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CE 421 - Dental Anatomy: A Review - DentalCare.com

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Figure 16b. Permanent Teeth Arches and Quadrants. Examples of the arches<br />

and quadrants of both primary and permanent dentition.<br />

Image courtesy of Mosby’s Comprehensive <strong>Dental</strong> Assisting: A Clinical Approach.<br />

Dentitions<br />

The term dentition refers to the natural teeth in the<br />

dental arches. There are two major dentitions:<br />

primary and permanent. In children between the<br />

ages of approximately 5 and 12, each arch will<br />

contain a mixture of primary and permanent teeth.<br />

This is referred to as mixed dentition.<br />

Primary Dentition<br />

The primary dentition refers to the first twenty<br />

teeth to erupt in the oral cavity. These teeth are<br />

also called deciduous teeth, and will be exfoliated<br />

(shed) to make way for the permanent teeth.<br />

There are 20 teeth in the primary dentition, there<br />

are 2 central incisors, 2 lateral incisors, 2 canines,<br />

2 first molars, and 2 second molars in each arch.<br />

Table 1 shows the average eruption and exfoliation<br />

(shedding) dates of the primary dentition.<br />

15<br />

Permanent Dentition<br />

The permanent dentition contains 32 teeth, with<br />

each arch having 2 central incisors, 2 lateral<br />

incisors, 2 canines, 2 first premolars, 2 second<br />

premolars, 2 first molars, 2 second molars, and 2<br />

third molars. This period of dentition begins when<br />

the last primary tooth is shed. The permanent teeth<br />

that replace primary teeth are called succedaneous<br />

teeth. The permanent molars are not succedaneous<br />

teeth because they do not replace any primary<br />

teeth. The primary molars are replaced with the<br />

permanent premolars. Table 2 shows the eruption<br />

dates of the permanent dentition.<br />

D-A-Q-T System<br />

The correct sequence of words when describing a<br />

tooth is based on the D-A-Q-T system.<br />

• D stands for dentition.<br />

Crest ® Oral-B ®<br />

at dentalcare.<strong>com</strong> Continuing Education Course, April 23, 2013

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