The fundamental outlines are similar to those
    primary central incisor.

•   These two teeth supplement each other in
    function.

•   Somewhat larger in all measurements

    except labiolingually, where the two teeth are

    practically identical.

•   Cingulum of the lateral incisor may be a little
    more generous than that of the central incisor

• Crown root ratio is more in lateral than in central
• The lingual surface of the crown between
  the marginal ridges may be more
  concave.

• Incisal ridge tends to slope downward
  distally.

• This design lowers the distal contact area
  apically, so that proper contact may be
  made with the mesial surface of the
  primary mandibular canine
Pulp Cavity

• Oval in appearance, tapers as it
  reaches apex

• No demarcation betw’n chamber and
  canal
Primary Maxillary Canine
LABIAL SURFACE
•   The crown is more constricted at the cervix in
    relation to its M-D width .
•   The mesial and distal surfaces are more convex.
•   It has a long, well-developed, sharp cusp.
•   The cusp on the primary canine is much longer and
    sharper ,than permanent
•   Contact areas are at the same level, which is not the
    same in permanent
•   The Mesial slope of the cusp is longer than the
    distal slope
•   The root of the primary canine is long, slender, and
    tapering and is more than twice the crown length
LINGUAL SURFACE

• Shows well pronounced enamel ridges
  that merge with each other
• This lingual ridge divides the lingual
  surface into shallow mesiolingual and
  distolingual fossae.
• The root of this tooth tapers lingually and
  is usually inclined above the middle third
Mesial Aspect
• Similar to that of the lateral and central incisors.
• Difference in proportion is evident.
• The measurement labiolingually at the cervical
  third is much greater.
  * This permits resistance against forces the tooth
  must withstand during function.
  * The function of this tooth is to punch, tear, and
  apprehend food material.

Distal Aspect
• The distal outline of this tooth is the reverse of the
  mesial aspect.
• Only difference being, Cervical line towards the
  cusp ridge is less than on the mesial surface.
Pulp Cavity

• There is a little demarcation between
  pulp chamber and the canal.

• The canal tapers as it approaches the
  apex.

• Pulp chamber follows the external
  contour of teeth.

• Central pulpal horn is projecting
  incisally.
Incisal Aspect
• diamond-shaped
• The angles that are found at
  the contact areas mesially and distally
  are more pronounced and less rounded
  than those on permanent canines.
• Mesial cusp slope is longer than the
  distal cusp slope, i.e for Intercuspation
  with the lower
MANDIBULAR CANINE
• Little difference in function between the
    mandibular canine and the maxillary canine.

•   The crown is perhaps 0.5 mm shorter,

    The root is at least 2 mm shorter

•   The M-D measurement at the root trunk is
    greater when compared with its M-D
    measurement at the contact areas,

    than is that of the maxillary canine

•   It is “thicker” accordingly at the “neck” of the
    tooth.
•   The deciduous maxillary canine is

    much larger labiolingually

• The cervical ridges labially and

    lingually are not quite as pronounced as

    those found on the maxillary canine.

•   The greatest variation is the distal cusp

    slope is longer than the mesial slope.
Pulp Cavity
• Wide mesiodistally as
  labiolingually

• No diff’ betwn canal &chamber

• Ends in marked constriction at the
  apex
PRIMARY MAXILLARY FIRST MOLAR
Buccal Aspect
• The widest measurement of the crown of
    the maxillary first molar is at the contact
    areas mesially and distally
•   From these points, the crown converges
    toward the cervix, with the mm at the

    cervix being fully 2 mm less than the mm

    at the contact areas.
    * This furnishes a narrower look to the

    cervical portion of the crown and root ,

    than compared to permanent maxillary first molar.
• The occlusal line is slightly scalloped but
  with no definite cusp form.
• Smooth buccal surface, little evidence of
  developmental grooves seen.
• Relatively smaller than Second molar

  THE ROOT
• The roots of the maxillary first molar
  are slender and long, and they spread
  widely.
• All three roots may be seen from this aspect.

•   The distal root is shorter than the mesial one.

• The bifurcation of the roots begins almost immediately at
    the site of the cervical line (CEJ).
    * Actually which includes a trifurcation, and this is a characteristic
    of all primary molars, whether maxillary or mandibular.

•   Permanent molars do not possess this characteristic.

    * The root trunk on permanent molars is much heavier,
    with a greater distance between the cervical lines to the
    points of bifurcations
Lingual Aspect

• The general outline of the lingual aspect of
  the crown is similar to that of the buccal
  aspect .

• The crown converges considerably in a
  lingual direction, which makes the lingual
  portion calibrate less mesiodistally than

  the buccal portion.
• The mesiolingual cusp is the most
    prominent cusp on this tooth.

•   It is the longest and sharpest cusp. The
    distolingual cusp is poorly defined; it is
    small and rounded.

• The distobuccal cusp may be seen, since it
    is longer and better developed than the
    distolingual cusp.

•   All three roots also may be seen from this
    aspect.

•   The lingual root is larger than the others.
Mesial Aspect
• The dimension of cervical third is greater than
  occlusal third

• The mesiolingual cusp is longer and

  sharper than the mesiobuccal cusp.

• A pronounced convexity is evident on

  the buccal outline of the cervical third.
  *characteristic bulge

• It actually gives the impression of
  overdevelopment in this area
• The mesiobuccal and lingual roots are
    visible.

• The distobuccal root is hidden

    behind the mesiobuccal root.

• The lingual root from this aspect looks
    long and slender and extends lingually

    to a marked degree.

•   It curves sharply in a buccal direction
    above the middle third
Distal Aspect

• From the distal aspect, the crown is
    narrower distally than mesially; it
    tapers markedly toward the distal
    end .

• The distobuccal cusp is long and
    sharp, and the distolingual cusp is
    poorly developed.

•   The prominent bulge seen from
    the mesial aspect at the cervical
    third does not continue distally.
• The cervical line may curve occlusally, or it may extend
  straight across from the buccal surface to the lingual
  surface.

• All three roots may be seen from this angle,

  but the distobuccal root is superimposed on the
  mesiobuccal root so that only the buccal surface and the
  apex of the latter may be seen.

• The point of bifurcation of the distobuccal root and the
  lingual root is near the CEJ and, as described earlier, is
  typical.
Occlusal Aspect

• The crown outline converges lingually.

•   The crown also converges distally.

• Outline however is rectangular, with the
    shortest sides of the rectangle represented
    by the marginal ridges
• The occlusal surface has a central fossa.

• A mesial triangular fossa is just inside the
  mesial marginal ridge, with a mesial pit
  in this fossa and a sulcus with its central
  groove connecting the two fossae.

• A well-defined buccal developmental
  groove divides the mesiobuccal cusp and
  the distobuccal cusp occlusally.
•   Supplemental grooves radiate from the pit in the mesial
    triangular fossa as follows:

    -one buccally, one lingually, and one toward the
    marginal ridge,with the last sometimes extending over
    the marginal ridge mesially.

• Oblique ridge.

• The distal marginal ridge is thin and poorly developed
    in comparison with the mesial marginal ridge
Pulp Cavity

• Consists of a chamber & 3 pulpal canals
    corresponding to 3 roots

• Variations from this basic design may be
    present as anastomoses & branchings.

•   3-4 pulp horns

•   Pulp horn sizes

               MB>ML>DB
• Mesio-buccal horn is the largest of
  pulpal horns occupying a prominent
  portion of pulp chamber.

• Mesiolingual pulpal horn is second in
  size,quite angular & sharp.

• Distobuccal horn is smallest , sharp &
  occupies distobuccal angle.

• Occlusal view of the pulp chamber
  resembles somewhat a triangle with
  rounded corners
Clinical significance
• Narrow occlusal table

• Mb pulp horn

• Distal surface

• Cervical constriction
MAXILLARY SECOND MOLAR

Buccal Aspect

• The characteristics resemble those of the
  permanent maxillary1st molar, but it is
  smaller .

• The buccal view of this tooth shows two
  well-defined buccal cusps with a buccal
  developmental groove between them .

• The crown is narrow at the cervix in
  comparison with its M-D measurement

  at the contact areas.
• This crown is much larger than that of the
    first primary molar.

• The roots are slender, are much longer
    and heavier than those of maxillary first
    molar.

• The point of bifurcation between the
    buccal roots is close to the cervical line of
    the crown.

•   The two buccal cusps are more nearly
    equal in size and development than those
    of permanent max’1st molar
Lingual Aspect

Lingually, the crown shows the following three cusps:

  (1) the mesiolingual cusp, which is large and well
  developed

  (2) the distolingual cusp, which is well developed
  (more than pri’ 1st molar) and

   (3) A third supplemental cusp, which is apical to
  the mesiolingual cusp sometimes called the tubercle
  of Carabelli, or the fifth cusp

  * This cusp is poorly developed and merely acts as a
  buttress or supplement to the bulk of the
  mesiolingual cusp.
• If the tubercle of Carabelli seems to be missing, some
  traces of developmental lines or “dimples”.

• A well-defined developmental groove separates the
  mesiolingual cusp from the distolingual cusp and connects
  with the developmental groove, which outlines the fifth
  cusp.

• All three roots are visible from this aspect

• The lingual root is large and thick in comparison with the
  other two roots.

• It is approximately the same length as the mesiobuccal
  root. If it should differ, it will be on the short side.
Mesial Aspect

• The crown has a typical molar outline that
   resembles that of the permanent molars very much

• The crown appears short because of its width
   buccolingually in comparison with its length.

• The crown of this tooth is usually only about 0.5
   mm longer than the crown of the first deciduous
   molar, but the buccolingual measurement is 1.5 to
   2 mm greater. In addition, the roots are 1.5 to 2
   mm longer.
• The mesiolingual cusp of the crown with
  its supplementary fifth cusp appears
  large in comparison with the
  mesiobuccal cusp.

• The mesiobuccal cusp from this angle is
  relatively short and sharp.

• Little curvature to the cervical line is
  evident.

• Usually,it is almost straight across from
  buccal surface to lingual surface.
• The mesiobuccal root from this aspect
  is broad and flat.

• The lingual root has somewhat same
  curvature as of 1st molar.

• The mesiobuccal root extends lingually
  far out beyond the crown outline.

• The point of bifurcation between the
  mesiobuccal root and the lingual root is
  2 or 3 mm apical to the cervical line of
  the crown
Distal Aspect

•   From both the distal and the mesial aspects, the
    outline of the crown lingually creates a smooth,
    rounded line, whereas a line describing the
    buccal surface is almost straight from the crest
    of curvature to the tip of the buccal cusp.

•   The distobuccal cusp and the distolingual cusp
    are about the same in length. The cervical line is
    approximately straight, as was found mesially
• All three roots are seen from this aspect, although only a

  part of the outline of the mesiobuccal root may be seen,

  since the distobuccal root is superimposed over it.

• The distobuccal root is shorter and narrower than the
  other roots.

• The point of bifurcation between the distobuccal root and
  the lingual root is more apical in location than any of the
  other points of bifurcation.
Occlusal Aspect
• From the occlusal aspect, this tooth resembles
   the permanent first molar

• It is somewhat rhomboidal and has four well-
   developed cusps : mesiobuccal, distobuccal,
   mesiolingual, distolingual, and fifth

   supplemental cusp

• The buccal surface is rather flat with the
   developmental groove between the cusps less
   marked than that found on the first permanent
   molar.
Pulp Cavity
•   The pulp cavity consist of a pulp chamber & 3
    pulp canals corresponding to three roots.

•   These canals leave floor of chamber at the
    mesiobuccal & distobuccal corners & from
    lingual area.

•   Pulp chamber has 4 pulpal horns, a fifth horn
    projecting from lingual aspect of mesiolingual
    horn may be present.

•   The mesiobuccal pulp horn is largest,

    pointed & extends occlusally
• Mesiolingual pulp horn is second in
  size, when combined with fifth horn it
  presents a bulky appearance.

• Distobuccal pulp horn is third in size ,
  joining mesiolingual pulp horn as
  slight elevation.

• Distolingual pulp horn is shortest &
  extends only slightly above occlusal
  level.
Primary Mandibular First Molar
  It appears strange and primitive

Buccal Aspect
• The mesial outline of the crown is almost
  straight from the contact area to the cervix
• The distal portion converges toward the
  cervix more than usual, so that the contact
  area extends distally to a marked degree.
• The distal portion of the crown is shorter
  than the mesial portion, with the cervical line
  dipping apically where it joins the mesial
  root.
• No developmental groove is evident
  between them
• The mesial cusp is larger than the distal
  cusp.
• A developmental depression dividing
  them (not a groove) extends over to the
  buccal surface.
  THE ROOT
• The roots are long and slender, and they
  spread greatly at the apical third beyond
  the outline of the crown.
• The buccal aspect emphasizes the strange,
  primitive look of this tooth.
Lingual Aspect
• Mesially, the crown and root converge lingually to a
    marked degree

• Distally, the opposite is true of both crown & root.

• The distolingual cusp is rounded.

•   The mesiolingual cusp is long and sharp at the tip.

•   The sharp and prominent mesiolingual cusp is an
    outstanding characteristic

• Mesial marginal ridge is well developed.
• Part of the two buccal cusps may be seen from this
  angle.
• The cervical line is straighter.
Mesial Aspect

• The mesiobuccal cusp and the mesiolingual
  cusp are in view from this aspect, also the
  well-developed mesial marginal ridge.

• Cervival line slanted upwards

  buccolingually

• The buccal and lingual outlines of the root
  drop straight down and are approximately
  parallel for more than half their length,
  tapering only slightly at the apical third
•   The root end is flat and almost square.

• A developmental depression usually
    extends almost the full length of the root on
    the mesial side.
Distal Aspect

•   The cervical line does not drop buccally.

• The cervical line is almost straight .

• The distobuccal cusp and the distolingual
    cusp are not as long or as sharp as the two
    mesial cusps.

• The distal marginal ridge is not as straight
    and well defined as the mesial marginal
    ridge.

• The distal root is rounded and shorter and
    tapers more apically
Occlusal Aspect

• The crown outline converges lingually &
    also converges distally.

•   Occlusal surface is more nearly rectangular,
    with the shortest sides of the rectangle
    represented by the marginal ridges.

• The occlusal surface has a central fossa.

• A mesial triangular fossa is just inside the
    mesial marginal ridge, with a mesial pit in
    this fossa and a sulcus with its central
    groove connecting the two fossae
• A well-defined buccal developmental groove
  divides the mesiobuccal cusp and the
  distobuccal cusp occlusally.

• Supplemental grooves radiate from the pit

  in the mesial triangular fossa as follows:

  -one buccally,one lingually,and

  -one toward the marginal ridge,with the

  last sometimes extending over the marginal

  ridge mesially.
The Pulp Cavity
• The pulp cavity contains a chamber
  & 3 canals.

• Mesiobuccal & mesiolingual canals
  are confluent & leave the chamber
  in the form of a ribbon.

• The distal pulp canal projects in
  ribbon fashion from floor of
  chamber in distal aspect.
• The pulp chamber has 4 pulpal horns.

• Mesiobuccal horn, the largest, is
    rounded.

• Distobuccal pulp horn is second, but
    lacks the height of mesial horns.

• Mesiolingual horn is third in size &
    second in height, while

•   distolingual pulpal horn is smallest.

• Occlusal view of pulp chamber is
    rhomboidal.
Clinical significance
• Cavity preparation
• Mb pulp horn
MANDIBULAR SECOND MOLAR
• It has characteristics that resemble those of the
  permanent mandibular first molar, although its
  dimensions differ.

  Buccal Aspect

  How it differs from First molar?

• It has a narrow M-D calibration at the cervical
  portion of the crown than at contact level.

• The mandibular first permanent molar,
  accordingly, is wider at the cervical portion
• The roots are slender and long.

• They have a characteristic flare
  mesiodistally at the middle and apical
  thirds.

• The point of bifurcation of the roots starts
  immediately below the CEJ.
Lingual Aspect

• Two cusps of almost equal dimensions seen, a
  short, lingual groove is between them.

• The cervical line is relatively straight

• The mesial portion of the crown seems to be a
  little higher than the distal portion ,thus
  appears tipped distally
Mesial Aspect
• Outline of the crown resembles permanent
    mandibular first molar.

• The crest of contour buccally is more
    prominent

• Marginal ridge is high

•   The lingual cusp is longer, or higher, than
    the buccal cusp.

• The cervical line is regular

• The mesial root is unusually broad and flat
    with a blunt & apex sometimes serrated.
Distal Aspect

• The crown is not as wide distally as it is
    mesially; therefore ,the mesiobuccal and
    distobuccal cusps from the distal aspect.

•   The distolingual cusp appears well
    developed, and the triangular ridge is seen
    over the distal marginal ridge.

• The distal marginal ridge dips down more
    sharply and is shorter buccolingually than
    the mesial marginal ridge.
• The cervical line of the crown is regular

• The distal root is almost as broad as the
    mesial root and is flattened on the distal
    surface.

•   The distal root tapers more at the apical
    end than does the mesial root.
Occlusal Aspect

• The occlusal outline is somewhat
  rectangular

• The three buccal cusps are similar in size.

• The two lingual cusps are also equally
  matched.

• Well-defined triangular ridges seen
• The distal triangular fossa is not as well
  defined as the mesial triangular fossa.

• The mesial marginal ridge is better

  developed and more pronounced than the

  distal marginal ridge

• Supplemental grooves are seen on the
  slopes of triangular ridges and in the
  mesial and distal triangular fossae.
The Pulp Cavity
• Pulp cavity is made up of a chamber &
  usually 3 pulp canals.

• The two mesial pulp canals are confluent
  as they leave floor of pulp chamber
  through a common orifice.

• Distal canal is constricted in the centre.
• Pulp chamber has 5 pulpal horns
  corresponding to 5 cusps.

• Mesiobuccal & mesiolingual pulp horns
  are largest.

• Distobuccal horn is smaller than mesial
  horns.

• The distal horn is shortest & smallest
  occupying a position distal to
  distobuccal horn
How it differs from Permanent?

• In the deciduous molar the M-B,D-B, and distal cusps are
    almost equal in size and development.

•   The distal cusp of the permanent molar is smaller than the
    other two.

• Because of the small buccal cusps, the deciduous tooth
    crown is narrower buccolingually, in comparison with its
    mesiodistal measurement, than is the permanent tooth
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Morphology of tooth

  • 1. Morphology of primary teeth Rajesh Bariker 1st yr Postgraduate Dept of Pedodontics MMDC, Belgaum
  • 2. Contents 1. Background Information 2. Importance of morphology 3. Introduction to Deciduous (Primary) teeth 4. Morphology of Anterior teeth -Primary Maxillary Central Incisor -Primary Maxillary Lateral Incisor -Primary Maxillary Canine -Primary Mandibular Central Incisor -Primary Mandibular Lateral Incisor -Primary Mandibular Canine 5. Morphology of Posterior teeth -Primary Maxillary First molar -Primary Maxillary Second Molar -Primary Mandibular First Molar -Primary Mandibular Second Molar 6. References
  • 3. BACKGROUND INFORMATION • Primary teeth are often called as deciduous teeth • Deciduous comes from the latin word ,meaning to fall off or are shed(like leaves from a deciduous tree) and are replaced by the adult teeth that succeed them • Common nick names for them are ‘’milk teeth or temporary teeth’’ which, unfortunately denote a lack of importance. • The dentition that follows the primary teeth may be called permanent dentition, but since many of the so-called permanent teeth are lost due to disease, trauma, or other causes, the authors have chosen to call it the secondary dentition (or adult dentition)
  • 4. Importance of morphology A. Overview.  • You will recall that we are diphyodont, that is, with two sets of teeth. The term deciduous means literally 'to fall off.' • -There are twenty deciduous teeth that are classified into three classes.
  • 5. Do you recall the term heterodont? • Type of dentitition where the teeth have different morphologies (human) • There are ten maxillary teeth and ten mandibular teeth. • The dentition consists of incisors, canines and molars. -The dental formula is as follows.
  • 6. B. Role in development. •  A person 70 years old will have spent 91% of his/her life chewing on permanent teeth, but only 6% of his/her chewing career with the deciduous dentition. • Although the deciduous teeth are in time replaced by the succedaneous teeth, the deciduous teeth play a very important role in the proper alignment, spacing, and occlusion of the permanent teeth.
  • 7. • The deciduous incisor teeth are functional in the mouth for approximately five years, while the deciduous molars are functional for approximately nine years. They therefore have considerable functional significance. • When second deciduous molars are lost prematurely, this can be very detrimental to the alignment of the permanent teeth. • Premature loss of deciduous teeth because of dental caries is preventable and is to be avoided
  • 8. • The primary teeth are 20 in number -10 in each jaw • They are classified as follows: -four incisors, -two canines, and -four molars in each jaw as numbered with the universal system of notation
  • 9. The Dimensions Maxillary (In millimetres) Tooth Length length Length M-D M-D Labio/ Labio/ overall of of root diameter of diameter of bucco – bucco – crown crown crown at lingual lingual cervix diameter diameter of crown at cervix Central 16.0 6.0 10.0 6.5 4.5 5.0 4.0 incisor Lateral 15.8 5.6 11.4 5.1 3.7 4.0 3.7 incisor canine 19.0 6.5 13.5 7.0 5.1 7.0 5.5 First 15.2 5.1 10.0 7.3 5.2 8.5 6.9 molar Second 17.5 5.7 11.7 8.2 6.4 10.0 8.3 molar
  • 10. The Dimensions Mandibular (In millimetres) Tooth Length length Length M-D M-D Labio/ Labio/ overall of of root diameter of diameter of bucco – bucco – crown crown crown at lingual lingual cervix diameter diameter of crown at cervix Central 14.0* 5.0 9.0 4.2 3.0 4.0 3.5 incisor Lateral 15.0 5.2 10.0 4.1 3.0 4.0 3.5 incisor canine 17.5 6.0 11.5 5.0 3.7 4.8 4.0 First 15.8 6.0 9.8 7.7 6.5 7.0 5.3 molar Second 18.8 5.5 11.3 9.9 7.2 8.7 6.4 molar
  • 11. Primary Maxillary Central Incisor Labial Aspect • Smooth labial surface • The M-D diameter is greater than the cervicoincisal length. • Incisal edge is nearly straight. • Developmental lines are usually not seen. • The root is cone-shaped with even, tapered sides. • The root length is greater than crown length than that of the permanent central incisor.
  • 12. Lingual Aspect • Well-developed marginal ridges ,highly developed cingulum seen • The cingulum extends up toward the incisal ridge ,practically dividing it into a mesial and distal fossa. • The root narrows lingually ,whereas its flat surface labially..
  • 13. Mesial and Distal Aspects • Similar • The measurement of the crown at the cervical third shows the crown to be wide in relation to its total length. • The curvature of the cervical line is curving towards the incisal ridge • The cervical curvature distally is less than the curvature mesially • The root is cone-shaped with even, tapered sides, apex is blunt • Usually Mesial has a developmental groove and distal is generally Convex
  • 14. The Pulp Cavity • Consist of 3 slight projections on incisal border i.e 3pulp horns • Chamber tapers in M-D diameter cervically, widest at cervical region Labiolingually • Pulp chamber and Canal are larger than perm’ ones, • No distinct demarcation betw canal &chamber • Pulp canal tapers evenly untill ending in apical foramen
  • 15. Incisal Aspect • The incisal edge is centered over the main bulk of the crown and is relatively straight. • The labial surface is much broader and also smoother than the lingual surface. • The lingual surface tapers towards the cingulum.
  • 16. Primary Maxillary Lateral Incisor • Similar to the central incisor from all aspects, but its dimensions differ width. • The disto-incisal angles of the crown are more rounded than those of the central incisor.
  • 17. Primary Maxillary Lateral Incisor • The pulp chamber follows the contour of the tooth, as does the canal • The root has similar shape, but is longer, thinner & tapering
  • 18. PRIMARY MANDIBULAR CENTRAL INCISOR Labial Aspect • Flat face ,No developmental grooves • Mesial and distal sides of the crown are tapered evenly from the contact areas, with the measurement being less at the cervix. • Crown is wide in proportion to its length • The heavy root trunk permanent maxillary lateral incisor. • The root is long and evenly tapered down to the apex, which is pointed. • The root is almost twice the length of the crown
  • 19. Lingual Aspect • The marginal ridges, cingulum - located easily • middle third may hav a incisal third flattened surface/ slight concavity *lingual fossa. • Lingual Convergence of the crown and root is seen
  • 20. Mesial Aspect • The incisal ridge is centered over the center of the root • The convexity of the cervical contours labially and lingually at the cervical third is Most pronounced • More pronounced by far than the prominences found on a permanent mandibular central incisor. • These cervical bulges are important. • The mesial surface of the root is nearly flat and evenly tapered; the apex blunt .
  • 21. Distal Aspect • Outline : Opp of mesial • Cervical line is less curved. • Developmental depression is evident on the distal side of the root Pulp Cavity • Widest mesiodistally at the roof • Labiolingually the is widest at the cingulum • Oval in appearance, tapers as it reaches apex • Definate demarcation betw’n chamber and canal
  • 22. Incisal Aspect • The incisal ridge is straight and bisects the crown labiolingually. • A definite taper is evident toward the cingulum on the lingual side. • The labial surface from this view presents a flat surface that is slightly convex, whereas the lingual surface presents a flattened surface that is slightly concave.
  • 23. MANDIBULAR LATERAL INCISOR • The fundamental outlines are similar to those primary central incisor. • These two teeth supplement each other in function. • Somewhat larger in all measurements except labiolingually, where the two teeth are practically identical. • Cingulum of the lateral incisor may be a little more generous than that of the central incisor • Crown root ratio is more in lateral than in central
  • 24. • The lingual surface of the crown between the marginal ridges may be more concave. • Incisal ridge tends to slope downward distally. • This design lowers the distal contact area apically, so that proper contact may be made with the mesial surface of the primary mandibular canine
  • 25. Pulp Cavity • Oval in appearance, tapers as it reaches apex • No demarcation betw’n chamber and canal
  • 26. Primary Maxillary Canine LABIAL SURFACE • The crown is more constricted at the cervix in relation to its M-D width . • The mesial and distal surfaces are more convex. • It has a long, well-developed, sharp cusp. • The cusp on the primary canine is much longer and sharper ,than permanent • Contact areas are at the same level, which is not the same in permanent • The Mesial slope of the cusp is longer than the distal slope • The root of the primary canine is long, slender, and tapering and is more than twice the crown length
  • 27. LINGUAL SURFACE • Shows well pronounced enamel ridges that merge with each other • This lingual ridge divides the lingual surface into shallow mesiolingual and distolingual fossae. • The root of this tooth tapers lingually and is usually inclined above the middle third
  • 28. Mesial Aspect • Similar to that of the lateral and central incisors. • Difference in proportion is evident. • The measurement labiolingually at the cervical third is much greater. * This permits resistance against forces the tooth must withstand during function. * The function of this tooth is to punch, tear, and apprehend food material. Distal Aspect • The distal outline of this tooth is the reverse of the mesial aspect. • Only difference being, Cervical line towards the cusp ridge is less than on the mesial surface.
  • 29. Pulp Cavity • There is a little demarcation between pulp chamber and the canal. • The canal tapers as it approaches the apex. • Pulp chamber follows the external contour of teeth. • Central pulpal horn is projecting incisally.
  • 30. Incisal Aspect • diamond-shaped • The angles that are found at the contact areas mesially and distally are more pronounced and less rounded than those on permanent canines. • Mesial cusp slope is longer than the distal cusp slope, i.e for Intercuspation with the lower
  • 31. MANDIBULAR CANINE • Little difference in function between the mandibular canine and the maxillary canine. • The crown is perhaps 0.5 mm shorter, The root is at least 2 mm shorter • The M-D measurement at the root trunk is greater when compared with its M-D measurement at the contact areas, than is that of the maxillary canine • It is “thicker” accordingly at the “neck” of the tooth.
  • 32. The deciduous maxillary canine is much larger labiolingually • The cervical ridges labially and lingually are not quite as pronounced as those found on the maxillary canine. • The greatest variation is the distal cusp slope is longer than the mesial slope.
  • 33. Pulp Cavity • Wide mesiodistally as labiolingually • No diff’ betwn canal &chamber • Ends in marked constriction at the apex
  • 34. PRIMARY MAXILLARY FIRST MOLAR Buccal Aspect • The widest measurement of the crown of the maxillary first molar is at the contact areas mesially and distally • From these points, the crown converges toward the cervix, with the mm at the cervix being fully 2 mm less than the mm at the contact areas. * This furnishes a narrower look to the cervical portion of the crown and root , than compared to permanent maxillary first molar.
  • 35. • The occlusal line is slightly scalloped but with no definite cusp form. • Smooth buccal surface, little evidence of developmental grooves seen. • Relatively smaller than Second molar THE ROOT • The roots of the maxillary first molar are slender and long, and they spread widely.
  • 36. • All three roots may be seen from this aspect. • The distal root is shorter than the mesial one. • The bifurcation of the roots begins almost immediately at the site of the cervical line (CEJ). * Actually which includes a trifurcation, and this is a characteristic of all primary molars, whether maxillary or mandibular. • Permanent molars do not possess this characteristic. * The root trunk on permanent molars is much heavier, with a greater distance between the cervical lines to the points of bifurcations
  • 37. Lingual Aspect • The general outline of the lingual aspect of the crown is similar to that of the buccal aspect . • The crown converges considerably in a lingual direction, which makes the lingual portion calibrate less mesiodistally than the buccal portion.
  • 38. • The mesiolingual cusp is the most prominent cusp on this tooth. • It is the longest and sharpest cusp. The distolingual cusp is poorly defined; it is small and rounded. • The distobuccal cusp may be seen, since it is longer and better developed than the distolingual cusp. • All three roots also may be seen from this aspect. • The lingual root is larger than the others.
  • 39. Mesial Aspect • The dimension of cervical third is greater than occlusal third • The mesiolingual cusp is longer and sharper than the mesiobuccal cusp. • A pronounced convexity is evident on the buccal outline of the cervical third. *characteristic bulge • It actually gives the impression of overdevelopment in this area
  • 40. • The mesiobuccal and lingual roots are visible. • The distobuccal root is hidden behind the mesiobuccal root. • The lingual root from this aspect looks long and slender and extends lingually to a marked degree. • It curves sharply in a buccal direction above the middle third
  • 41. Distal Aspect • From the distal aspect, the crown is narrower distally than mesially; it tapers markedly toward the distal end . • The distobuccal cusp is long and sharp, and the distolingual cusp is poorly developed. • The prominent bulge seen from the mesial aspect at the cervical third does not continue distally.
  • 42. • The cervical line may curve occlusally, or it may extend straight across from the buccal surface to the lingual surface. • All three roots may be seen from this angle, but the distobuccal root is superimposed on the mesiobuccal root so that only the buccal surface and the apex of the latter may be seen. • The point of bifurcation of the distobuccal root and the lingual root is near the CEJ and, as described earlier, is typical.
  • 43. Occlusal Aspect • The crown outline converges lingually. • The crown also converges distally. • Outline however is rectangular, with the shortest sides of the rectangle represented by the marginal ridges
  • 44. • The occlusal surface has a central fossa. • A mesial triangular fossa is just inside the mesial marginal ridge, with a mesial pit in this fossa and a sulcus with its central groove connecting the two fossae. • A well-defined buccal developmental groove divides the mesiobuccal cusp and the distobuccal cusp occlusally.
  • 45. Supplemental grooves radiate from the pit in the mesial triangular fossa as follows: -one buccally, one lingually, and one toward the marginal ridge,with the last sometimes extending over the marginal ridge mesially. • Oblique ridge. • The distal marginal ridge is thin and poorly developed in comparison with the mesial marginal ridge
  • 46. Pulp Cavity • Consists of a chamber & 3 pulpal canals corresponding to 3 roots • Variations from this basic design may be present as anastomoses & branchings. • 3-4 pulp horns • Pulp horn sizes MB>ML>DB
  • 47. • Mesio-buccal horn is the largest of pulpal horns occupying a prominent portion of pulp chamber. • Mesiolingual pulpal horn is second in size,quite angular & sharp. • Distobuccal horn is smallest , sharp & occupies distobuccal angle. • Occlusal view of the pulp chamber resembles somewhat a triangle with rounded corners
  • 48. Clinical significance • Narrow occlusal table • Mb pulp horn • Distal surface • Cervical constriction
  • 49. MAXILLARY SECOND MOLAR Buccal Aspect • The characteristics resemble those of the permanent maxillary1st molar, but it is smaller . • The buccal view of this tooth shows two well-defined buccal cusps with a buccal developmental groove between them . • The crown is narrow at the cervix in comparison with its M-D measurement at the contact areas.
  • 50. • This crown is much larger than that of the first primary molar. • The roots are slender, are much longer and heavier than those of maxillary first molar. • The point of bifurcation between the buccal roots is close to the cervical line of the crown. • The two buccal cusps are more nearly equal in size and development than those of permanent max’1st molar
  • 51. Lingual Aspect Lingually, the crown shows the following three cusps: (1) the mesiolingual cusp, which is large and well developed (2) the distolingual cusp, which is well developed (more than pri’ 1st molar) and (3) A third supplemental cusp, which is apical to the mesiolingual cusp sometimes called the tubercle of Carabelli, or the fifth cusp * This cusp is poorly developed and merely acts as a buttress or supplement to the bulk of the mesiolingual cusp.
  • 52. • If the tubercle of Carabelli seems to be missing, some traces of developmental lines or “dimples”. • A well-defined developmental groove separates the mesiolingual cusp from the distolingual cusp and connects with the developmental groove, which outlines the fifth cusp. • All three roots are visible from this aspect • The lingual root is large and thick in comparison with the other two roots. • It is approximately the same length as the mesiobuccal root. If it should differ, it will be on the short side.
  • 53. Mesial Aspect • The crown has a typical molar outline that resembles that of the permanent molars very much • The crown appears short because of its width buccolingually in comparison with its length. • The crown of this tooth is usually only about 0.5 mm longer than the crown of the first deciduous molar, but the buccolingual measurement is 1.5 to 2 mm greater. In addition, the roots are 1.5 to 2 mm longer.
  • 54. • The mesiolingual cusp of the crown with its supplementary fifth cusp appears large in comparison with the mesiobuccal cusp. • The mesiobuccal cusp from this angle is relatively short and sharp. • Little curvature to the cervical line is evident. • Usually,it is almost straight across from buccal surface to lingual surface.
  • 55. • The mesiobuccal root from this aspect is broad and flat. • The lingual root has somewhat same curvature as of 1st molar. • The mesiobuccal root extends lingually far out beyond the crown outline. • The point of bifurcation between the mesiobuccal root and the lingual root is 2 or 3 mm apical to the cervical line of the crown
  • 56. Distal Aspect • From both the distal and the mesial aspects, the outline of the crown lingually creates a smooth, rounded line, whereas a line describing the buccal surface is almost straight from the crest of curvature to the tip of the buccal cusp. • The distobuccal cusp and the distolingual cusp are about the same in length. The cervical line is approximately straight, as was found mesially
  • 57. • All three roots are seen from this aspect, although only a part of the outline of the mesiobuccal root may be seen, since the distobuccal root is superimposed over it. • The distobuccal root is shorter and narrower than the other roots. • The point of bifurcation between the distobuccal root and the lingual root is more apical in location than any of the other points of bifurcation.
  • 58. Occlusal Aspect • From the occlusal aspect, this tooth resembles the permanent first molar • It is somewhat rhomboidal and has four well- developed cusps : mesiobuccal, distobuccal, mesiolingual, distolingual, and fifth supplemental cusp • The buccal surface is rather flat with the developmental groove between the cusps less marked than that found on the first permanent molar.
  • 59. Pulp Cavity • The pulp cavity consist of a pulp chamber & 3 pulp canals corresponding to three roots. • These canals leave floor of chamber at the mesiobuccal & distobuccal corners & from lingual area. • Pulp chamber has 4 pulpal horns, a fifth horn projecting from lingual aspect of mesiolingual horn may be present. • The mesiobuccal pulp horn is largest, pointed & extends occlusally
  • 60. • Mesiolingual pulp horn is second in size, when combined with fifth horn it presents a bulky appearance. • Distobuccal pulp horn is third in size , joining mesiolingual pulp horn as slight elevation. • Distolingual pulp horn is shortest & extends only slightly above occlusal level.
  • 61. Primary Mandibular First Molar It appears strange and primitive Buccal Aspect • The mesial outline of the crown is almost straight from the contact area to the cervix • The distal portion converges toward the cervix more than usual, so that the contact area extends distally to a marked degree. • The distal portion of the crown is shorter than the mesial portion, with the cervical line dipping apically where it joins the mesial root. • No developmental groove is evident between them
  • 62. • The mesial cusp is larger than the distal cusp. • A developmental depression dividing them (not a groove) extends over to the buccal surface. THE ROOT • The roots are long and slender, and they spread greatly at the apical third beyond the outline of the crown. • The buccal aspect emphasizes the strange, primitive look of this tooth.
  • 63. Lingual Aspect • Mesially, the crown and root converge lingually to a marked degree • Distally, the opposite is true of both crown & root. • The distolingual cusp is rounded. • The mesiolingual cusp is long and sharp at the tip. • The sharp and prominent mesiolingual cusp is an outstanding characteristic • Mesial marginal ridge is well developed. • Part of the two buccal cusps may be seen from this angle. • The cervical line is straighter.
  • 64. Mesial Aspect • The mesiobuccal cusp and the mesiolingual cusp are in view from this aspect, also the well-developed mesial marginal ridge. • Cervival line slanted upwards buccolingually • The buccal and lingual outlines of the root drop straight down and are approximately parallel for more than half their length, tapering only slightly at the apical third
  • 65. The root end is flat and almost square. • A developmental depression usually extends almost the full length of the root on the mesial side.
  • 66. Distal Aspect • The cervical line does not drop buccally. • The cervical line is almost straight . • The distobuccal cusp and the distolingual cusp are not as long or as sharp as the two mesial cusps. • The distal marginal ridge is not as straight and well defined as the mesial marginal ridge. • The distal root is rounded and shorter and tapers more apically
  • 67. Occlusal Aspect • The crown outline converges lingually & also converges distally. • Occlusal surface is more nearly rectangular, with the shortest sides of the rectangle represented by the marginal ridges. • The occlusal surface has a central fossa. • A mesial triangular fossa is just inside the mesial marginal ridge, with a mesial pit in this fossa and a sulcus with its central groove connecting the two fossae
  • 68. • A well-defined buccal developmental groove divides the mesiobuccal cusp and the distobuccal cusp occlusally. • Supplemental grooves radiate from the pit in the mesial triangular fossa as follows: -one buccally,one lingually,and -one toward the marginal ridge,with the last sometimes extending over the marginal ridge mesially.
  • 69. The Pulp Cavity • The pulp cavity contains a chamber & 3 canals. • Mesiobuccal & mesiolingual canals are confluent & leave the chamber in the form of a ribbon. • The distal pulp canal projects in ribbon fashion from floor of chamber in distal aspect.
  • 70. • The pulp chamber has 4 pulpal horns. • Mesiobuccal horn, the largest, is rounded. • Distobuccal pulp horn is second, but lacks the height of mesial horns. • Mesiolingual horn is third in size & second in height, while • distolingual pulpal horn is smallest. • Occlusal view of pulp chamber is rhomboidal.
  • 71. Clinical significance • Cavity preparation • Mb pulp horn
  • 72. MANDIBULAR SECOND MOLAR • It has characteristics that resemble those of the permanent mandibular first molar, although its dimensions differ. Buccal Aspect How it differs from First molar? • It has a narrow M-D calibration at the cervical portion of the crown than at contact level. • The mandibular first permanent molar, accordingly, is wider at the cervical portion
  • 73. • The roots are slender and long. • They have a characteristic flare mesiodistally at the middle and apical thirds. • The point of bifurcation of the roots starts immediately below the CEJ.
  • 74. Lingual Aspect • Two cusps of almost equal dimensions seen, a short, lingual groove is between them. • The cervical line is relatively straight • The mesial portion of the crown seems to be a little higher than the distal portion ,thus appears tipped distally
  • 75. Mesial Aspect • Outline of the crown resembles permanent mandibular first molar. • The crest of contour buccally is more prominent • Marginal ridge is high • The lingual cusp is longer, or higher, than the buccal cusp. • The cervical line is regular • The mesial root is unusually broad and flat with a blunt & apex sometimes serrated.
  • 76. Distal Aspect • The crown is not as wide distally as it is mesially; therefore ,the mesiobuccal and distobuccal cusps from the distal aspect. • The distolingual cusp appears well developed, and the triangular ridge is seen over the distal marginal ridge. • The distal marginal ridge dips down more sharply and is shorter buccolingually than the mesial marginal ridge.
  • 77. • The cervical line of the crown is regular • The distal root is almost as broad as the mesial root and is flattened on the distal surface. • The distal root tapers more at the apical end than does the mesial root.
  • 78. Occlusal Aspect • The occlusal outline is somewhat rectangular • The three buccal cusps are similar in size. • The two lingual cusps are also equally matched. • Well-defined triangular ridges seen
  • 79. • The distal triangular fossa is not as well defined as the mesial triangular fossa. • The mesial marginal ridge is better developed and more pronounced than the distal marginal ridge • Supplemental grooves are seen on the slopes of triangular ridges and in the mesial and distal triangular fossae.
  • 80. The Pulp Cavity • Pulp cavity is made up of a chamber & usually 3 pulp canals. • The two mesial pulp canals are confluent as they leave floor of pulp chamber through a common orifice. • Distal canal is constricted in the centre.
  • 81. • Pulp chamber has 5 pulpal horns corresponding to 5 cusps. • Mesiobuccal & mesiolingual pulp horns are largest. • Distobuccal horn is smaller than mesial horns. • The distal horn is shortest & smallest occupying a position distal to distobuccal horn
  • 82. How it differs from Permanent? • In the deciduous molar the M-B,D-B, and distal cusps are almost equal in size and development. • The distal cusp of the permanent molar is smaller than the other two. • Because of the small buccal cusps, the deciduous tooth crown is narrower buccolingually, in comparison with its mesiodistal measurement, than is the permanent tooth