Palmer notation

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Palmer notation (sometimes called the "Military System" and named for 19th-century American dentist Dr. Corydon Palmer from Warren, Ohio [1] ) is a dental notation (tooth numbering system). Despite the adoption of the FDI World Dental Federation notation (ISO 3950) in most of the world and by the World Health Organization, the Palmer notation continued to be the overwhelmingly preferred method used by orthodontists, dental students and practitioners in the United Kingdom as of 1998. [2]

Contents

The notation was originally termed the Zsigmondy system after Hungarian dentist Adolf Zsigmondy, who developed the idea in 1861 using a Zsigmondy cross to record quadrants of tooth positions. [3] Adult teeth were numbered 1 to 8, and the child primary dentition (also called deciduous, milk or baby teeth) were depicted with a quadrant grid using Roman numerals I, II, III, IV, V to number the teeth from the midline. Palmer changed this to A, B, C, D, E, which made it less confusing and less prone to errors in interpretation.

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. Hence the left and right maxillary central incisor would have the same number, "1", but the right one would have the symbol "⏌" underneath it, while the left one would have "⎿".

Comparison of alphanumeric notation, Palmer notation, ISO 3950 (FDI) notation, Universal Numbering System, and paleoanthropology notation Comparison of dental notations.svg
Comparison of alphanumeric notation, Palmer notation, ISO 3950 (FDI) notation, Universal Numbering System, and paleoanthropology notation

Table of codes

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, however, nonetheless correspond to the patient's left and right, respectively.

Palmer notation
Permanent Dentition
upper rightupper left
8765432112345678
8765432112345678
lower rightlower left
Primary Dentition
upper rightupper left
EDCBAABCDE
EDCBAABCDE
lower rightlower left

One advantage of Palmer notation is that it can produce a very graphical image, akin to a 'map' of the dentition; tooth transpositions or edentulous spaces can easily be depicted if desired. It would also be feasible to introduce additional alphabetic characters or other symbols, for example to denote supernumerary teeth or bridge pontics, to which a purely numerical method such as the FDI system does not lend itself easily. [4]

Palmer notation for an upper right first premolar tooth E0303.svg
Palmer notation for an upper right first premolar tooth
Palmer notation for a deciduous lower right central incisor tooth E0508.svg
Palmer notation for a deciduous lower right central incisor tooth
Palmer notation for a normal adult full set of teeth Ptnadult.svg
Palmer notation for a normal adult full set of teeth
Palmer notation for a normal child full set of teeth Ptnchild.svg
Palmer notation for a normal child full set of teeth

Computerization

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 Miscellaneous Technical block in Unicode provides Palmer notation symbols in U+23BE through U+23CC. The symbols are not to be confused with box-drawing characters (┘└ ┐┌), which have the horizontal line at the middle. [5] These symbols are inherited from JIS X 0213 Dentist symbols. [6]

Daniel Johnson has put together a Palmer Tooth Notation TrueType font called FreePalmer. It is covered by the GPL 3 license. This font is descended from FreeSans. It can be used in OpenOffice and other software. A "MP7" derivative which enables the grid patterns to be produced that correspond to handwritten Palmer tooth notations is available for download as well. The FreePalmer characters are placed in the Latin-1 part, overriding existing characters. [7] A more technically correct way would be to program orthographic ligatures into the font.

Victor Haderup notation (Danish variant)

The Danish dentist Victor Haderup devised a variation of the Palmer notation where the (⏌⎿ ⏋⎾) symbols are replaced by plus/minus signs, which can either be placed in front or behind the number. [8] [9] A plus (+) indicates upper position while minus (−) indicates lower. When the sign is in front of the number, it indicates left while after it indicates right. For instance −6 indicates the 6th lower left tooth, i.e. first mandibular molar.

See also

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<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>

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>

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

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

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

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

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

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

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

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

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

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<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.

<span class="mw-page-title-main">Dental notation</span> Overview of different dental naming systems

Dental professionals, in writing or speech, use several different dental notation systems for associating information with a specific tooth. The three most common systems are the FDI World Dental Federation notation, the Universal Numbering System, and the Palmer notation. The FDI notation is used worldwide, and the Universal is used widely in the United States. The FDI notation can be easily adapted to computerized charting.

<span class="mw-page-title-main">Universal Numbering System</span> American dental notation system

The Universal Numbering System, sometimes called the "American System", is a dental notation system commonly used in the United States.

<span class="mw-page-title-main">FDI World Dental Federation notation</span> Worlds most commonly used dental notation

FDI World Dental Federation notation is the world's most commonly used dental notation. It is designated by the International Organization for Standardization as standard ISO 3950 "Dentistry — Designation system for teeth and areas of the oral cavity".

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.

Dental pertains to the teeth, including dentistry. Topics related to the dentistry, the human mouth and teeth include:

References

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  4. 1 2 Ferguson J (2005). "The Palmer notation system and its use with personal computer applications". British Dental Journal. 198 (9): 551–3. doi: 10.1038/sj.bdj.4812303 . PMID   15895048.
  5. "Unicode chart, U2300 Miscellaneous Technical" (PDF). Retrieved 22 August 2023.
  6. "Universal Multiple-Octet Coded Character Set International Organization for Standardization" (PDF). unicode.org. Retrieved 22 August 2023.
  7. "FreePalmer TrueType Font".
  8. Havale, R.; Sheetal, B. S.; Patil, R.; Hemant Kumar, R.; Anegundi, R. T.; Inushekar, K. R. (2015-06-01). "Dental notation for primary teeth: a review and suggestion of a novel system". European Journal of Paediatric Dentistry. 16 (2): 163–166. ISSN   1591-996X. PMID   26147826.
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Sources