Universal Numbering System

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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. Universal Numbering System.svg
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]

Contents

Most of the rest of the world uses the FDI World Dental Federation notation, accepted as an international standard by the International Standards Organization as ISO 3950. [3] However, dentists in the United Kingdom commonly still use the older Palmer notation despite the difficulty in representing its graphical components in computerized (non-handwritten) records.

Left and right

Dental charts are normally arranged from the viewpoint of a dental practitioner facing a patient. The patient's right side appears on the left side of the chart, and the patient's left side appears on the right side of the chart.

The labels "right" and "left" on the charts in this article correspond to the patient's right and left, respectively.

Universal numbering system

Although it is named the "universal numbering system", it is also called the "American system" as it is only used in the United States. [4] 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 continues along the bottom teeth to the right side. Each tooth has a unique number or letter, allowing for easier use on keyboards.

Universal numbering system table
Permanent dentition
upper rightupper left
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
lower rightlower left
Primary dentition
upper rightupper left
ABCDEFGHIJ
TSRQPONMLK
lower rightlower left
Alternate system for primary dentition
upper rightupper left
1d2d3d4d5d6d7d8d9d10d
20d19d18d17d16d15d14d13d12d11d
lower rightlower left

Tooth numbering

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

Permanent teeth and their assigned numbers (Universal Tooth Numbering System)

Upper right

  1. 3rd molar (wisdom tooth)
  2. 2nd molar (12-yr molar)
  3. 1st molar (6-yr molar)
  4. 2nd bicuspid (2nd premolar)
  5. 1st bicuspid (1st premolar)
  6. Cuspid (canine/eye tooth)
  7. Lateral incisor
  8. Central incisor

Upper left

  1. Central incisor
  2. Lateral incisor
  3. Cuspid (canine/eye tooth)
  4. 1st bicuspid (1st premolar)
  5. 2nd bicuspid (2nd premolar)
  6. 1st molar (6-yr molar)
  7. 2nd molar (12-yr molar)
  8. 3rd molar (wisdom tooth)

Lower left

  1. 3rd molar (wisdom tooth)
  2. 2nd molar (12-yr molar)
  3. 1st molar (6-yr molar)
  4. 2nd bicuspid (2nd premolar)
  5. 1st bicuspid (1st premolar)
  6. Cuspid (canine/eye tooth)
  7. Lateral incisor
  8. Central incisor

Lower right

  1. Central incisor
  2. Lateral incisor
  3. Cuspid (canine/eye tooth)
  4. 1st bicuspid (1st premolar)
  5. 2nd bicuspid (2nd premolar)
  6. 1st molar (6-yr molar)
  7. 2nd molar (12-yr molar)
  8. 3rd molar (wisdom tooth)

See also

Related Research Articles

<span class="mw-page-title-main">Human tooth</span> Calcified whitish structure in humans mouths used to break down food

Human teeth function to mechanically break down items of food by cutting and crushing them in preparation for swallowing and digesting. As such, they are considered part of the human digestive system. Humans have four types of teeth: incisors, canines, premolars, and molars, which each have a specific function. The incisors cut the food, the canines tear the food and the molars and premolars crush the food. The roots of teeth are embedded in the maxilla or the mandible and are covered by gums. Teeth are made of multiple tissues of varying density and hardness.

<span class="mw-page-title-main">Dentition</span> Development and arrangement of teeth

Dentition pertains to the development of teeth and their arrangement in the mouth. In particular, it is the characteristic arrangement, kind, and number of teeth in a given species at a given age. That is, the number, type, and morpho-physiology of the teeth of an animal.

<span class="mw-page-title-main">Canine tooth</span> Long pointed tooth in mammals

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">Incisor</span> Front teeth of most mammals

Incisors are the front teeth present in most mammals. They are located in the premaxilla above and on the mandible below. Humans have a total of eight. Opossums have 18, whereas armadillos have none.

<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>

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 second premolar</span> Upper teeth on the sides of the mouth

The maxillary second premolar is one of two teeth located in the upper maxilar, laterally from both the maxillary first premolars of the mouth but mesial from both maxillary first molars. The function of this premolar is similar to that of first molars in regard to grinding being the principal action during mastication, commonly known as chewing. There are two cusps on maxillary second premolars, but both of them are less sharp than those of the maxillary first premolars. There are no deciduous (baby) maxillary premolars. Instead, the teeth that precede the permanent maxillary premolars are the deciduous maxillary molars.

<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">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">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".

<span class="mw-page-title-main">Palmer notation</span> Tooth numbering system

Palmer notation is a dental notation. Despite the adoption of the FDI World Dental Federation notation 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.

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.

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

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.

References

  1. "Tooth Numbering Systems". Oral Health Topics A–Z. American Dental Association. Archived from the original on November 2, 2006. Retrieved 2014-05-26. (www.archive.org link)
  2. American Dental Association (August 2022). "Universal Tooth Designation System" (PDF). ValueSet - Universal Tooth Designation System ada.org. Archived (PDF) from the original on 2023-03-06. Retrieved 2023-03-10.
  3. ISO 3950 Updated – Dentistry Designation System
  4. "Histology: A Text and Atlas by Michael H. Ross • Wojciech Pawlina".