3: The Primary (Deciduous) Teeth

3 The Primary (Deciduous) Teeth

Life Cycle

After the roots of the primary dentition are completed at about age 3, several of the primary teeth are in use only for a relatively short period. Some of the primary teeth are found to be missing at age 4, and by age 6, as many as 19% may be missing.1 By age 10, only about 26% may be present. The second molars in both arches and the maxillary incisors appear to be the most unstable of the primary teeth. Even so, the developing and completed primary dentition serves a number of purposes during that time and the period of transition to the permanent dentition.

Importance of Primary Teeth

The general order of eruption of the primary dentition is illustrated diagrammatically in Figure 3-1: central incisor, lateral incisor, first molar, canine, and second molar, with the mandibular pairs preceding the maxillary teeth.2,3 The loss of the deciduous teeth tends to mirror the eruption sequence: incisors, first molars, canines, and second molars, with the mandibular pairs preceding the maxillary teeth.


Figure 3-1 Diagrammatic representation of the chronology of the primary teeth. Eruption is completed at the approximate time indicated by the dotted area on the roots of the teeth. iu, Intrauterine.

(Modified from McBeath EC: New concept of the development and calcification of the teeth, J Am Dent Assoc 23:675, 1936; and Noyes EB, Shour I, Noyes HJ: Dental histology and embryology, ed 5, Philadelphia, 1938, Lea & Febiger.)

The high peak for caries attack occurs at age 13, when only 5% of the primary teeth remain. The susceptibility to dental caries is a function of exposure time to the oral environment and morphological type. The increase in prevalence of dental caries among tooth types is the reverse of their order of eruption. However, the relative susceptibility of different tooth surfaces is a complex problem. Although dental caries of the primary dentition and loss of these teeth are sometimes thought of erroneously as only an annoyance, this belief fails to acknowledge the role of the primary teeth in mastication and their function in maintaining the space for eruption of the permanent teeth.

A lack of space associated with premature loss of deciduous teeth is a significant factor in the development of malocclusion and is considered in Chapter 16. The development of adequate spacing (Figure 3-2) is an important factor in the development of normal occlusal relations in the permanent dentition. Thus there should be no question of the importance of preventing and treating dental decay and providing the child with a comfortable functional occlusion of the deciduous teeth. Therefore in this book the primary teeth are described in advance of the permanent dentition so that they may be given their proper sequence in the study of dental anatomy and physiology. The development of the primary occlusion is considered in Chapter 16.


Some of the terminology for the primary dentition has already been introduced in Chapter 2; therefore the coverage here is more in the nature of a review. The process of exfoliation of the primary teeth takes place between the seventh and the twelfth years. This does not, however, indicate the period at which the root resorption of the deciduous tooth begins. It is only 1 or 2 years after the root is completely formed and the apical foramen is established that resorption begins at the apical extremity and continues in the direction of the crown until resorption of the entire root has taken place and the crown is lost from lack of support.

The primary teeth number 20 total—10 in each jaw—and they are classified as follows: four incisors, two canines, and four molars in each jaw. Figure 3-3 shows the primary dentition as numbered with the universal system of notation described in Chapter 1. Beginning with the median line, the teeth are named in each jaw on each side of the mouth as follows: central incisor, lateral incisor, canine, first molar, and second molar.


Figure 3-3 Universal numbering system for primary dentition.

(From Ash MM, Ramfjord S: Occlusion, ed 4, Philadelphia, 1995, Saunders.)

The primary teeth have been called temporary, milk, or baby teeth. These terms are improper because they foster the implication that these teeth are useful for a short period only. It is emphasized again that they are needed for many years of growth and physical development. Premature loss of primary teeth because of dental caries is preventable and is to be avoided.

The first permanent molar, commonly called the 6-year molar, makes its appearance in the mouth before any of the primary teeth are lost. It comes in immediately distal to the primary second molar (see Figure 2-10).

The primary dentition is complete at about 2.5 years of age, and no obvious intraoral changes in the dentition occur (Figures 3-4 and 3-5) until the eruption of the first permanent molar. The position of the incisors is usually relatively upright with spacing often between them. Attrition occurs, and a pattern of wear may be present.


Figure 3-5 A sectional close-up of the specimen in Figure 3-4. A, The left side of the maxilla. The developing crowns of the central and lateral incisors, the canine, and two premolars are clearly in view. B, The left side of the maxilla, posteriorly. The molar relationship, both deciduous and permanent, is accented here. C, This is a good view of the mandible anteriorly and to the left. Permanent central and lateral incisors and the canine may be seen. Notice that the permanent canine develops distally to the primary canine root. D, Posteriorly, examination of the specimen mandible fails to find crown development of permanent premolars. However, the hollow spaces showing between the roots of primary molars may indicate a loss of material during the difficult process of dissection. The first permanent molar has progressed in crown formation, but the maturation of the whole tooth with alignment is far behind its opposition in the maxilla above it (see Figure 3-4, C).

The primary molars are replaced by permanent premolars. No premolars are present in the primary set, and no teeth in the deciduous set resemble the permanent premolar. However, the crowns of the primary maxillary first molars resemble the crowns of the permanent premolars as much as they do any of the permanent molars. Nevertheless, they have three well-defined roots, as do maxillary first permanent molars. The deciduous mandibular first molar is unique in that it has a crown form unlike that of any permanent tooth (see Figure 3-24, C). It does, however, have two strong roots, one mesial and one distal—an arrangement similar to that of a mandibular permanent molar. These two primary teeth, the maxillary and mandibular first molars, differ from any teeth in the permanent set when crown forms are compared, in particular (see Figures 3-21 and 3-24). The primary first molars, maxillary and mandibular, are described in detail later in this chapter.

Major Contrasts between Primary and Permanent Teeth

In comparison with their counterparts in the permanent dentition, the primary teeth are smaller in overall size and crown dimensions. They have markedly more prominent cervical ridges, are narrower at their “necks,” are lighter in color, and have roots that are more widely flared; in addition, the buccolingual diameter of primary molar teeth is less than that of permanent teeth.4 More specifically, in comparison with permanent teeth, the following differences are noted:

Pulp Chambers and Pulp Canals

A comparison of sections of primary and permanent teeth demonstrates the shape and relative size of pulp chambers and canals (Figure 3-6), which is noted here:


Figure 3-7 A and B, Pulp chambers in the primary molars. Note the contours of the pulp horns within them.

(Modified from Finn SB: Clinical pedodontics, ed 2, Philadelphia, 1957, Saunders.)

Studying the comparisons between the deciduous and the permanent dentitions (Figures 3-8 and 3-9) is of utmost importance. Discussion of further variations between the macroscopic form of the deciduous and the permanent teeth follows, with a detailed description of each deciduous tooth.

Detailed Description of Each Primary Tooth


Labial Aspect

In the crown of the primary central incisor, the mesiodistal diameter is greater than the cervicoincisal length (Figures 3-10 and 3-11, A). (The opposite is true of permanent central incisors.) The labial surface is very smooth, and the incisal edge is nearly straight. Developmental lines are usually not seen. The root is cone-shaped with even, tapered sides. The root length is greater in comparison with the crown length than that of the permanent central incisor. It is advisable when studying both the primary and permanent teeth to make direct comparisons between the table of measurements of the primary teeth (Table 3-1) and that of permanent teeth (see Table 1-1).

Mesial and Distal Aspects

The mesial and distal aspects of the primary maxillary central incisors are similar (Figure 3-13, A; see also Figure 3-10). The measurement of the crown at the cervical third shows the crown from this aspect to be wide in relation to its total length. The average measurement is only about 1 mm less than the entire crown length cervicoincisally. Because of the short crown and its labiolingual measurement, the crown appears thick at the middle third and even down toward the incisal third. The curvature of the cervical line, which represents the cementoenamel junction (CEJ), is distinct, curving toward the incisal ridge. However, the curvature is not as great as that found on its permanent successor. The cervical curvature distally is less than the curvature mesially, a design that compares favorably with the permanent central incisor.

Although the root appears more blunt from this aspect than it did from the labial and lingual aspects, it is still of an even taper and the shape of a long cone. However, it is blunt at the apex. Usually the mesial surface of the root will have a developmental groove or concavity, whereas distally, the surface is generally convex.

Note the development of the cervical ridges of enamel at the cervical third of the crown labially and lingually.


In general, the maxillary lateral is similar to the central incisor from all aspects, but its dimensions differ (Figure 3-15; see also Figures 3-11, B; 3-12, B; 3-13, B; and 3-14, B). Its crown is smaller in all directions. The cervicoincisal length of the lateral crown is greater than its mesiodistal width. The distoincisal angles of the crown are more rounded than those of the central incisor. Although the root has a similar shape, it is much longer in proportion to its crown than the central ratio indicates when a comparison is made.

Jan 9, 2015 | Posted by in Occlusion | Comments Off on 3: The Primary (Deciduous) Teeth
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