Mandibular first molar

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Mandibular first molar
Mandibular first molars01-01-06.png
Mandibular first molars of permanent and primary teeth marked in red.
Identifiers
FMA 290275
Anatomical terminology

The mandibular first molar or six-year molar is the tooth located distally (away from the midline of the face) from both the mandibular second premolars of the mouth but mesial (toward the midline of the face) from both mandibular second molars. It is located on the mandibular (lower) arch of the mouth, and generally opposes the maxillary (upper) first molars and the maxillary 2nd premolar in normal class I occlusion. The function of this molar is similar to that of all molars in regard to grinding being the principal action during mastication, commonly known as chewing. There are usually five well-developed cusps on mandibular first molars: two on the buccal (side nearest the cheek), two lingual (side nearest the tongue), and one distal. The shape of the developmental and supplementary grooves, on the occlusal surface, are described as being M-shaped. There are great differences between the deciduous (baby) mandibular molars and those of the permanent mandibular molars, even though their function are similar. The permanent mandibular molars are not considered to have any teeth that precede it. Despite being named molars, the deciduous molars are followed by permanent premolars.

Contents

In the universal system of notation, the deciduous mandibular first molars are designated by a letter written in uppercase. The right deciduous mandibular first molar is known as "S", and the left one is known as "L". The international notation has a different system of notation. Thus, the right deciduous mandibular first molar is known as "84", and the left one is known as "74".

In the universal system of notation, the permanent mandibular first molars are designated by a number. The right permanent mandibular first molar is known as "30", and the left one is known as "19". The Palmer notation uses a number in conjunction with a symbol designating in which quadrant the tooth is found. For this tooth, the left and right first molars would have the same number, "6", but the right one would have the symbol, "┐", over it, while the left one would have, "┌". 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.

Anatomy

The mandibular first molar has five cusps: the mesiobuccal (MB, toward midline and cheek), mesiolingual (ML, toward midline and tongue), distolingual (DL, away from midline and towards tongue), distobuccal (DB, away from midline and toward cheek), and distal (D, away from midline), listed in order of decreasing size. Listed in order of decreasing height they are: ML, DL, DB, MB, and D. An eighth cusp was found in a primary second lower molar in an Argentinean child. Viewed from the top of the tooth (occlusal view), the mandibular first molar is pentagonal (five sided) in shape and tapers toward the lingual, with the sides being the buccal surface, the mesial surface, the lingual surface, distal surface, and the distobuccal surface. The occlusal surface has four grooves. The central groove is not straight but runs down the center of the tooth mesially to distally and contains four pits (mesial, central, central, and distal). The distobuccal groove runs from the distal pit in the central groove distobuccally separating the distal and distobuccal cusps. The lingual groove runs from the more distal of the central pits in the central groove toward the lingual surface between the mesiolingual and distolingual cusps. The buccal groove runs from the more mesial of the central pits in the central groove toward the buccal surface between the mesiobuccal and distobuccal cusps ending in the buccal pit. The portion of the central groove between the central pits is termed the Lewis offset and is mandatory to account for the locations of the buccal and lingual grooves (buccal groove being more mesial than the lingual groove while they are parallel). From the buccal (buccal view), two roots are present. The distal root is generally straighter, although both often have a slight distal curvature. The heights of contour on the mesial and distal contact the adjacent teeth and are located at the junction of the occlusal and middle thirds of the crown. The mesial view shows a slight tipping of the crown to the lingual. Both roots have flutings but they are more prominent on the mesial root. The mesial root is broader buccolingually and its apex is more blunted. The height of contour on the buccal is in the gingival third and the occlusal two thirds of the surface is flat. The lingual height of contour is in the middle third of the tooth and the lingual surface is evenly convex. The sharpness of the mesiolingual cusp can also be noted from this view.

Mandibular 1st Molar.svg

Pathology

The shape of the developmental and supplementary grooves, on the occlusal surface, is described as being M-shaped. The mandibular first molars are the most common carious teeth and the most common teeth to undergo endodontic treatment or extraction. Up to 45% of all extracted teeth are mandibular first molars. [1]

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In mammalian oral anatomy, the canine teeth, also called cuspids, dog teeth, eye teeth, vampire teeth, or vampire fangs, are the relatively long, pointed teeth. In the context of the upper jaw, they are also known as fangs. They can appear more flattened however, causing them to resemble incisors and leading them to be called incisiform. They developed and are used primarily for firmly holding food in order to tear it apart, and occasionally as weapons. They are often the largest teeth in a mammal's mouth. Individuals of most species that develop them normally have four, two in the upper jaw and two in the lower, separated within each jaw by incisors; humans and dogs are examples. In most species, canines are the anterior-most teeth in the maxillary bone. The four canines in humans are the two upper maxillary canines and the two lower mandibular canines. They are specially prominent in dogs (Canidae), hence the name.

<span class="mw-page-title-main">Premolar</span> Transitional teeth located between the canine and molar teeth

The premolars, also called premolar teeth, or bicuspids, are transitional teeth located between the canine and molar teeth. In humans, there are two premolars per quadrant in the permanent set of teeth, making eight premolars total in the mouth. They have at least two cusps. Premolars can be considered transitional teeth during chewing, or mastication. They have properties of both the canines, that lie anterior and molars that lie posterior, and so food can be transferred from the canines to the premolars and finally to the molars for grinding, instead of directly from the canines to the molars.

<span class="mw-page-title-main">Maxillary central incisor</span> Tooth

The maxillary central incisor is a human tooth in the front upper jaw, or maxilla, and is usually the most visible of all teeth in the mouth. It is located mesial to the maxillary lateral incisor. As with all incisors, their function is for shearing or cutting food during mastication (chewing). There is typically a single cusp on each tooth, called an incisal ridge or incisal edge. Formation of these teeth begins at 14 weeks in utero for the deciduous (baby) set and 3–4 months of age for the permanent set.

<span class="mw-page-title-main">Maxillary lateral incisor</span> Tooth (one of a pair) in upper jaw adjacent to the maxillary central incisor

The maxillary lateral incisors are a pair of upper (maxillary) teeth that are located laterally from both maxillary central incisors of the mouth and medially from both maxillary canines. As with all incisors, their function is for shearing or cutting food during mastication, commonly known as chewing. There are generally no cusps on the teeth, but the rare condition known as talon cusps are most prevalent on the maxillary lateral incisors. The surface area of the tooth used in eating is called an incisal ridge or incisal edge. Though relatively the same, there are some minor differences between the deciduous (baby) maxillary lateral incisor and that of the permanent maxillary lateral incisor. The maxillary lateral incisors occlude in opposition to the mandibular lateral incisors.

<span class="mw-page-title-main">Maxillary canine</span>

In human dentistry, the maxillary canine is the tooth located laterally from both maxillary lateral incisors of the mouth but mesial from both maxillary first premolars. Both the maxillary and mandibular canines are called the "cornerstone" of the mouth because they are all located three teeth away from the midline, and separate the premolars from the incisors. The location of the canines reflects their dual function as they complement both the premolars and incisors during mastication, commonly known as chewing. Nonetheless, the most common action of the canines is tearing of food. The canines often erupt in the upper gums several millimeters above the gum line. The canine teeth are able to withstand the tremendous lateral pressure caused by chewing. There is a single cusp on canines, and they resemble the prehensile teeth found in carnivorous animals such as the extinct saber-toothed cat. Though relatively the same, there are some minor differences between the deciduous (baby) maxillary canine and that of the permanent maxillary canine.

<span class="mw-page-title-main">Maxillary first premolar</span> Human tooth

The maxillary first premolar is one of two teeth located in the upper jaw, laterally from both the maxillary canines of the mouth but mesial from both maxillary second premolars. The function of this premolar is similar to that of canines in regard to tearing being the principal action during mastication, commonly known as chewing. There are two cusps on maxillary first premolars, and the buccal cusp is sharp enough to resemble the prehensile teeth found in carnivorous animals. There are no deciduous maxillary premolars. Around 10-11 years of age, the primary molars are shed and the permanent premolars erupt in their place. It takes about 3 years for the adult premolar and its root to fully calcify. Due to its long buccal root with narrow root canal and short palatal root with wide root canal, the upper 1st premolar is very prone to fracture during exodontia, hence, it is sometimes referred to some dentists as the "King of Fracture". In the universal system of notation, the permanent maxillary premolars are designated by a number. The right permanent maxillary first premolar is known as "5", and the left one is known as "12". 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 and right first premolars would have the same number, "4", but the right one would have the symbol, "┘", underneath it, while the left one would have, "└". The international notation has a different numbering system than the previous two, and the right permanent maxillary first premolar is known as "14", and the left one is known as "24".

<span class="mw-page-title-main">Maxillary first molar</span>

The maxillary first molar is the human tooth located laterally from both the maxillary second premolars of the mouth but mesial from both maxillary second molars.

<span class="mw-page-title-main">Maxillary second molar</span>

The maxillary second molar is the tooth located distally from both the maxillary first molars of the mouth but mesial from both maxillary third molars. This is true only in permanent teeth. In deciduous (baby) teeth, the maxillary second molar is the last tooth in the mouth and does not have a third molar behind it. The function of this molar is similar to that of all molars in regard to grinding being the principal action during mastication, commonly known as chewing. There are usually four cusps on maxillary molars, two on the buccal and two palatal.

<span class="mw-page-title-main">Mandibular central incisor</span>

The mandibular central incisor is the tooth located on the jaw, adjacent to the midline of the face. It is mesial from both mandibular lateral incisors. As with all incisors, its function includes shearing or cutting food during mastication, commonly known as chewing. There are no cusps on the tooth. Instead, the surface area of the tooth used in eating is called an incisal ridge or incisal edge. Though the two are similar, there are some minor differences between the deciduous (baby) mandibular central incisor and that of the permanent mandibular central incisor. The mandibular central incisors are usually the first teeth to appear in the mouth, typically around the age of 6–8 months.

<span class="mw-page-title-main">Mandibular lateral incisor</span>

The mandibular lateral incisor is the tooth located distally from both mandibular central incisors of the mouth and mesially from both mandibular canines. As with all incisors, their function is for shearing or cutting food during mastication, commonly known as chewing. There are no cusps on the teeth. Instead, the surface area of the tooth used in eating is called an incisal ridge or incisal edge. Though relatively the same, there are some minor differences between the deciduous (baby) mandibular lateral incisor and that of the permanent mandibular lateral incisor.

<span class="mw-page-title-main">Mandibular canine</span>

The mandibular canine is the tooth located distally from both mandibular lateral incisors of the mouth but mesially from both mandibular first premolars. Both the maxillary and mandibular canines are called the "cornerstone" of the mouth because they are all located three teeth away from the midline, and separate the premolars from the incisors. The location of the canines reflect their dual function as they complement both the premolars and incisors during mastication, commonly known as chewing. Nonetheless, the most common action of the canines is tearing of food. The canine teeth are able to withstand the tremendous lateral pressures from chewing. There is a single cusp on canines, and they resemble the prehensile teeth found in carnivorous animals. Though relatively the same, there are some minor differences between the deciduous (baby) mandibular canine and that of the permanent mandibular canine.

<span class="mw-page-title-main">Mandibular first premolar</span>

The mandibular first premolar is the tooth located laterally from both the mandibular canines of the mouth but mesial from both mandibular second premolars. The function of this premolar is similar to that of canines in regard to tearing being the principal action during mastication, commonly known as chewing. Mandibular first premolars have two cusps. The one large and sharp is located on the buccal side of the tooth. Since the lingual cusp is small and nonfunctional, the mandibular first premolar resembles a small canine. There are no deciduous (baby) mandibular premolars. Instead, the teeth that precede the permanent mandibular premolars are the deciduous mandibular molars.

<span class="mw-page-title-main">Mandibular second premolar</span>

The mandibular second premolar is the tooth located distally from both the mandibular first premolars of the mouth but mesial from both mandibular first molars. The function of this premolar is assist the mandibular first molar during mastication, commonly known as chewing. Mandibular second premolars have three cusps. There is one large cusp on the buccal side of the tooth. The lingual cusps are well developed and functional. Therefore, whereas the mandibular first premolar resembles a small canine, the mandibular second premolar is more alike to the first molar. There are no deciduous (baby) mandibular premolars. Instead, the teeth that precede the permanent mandibular premolars are the deciduous mandibular molars.

<span class="mw-page-title-main">Mandibular second molar</span>

The mandibular second molar is the tooth located distally from both the mandibular first molars of the mouth but mesial from both mandibular third molars. This is true only in permanent teeth. The function of this molar is similar to that of all molars in regard to grinding being the principal action during mastication, commonly known as chewing. Though there is more variation between individuals than that of the first mandibular molar, there are usually four cusps on mandibular second molars: two on the buccal and two lingual. There are great differences between the deciduous (baby) mandibular molars and those of the permanent mandibular molars, even though their function is similar. The permanent mandibular molars are not considered to have any teeth that precede them. Despite being named molars, the deciduous molars are followed by permanent premolars.

Dental anatomy is a field of anatomy dedicated to the study of human tooth structures. The development, appearance, and classification of teeth fall within its purview. Tooth formation begins before birth, and the teeth's eventual morphology is dictated during this time. Dental anatomy is also a taxonomical science: it is concerned with the naming of teeth and the structures of which they are made, this information serving a practical purpose in dental treatment.

<span class="mw-page-title-main">Cusp (anatomy)</span> Pointed, projecting, or elevated anatomical feature

A cusp is a pointed, projecting, or elevated feature. In animals, it is usually used to refer to raised points on the crowns of teeth. The concept is also used with regard to the leaflets of the four heart valves. The mitral valve, which has two cusps, is also known as the bicuspid valve, and the tricuspid valve has three cusps.

This is a list of definitions of commonly used terms of location and direction in dentistry. This set of terms provides orientation within the oral cavity, much as anatomical terms of location provide orientation throughout the body.

<span class="mw-page-title-main">Lewis offset</span>

The Lewis offset is a term for the portion of the central groove on a permanent mandibular first molar which lies between the two central pits. It was named for long time dental anatomy instructor Dr. Christopher S. Lewis, a Mercer Island, WA dentist.

Serial extraction is the planned extraction of certain deciduous teeth and specific permanent teeth in an orderly sequence and predetermined pattern to guide the erupting permanent teeth into a more favorable position.

Orthodontic indices are one of the tools that are available for orthodontists to grade and assess malocclusion. Orthodontic indices can be useful for an epidemiologist to analyse prevalence and severity of malocclusion in any population.

References

  1. Zadik Y, Sandler V, Bechor R, Salehrabi R (August 2008). "Analysis of factors related to extraction of endodontically treated teeth". Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 106 (5): e31–e35. doi:10.1016/j.tripleo.2008.06.017. PMID   18718782.