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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 ...
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 ...
The mandibular first molar is the tooth located distally from both the mandibular second premolars of the mouth but mesially from both mandibular second molars. It is located on the mandibular arch of the mouth, and generally opposes the maxillary first molars and the maxillary 2nd premolar. This arrangement is known as Class I occlusion.
In this diagram of the universal numbering system, the midline can be visualized as running from the 8-9 area to the 24-25 area. The dental midline is the midsagittal line of maxillary and mandibular dental arches possessing teeth of ideal size, shape, and position, when situated in maximum intercuspation.
The maxillary teeth are the maxillary central incisors (teeth 8 and 9 in the diagram), maxillary lateral incisors (7 and 10), maxillary canines (6 and 11), maxillary first premolars (5 and 12), maxillary second premolars (4 and 13), maxillary first molars (3 and 14), maxillary second molars (2 and 15), and maxillary third molars (1 and 16). The ...
The Palmer notation consists of a symbol (⏌⎿ ⏋⎾) designating in which quadrant the tooth is found and a number indicating the position from the midline. Adult teeth are numbered 1 to 8, with deciduous (baby) teeth indicated by a letter A to E.