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ABMSL Y1 Semester Two
Tooth identification
Maxillary first premolars
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Generally, premolars are
bicuspids
with one large
buccal
cusp and a
smaller
lingual
cusp
The maxillary first premolar has
two
roots and
two
prominent cusps
The
buccal
cusp is significantly
larger
(by
1mm
) than the
lingual
cusp
There is a prominent
buccal ridge
and
cervical
ridge, and two small depressions on either side of the
buccal ridge
(common in all premolars)
The facial outline is
pentagonal
The tip of the buccal cusp lies
mesial
to the
midline
of the root
The
lingual
surface is
narrower
than the
buccal
(
buccolingual convergence
)
The
distal
slope of the
lingual cusp
is longer than the
mesial
slope
Proximally, the crown as a
trapezoid
shape
Occlusally the outline is
polygonal
The maxillary first premolars are more
symmetrical
with equal
mesiobuccal
and
distobuccal
sides
The
mesial
side is
shorter
than the
distal
side
The
mesiolingual
side is
shorter
than the
distolingual
side
The
buccolingual
dimension is
greater
than the
mesiodistal
dimension
The occlusal surface has
buccal
and
lingual
triangular ridges
, and
mesial
and
distal
marginal ridges
Occlusally there is a
central developmental groove
as well as
mesial
and distal
triangular fossae
next to the
triangular ridges
One of the most prominent features is the
mesial marginal developmental groove
The maxillary first premolar has a
canine fossa
mesially to accommodate for the
bulge
of the maxillary canne
The
mesial
cusp ridge is
longer
than the
distal
one