10: The Permanent Mandibular Premolars

10 The Permanent Mandibular Premolars

The mandibular premolars number four: two are situated in the right side of the mandible and two in the left side. They are immediately posterior to the mandibular canines and anterior to the molars.

The mandibular first premolars are developed from four lobes, as were the maxillary premolars. The mandibular second premolars are, in most instances, developed from five lobes, three buccal and two lingual lobes.

The first premolar has a large buccal cusp, which is long and well formed, with a small, nonfunctioning lingual cusp that in some specimens is no longer than the cingulum found on some maxillary canines (see Figure 10-10, 3 and 8; and Figure 10-12, 4 and 7). The second premolar has three well-formed cusps in most cases, one large buccal cusp and two smaller lingual cusps. The form of both mandibular premolars fails to conform to the implications of the term bicuspid, a term that implies two functioning cusps.

The mandibular first premolar has many of the characteristics of a small canine, because its sharp buccal cusp is the only part of it occluding with maxillary teeth. It functions along with the mandibular canine. The mandibular second premolar has more of the characteristics of a small molar, because its lingual cusps are well developed, a fact that places both marginal ridges high and produces a more efficient occlusion with antagonists in the opposite jaw. The mandibular second molar functions by being supplementary to the mandibular first molar.

The first premolar is always the smaller of the two mandibular premolars, whereas the opposite is true, in many cases, of the maxillary premolars.

Mandibular First Premolar

Figures 10-1 through 10-12 illustrate the mandibular first premolar from all aspects. The mandibular first premolar is the fourth tooth from the median line and the first posterior tooth in the mandible. This tooth is situated between the canine and second premolar and has some characteristics common to each of them.

The characteristics that resemble those of the mandibular canine are as follows:

The characteristics that resemble those of the second mandibular premolar are as follows:

Although the root of the mandibular first premolar is shorter generally than that of the mandibular second premolar, it is closer to the length of the second premolar root than it is to that of the mandibular canine (Table 10-1).

DETAILED DESCRIPTION OF THE MANDIBULAR FIRST PREMOLAR FROM ALL ASPECTS

Buccal Aspect

From the buccal aspect, the form of the mandibular first premolar crown is nearly symmetrical bilaterally (see Figures 10-2, 10-7, 10-8, and 10-9). The middle buccal lobe is well developed, which results in a large, pointed buccal cusp. The mesial cusp ridge is shorter than the distal cusp ridge.

The contact areas are broad from this aspect; they are almost at the same level mesially and distally, this level being a little more than half the distance from cervical line to cusp tip. The measurement mesiodistally at the cervical line is small compared with the measurement at the contact areas.

From the buccal aspect, the crown is roughly trapezoidal (see Figure 4-16, C). The cervical margin is represented by the shortest of the uneven sides.

The crown exhibits little curvature at the cervical line buccally, because of the slight curvature of the cervical line on the mesial and distal surfaces of the tooth. The crest of curvature of the cervical line buccally approaches the center of the root buccally.

The mesial outline of the crown is straight or slightly concave above the cervical line to a point where it joins the curvature of the mesial contact area. The center of the contact area mesially is occlusal to the cervical line, a distance equal to a little more than half the crown length. The outline of the mesial slope of the buccal cusp usually shows some concavity unless wear has obliterated the original form.

The tip of the buccal cusp is pointed and, in most cases, is located a little mesial to the center of the crown buccally (see Figure 10-9, 3, 7, 8, and 9). The mandibular canine has the same characteristic to a greater degree.

The distal outline of the crown is slightly concave above the cervical line to a point where it is confluent with the curvature describing the distal contact area. This curvature is broader than that describing the curvature of the mesial contact area. The distal slope of the buccal cusp usually exhibits some concavity.

The cervix of the mandibular first premolar crown is narrow mesiodistally when compared with the crown width at the contact areas.

The root of this tooth is 3 or 4 mm shorter than that of the mandibular canine, although the outline of the buccal portion of the root bears a close resemblance to that of the canine.

The buccal surface of the crown is more convex than in the maxillary premolars, especially at the cervical and middle thirds.

The development of the middle buccal lobe is outstanding, ending in a pointed buccal cusp. Developmental depressions are often seen between the three lobes (see Figure 10-9, 2, 3, 8, and 10).

The continuous ridge from the cervical margin to the cusp tip is called the buccal ridge.

In general, the enamel of the buccal surface of the crown is smooth and shows no developmental grooves and few developmental lines. If the latter are present, they are seen as very fine horizontal cross lines at the cervical portion.

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Jan 9, 2015 | Posted by in Occlusion | Comments Off on 10: The Permanent Mandibular Premolars

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