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Universal numbering system. This is a dental practitioner view, so tooth number 1, the rear upper tooth on the patient's right, appears on the left of the chart. The Universal Numbering System, sometimes called the "American System", is a dental notation system commonly used in the United States. [1] [2]
In the universal system of notation, the permanent mandibular second molars are designated by a number. The right permanent mandibular second molar is known as "31", and the left one is known as "18". In the Palmer notation, a number is used in conjunction with a symbol designating in which quadrant the tooth is found. For this tooth, the left ...
With the move from written dental notes to electronic records, some difficulty in reproducing the symbols has been encountered. [4] On a standard keyboard 'slash' and 'backslash' may be used as a crude approximation to the symbols with numbers placed before or afterwards; hence 3/ is 3 ⏌ and /5 is ⎾ 5.
The system uses two numbers to define each tooth. One to specify the quadrant, and one to specify the tooth within that quadrant. Orientation of the chart is traditionally "dentist's view", i.e. patient's right corresponds to notation chart left. The designations "left" and "right" on the chart below correspond to the patient's left and right.
The uppercase letters A through T are used for primary teeth and the numbers 1 – 32 are used for permanent teeth. The tooth designated "1" is the maxillary right third molar ("wisdom tooth") and the count continues along the upper teeth to the left side. Then the count begins at the mandibular left third molar, designated number 17, and ...
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For permanent teeth, the upper right teeth begin with the number, "1". The upper left teeth begin with the number, "2". The lower left teeth begin with the number, "3". The lower right teeth begin with the number, "4". For primary teeth, the sequence of numbers goes 5, 6, 7, and 8 for the teeth in the upper right, upper left, lower left, and ...
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