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The mandibular and maxillary canines are the longest teeth in the mouth. The root of the mandibular canine, which is fully formed by age 13, is the longest in the mandibular arch. The mandibular canines are slightly narrower than the maxillary canines but its crown is as long and sometimes is longer.
It is recommended to deposit at least 0.5mL at each buccal and lingual site in the apical region of the tooth of interest. The use of infiltration anaesthesia with 4% articaine with 1:100,000 epinephrine in obtaining pulp anaesthesia of the mandibular permanent first molar is getting more common these days due to its successful formulation.
The international notation has a different numbering system than the previous two, and the right permanent mandibular first molar is known as "46", and the left one is known as "36". Mandibular permanent first molars usually have four pulp horns. The first molar is usually the first permanent tooth to erupt at 6–7 years and has adult undertones.
Molar relationship classification, observed when locating the mesial buccal cusp of the maxillary first molar and buccal groove of the mandibular first molar. (Institute of Dentistry, Aberdeen University) When discussing the occlusion of the posterior teeth, the classification refers to the first molars and may be divided into three categories:
For this tooth, the left and right canines would have the same number, "3", but the right is designated with the symbol "┘" under the number, and the left one likewise with "└". The international notation has a different numbering system from the other two, and the right permanent maxillary canine is known as "13" and the left "23".
Transposition (positional interchange of two adjacent teeth) is a development defect that most commonly found in the permanent canine, with the maxillary being more commonly seen than mandibular. The upper canine frequently transposed with the first premolar whilst the lower canine transposed with the lateral incisor. [ 3 ]
There are 20 primary teeth and they typically erupt in the following order: (1) central incisor, (2) lateral incisor, (3) first molar, (4) canine, and (5) second molar. [13] As a general rule, four teeth erupt for every six months of life, mandibular teeth erupt before maxillary teeth, and teeth erupt sooner in females than males. [ 14 ]
The malocclusion classification is based on the relationship of the mesiobuccal cusp of the maxillary first molar and the buccal groove of the mandibular first molar. If this molar relationship exists, then the teeth can align into normal occlusion. According to Angle, malocclusion is any deviation of the occlusion from the ideal. [4]
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