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ORE Part 1

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2.2 Anatomy – Facial Structures, Occlusion, Salivary Glands, Tooth Development, Tooth Morphology

Facial Structures

  • Circumvallate papillae are few in number and contain most of the taste buds. They are associated with Von Ebner’s glands. [Q0566]
  • The orbicularis oris muscle elevates and controls the movements of the lower lip. This muscle is crucial for facial expressions and functions such as speaking and eating. [Q0773]
  • A frenum is a fold of mucous membrane that connects the lip or cheek to the alveolar mucosa or gingiva. It plays a key role in oral mobility and health. [Q0780]
  • Tongue thrusting can lead to hyperactivity of the mentalis muscle, affecting facial aesthetics and dental occlusion. Managing tongue thrust is important for preventing malocclusions. [Q0847]
  • Circumvallate papillae are large mushroom-shaped structures located posterior to the terminal sulcus. They contain the majority of taste buds in the oral cavity. [Q3465]
  • The fovea palatini are nerve openings located on the soft palate. They are not specifically for the posterior palatine nerves but are part of the oral nerve network. [Q3769]
  • Frenal attachments are folds of mucous membrane that connect various parts of the oral cavity. They are not tendons of muscles. [Q3773]
  • Gnathion is the midpoint between pogonion and menton, crucial for cephalometric analysis. It helps in diagnosing jaw abnormalities. [Q3835]
  • Taste buds are also found on the palate and throat, in addition to the tongue. This distribution helps in the complex taste perception process. [Q4877]
  • Cleft lip is more commonly found on the left side than the right. This asymmetry is important in diagnosing and planning surgical repairs. [Q4957]
  • The inner surface of the lips is covered with stratified squamous epithelium, providing protection and flexibility. This type of epithelium is suited to withstand abrasion. [Q5055]
  • Loss of anterior teeth can cause a sunken appearance of the cheeks due to loss of support for facial structures. This highlights the importance of maintaining dental integrity. [Q5084]
  • Recurrent aphthous stomatitis (RAS) is the most common cause of oral ulceration. Recognizing RAS is essential for effective treatment and management of oral health. [Q5130]
  • Palatal rugae are wrinkles on the palatal mucosa. They play a role in the oral cavity’s structural and functional anatomy. [Q5163]
  • Palatine rugae are unique to individuals and used in forensic identification. Their stability makes them reliable markers for personal identification. [Q5164]
  • The soft palate is covered by stratified squamous epithelium. This provides a durable and protective surface suited for the soft palate’s functions. [Q5214]

Occlusion

  • The condylar path refers to the forward and downward movement of the condyle from the glenoid fossa to the articular eminence. Understanding this movement is crucial in diagnosing TMJ disorders. [Q4962]
  • Muscle tone and tongue pressure significantly affect the normal rest position of teeth, which is about 2-4mm between teeth. Proper management of these forces is essential for maintaining dental health. [Q5146]
  • The accepted value for the Bennett angle is between 20-30 degrees. This angle is critical in the diagnosis and treatment of occlusal problems. [Q5534]

Salivary Glands

  • Average resting saliva flow is approximately 0.3 ml/minute. Adequate saliva flow is essential for oral health, aiding in digestion and protecting teeth. [Q4918]
  • Average saliva secretion per day is approximately 600 ml. This secretion rate is crucial for maintaining oral moisture and overall dental health. [Q4919]
  • Normal stimulated saliva secretion in adults is 1-2ml/minute. This rate ensures effective digestion and oral lubrication. [Q5147]
  • The parotid gland predominantly secretes serous fluid, aiding in the initial digestion of starches. It plays a significant role in oral health. [Q5209]
  • The sublingual gland predominantly secretes mucin, which helps in lubricating and protecting the oral cavity. Mucin is essential for maintaining oral health. [Q5215]
  • The parotid gland is primarily activated by chewing, which stimulates saliva production. This activation helps in the initial digestion process. [Q5730]
  • The submandibular gland is primarily activated by the thought of food, which is a part of the cephalic phase of digestion. This anticipatory response aids in preparing the digestive system. [Q5731]
  • The parotid duct (Stensen’s duct) opens into the buccal mucosa opposite the second upper molar. This location is crucial for effective saliva distribution in the mouth. [Q5843]
  • Salivary glands are exocrine glands that secrete saliva into the oral cavity. This secretion is vital for digestion and maintaining oral hygiene. [Q6013]

Tooth Development

  • Cementum and periodontal ligament (PDL) develop from the dental sac. This development is essential for tooth attachment and support. [Q3790]
  • PDL fibers are attached to the cementum of the tooth and the alveolar bone. These attachments provide stability and support for the teeth. [Q4570]
  • Type III collagen is the second most common collagen type found in the periodontal ligament, after Type I collagen. This type of collagen is important for the structural integrity of the PDL. [Q4780]
  • The dental follicle is primarily responsible for tooth eruption. Understanding this process is critical for diagnosing and treating eruption disorders. [Q4972]
  • Acellular cementum is the first to form and remains acellular, providing a foundation for cellular cementum to form later. This structure is crucial for tooth support. [Q5007]
  • Using a laser is a common method to drill a cavity without local anesthesia (LA). This technique is advantageous for patients with LA contraindications. [Q5125]
  • Prepubertal periodontitis most commonly occurs during the eruption of permanent teeth. Early detection and management are vital for preventing long-term dental issues. [Q5132]
  • Odontoblasts are differentiated from columnar cells of the dental papilla. They are essential for the formation of dentine in teeth. [Q5154]
  • The pulp develops from the dental papilla, while the periodontal ligament and cementum develop from the dental sac. Understanding these developmental origins is critical for diagnosing dental abnormalities. [Q5198]
  • Genetic factors play the most important role in teeth eruption. These factors determine the timing and sequence of eruption. [Q5199]
  • Dental tissues derive from both ectoderm and mesoderm, with neural crest cells playing a crucial role. This dual origin is important for the complex development of dental structures. [Q5202]
  • The root sheath of Hertwig plays a crucial role in inducing the formation of odontoblasts and dentine for tooth root formation. Understanding this process is key in developmental biology of teeth. [Q5207]
  • Tooth movement occurs through bone resorption by osteoclasts and bone deposition by osteoblasts. This biological process is fundamental for orthodontic treatments. [Q5288]
  • Upper and lower first premolars and lower canines typically appear at the same time. This timing is crucial for planning orthodontic treatments and managing occlusion. [Q5345]
  • The internal enamel epithelium has columnar cells. These cells are essential for the formation of enamel. [Q6023]
  • The external enamel epithelium has cuboidal cells. These cells play a role in protecting the developing enamel organ. [Q6024]
  • The stellate reticulum has star-shaped cells. These cells provide support and maintain the shape of the enamel organ. [Q6025]
  • The stratum intermedium exhibits alkaline phosphatase activity, which is essential for enamel mineralization. This activity is crucial for the proper formation of enamel. [Q6049]

Tooth Morphology

  • 40% of lateral mandibular incisors have two canals, with only one canal ending in two foramina. This anatomical variation is important for endodontic treatments. [Q0534]
  • The second deciduous molar is generally longer in the mesiodistal dimension compared to the second premolar. This difference impacts space management in pediatric dentistry. [Q0620]
  • Teeth maintain contact in elderly individuals due to the deposition of bone around the alveolar fundus and cementum. This natural adaptation helps preserve occlusion. [Q0950]
  • A tubercle is an external formation of enamel and dentine on the crown of a tooth. These structures can affect tooth morphology and occlusion. [Q3135]
  • Dentinal tubules reduce in diameter from around 2.5 microns at the pulp to 0.5 microns at the enamel-dentine junction. This gradient is essential for dentinal permeability and sensitivity. [Q3580]
  • Dentinal tubules reduce in number per mm2 from 45000 at the pulp to 20000 at the enamel-dentine junction. This decrease plays a role in the structural integrity of dentine. [Q3581]
  • Dentine is permeable to some extent, allowing for fluid movement and sensory response. This property is significant in the context of dentin hypersensitivity. [Q3585]
  • Dentine tubules make up 20-30% of the total volume of human dentine. These tubules are crucial for nutrient transport and sensory functions within the tooth. [Q3586]
  • The curvature of the mesial surface can help distinguish between the right and left maxillary first premolar. This feature aids in proper tooth identification during dental procedures. [Q3952]
  • The shape of the crown is used to distinguish between mandibular central and lateral deciduous incisors. Accurate identification is important for dental assessments and treatments in children. [Q3953]
  • The position of the cusps helps distinguish the right mandibular second premolar from the left one. Correct identification is essential for dental restorative work. [Q3995]
  • Mantle dentine is found just under the enamel. It plays a critical role in the structural integrity and resilience of teeth. [Q4133]
  • Sharpey’s fibers run in five directions, providing stability and attachment for the tooth in the socket. These directions include crestally, apically, horizontally, obliquely, and interradicularly. [Q4788]
  • The anatomical crown protrudes beyond the gingival margins into the mouth. This exposure is vital for the aesthetics and function of the tooth. [Q4908]
  • Apical deposition of cementum compensates for occlusal wear during functional life. This process helps maintain the height and stability of teeth. [Q4913]
  • Deciduous teeth are whiter primarily because they have less dentin. The thinner dentin layer allows more of the enamel’s natural whiteness to show through. [Q4970]
  • Dentin is usually strongly attached to the enamel, ensuring structural integrity and strength. This strong bond is crucial for the tooth’s function and longevity. [Q4976]
  • The pulp’s main function is to transmit sensory feelings, but it also produces dentin. This dual role is essential for both the vitality and repair of the tooth. [Q5095]
  • Mandibular permanent canines occasionally have two root canals. Recognizing this variation is important for effective endodontic treatment. [Q5100]
  • Deciduous molars do not have cingula. This feature distinguishes them from permanent molars and is key in dental morphology. [Q5101]
  • Most mandibular first premolars have a single root. This characteristic aids in identifying and treating these teeth in clinical practice. [Q5103]
  • The mandibular first premolar is the smallest premolar overall. Its size affects its role in the dental arch and its approach to restorative treatments. [Q5104]
  • The mandibular second premolar typically has a smaller crown than the maxillary first premolar. This size difference impacts occlusal relationships and dental restorations. [Q5105]
  • Maxillary first permanent molars have three roots and three root canals in approximately 40% of cases. This anatomical detail is crucial for successful endodontic therapy. [Q5108]
  • The maxillary first deciduous incisor does not show mamelons, unlike the permanent successor. This difference helps in identifying and distinguishing these teeth. [Q5110]
  • The roots of the maxillary first molar are closest to the antrum floor. This proximity is important in surgical procedures involving the maxillary sinus. [Q5111]
  • Maxillary first premolars usually have two roots. This common anatomical feature is vital for effective endodontic treatment. [Q5112]
  • Maxillary lateral deciduous incisors usually appear around 7 months of age. This timing is critical for monitoring normal dental development in children. [Q5114]
  • The maxillary second premolar is typically smaller mesiodistally compared to the maxillary first premolar. This size comparison is important for orthodontic and restorative planning. [Q5115]
  • Maxillary second premolars usually have one root. This common feature aids in their identification and endodontic treatment. [Q5116]
  • The maxillary permanent canine typically erupts around 11 years of age. This eruption timing is significant for orthodontic assessments and interventions. [Q5117]
  • The oblique ridge in the upper first molar extends from the mesiopalatal cusp to the distobuccal cusp. This anatomical feature is important for occlusal stability and function. [Q5151]
  • Dry socket is also known as alveolar osteitis. This condition requires specific management to alleviate patient discomfort and promote healing. [Q5158]
  • The palatal root is the largest and longest root of the first upper molar. Its size and strength are crucial for the tooth’s stability and function. [Q5162]
  • Perikymata are commonly seen in recently erupted teeth. These horizontal ridges indicate the growth pattern of enamel. [Q5180]
  • In juvenile periodontitis, lesions are typically located around the molars and incisors. Identifying these common sites helps in early diagnosis and treatment. [Q5181]
  • The periodontal ligament is generally thicker in deciduous teeth than in permanent teeth. This difference is important for understanding the biomechanics of primary teeth. [Q5182]
  • The principal fibers in the periodontal ligament are denser than interstitial fibers. This density provides greater stability and support for the teeth. [Q5191]
  • The distolingual cusp is the smallest cusp in the upper first molar. This detail is significant for dental morphology and occlusal analysis. [Q5212]
  • The teeth in anhydrotic ectodermal dysplasia are conical and peg-shaped. Recognizing these characteristic shapes is important for diagnosis and treatment planning. [Q5220]
  • Transeptal fibers run from cementum to cementum between adjacent teeth. These fibers help maintain the integrity of the dental arch. [Q5237]
  • The tubercle of Carabelli is located lingually on the upper first molar. This anatomical feature is a key identifier in dental morphology. [Q5239]
  • The tubercle of Carabelli is located on the mesiopalatal cusp of the first upper molar, not the second. This detail helps in accurately identifying the first molar. [Q5240]
  • The tubercle of Carabelli is usually seen on the mesiopalatal cusp. Recognizing this feature aids in distinguishing molar anatomy. [Q5242]
  • Upper and lower second primary molars appear last in the primary dentition at around 24 months. This timing is crucial for monitoring dental development. [Q5247]
  • The buccal cusp of the mandibular second premolar is longer and less rounded than that of the first mandibular premolar. This difference aids in distinguishing between the two premolars. [Q5263]
  • The Tubercle of Carabelli is found on the meso-palatal cusp of the upper first maxillary molar, not the disto-palatal cusp. This feature is important for dental identification. [Q5314]
  • Type I collagen is the most common type in the periodontal ligament. This collagen type provides tensile strength and structural integrity. [Q5331]
  • Type III collagen is the second most common type in the periodontal ligament. This collagen supports the structural framework of the PDL. [Q5332]
  • Upper incisors are a type of incisor teeth. These teeth play a crucial role in biting and aesthetics. [Q5346]
  • Mesiodens are supernumerary teeth between the incisors. Identifying mesiodens is important for managing space and preventing misalignment. [Q5391]
  • Sharpey’s fibers are collagen fibers that anchor the periosteum to the bone. These fibers provide essential support and stability for the teeth. [Q5396]
  • Plasma cells are found in the periodontal ligament under pathological conditions. Their presence indicates an immune response or infection. [Q5398]
  • Fibroblasts are the predominant cells in the periodontal ligament. These cells are vital for the maintenance and repair of the PDL. [Q5412]
  • A gray color in a tooth with mature lateral luxation is due to pulpal hemorrhage. This discoloration indicates internal damage and requires clinical attention. [Q5436]
  • A paramolar cusp is an accessory cusp on the buccal surface of molars. This anatomical variation can impact occlusion and dental treatments. [Q5470]
  • Interglobular dentin is dentin that has not undergone complete calcification. This condition can affect the strength and function of the tooth. [Q5498]
  • Intertubular dentin is the dentin that fills the space between the dentinal tubules. It provides structural support for the tooth. [Q5499]
  • Intratubular dentin (or peritubular dentin) lines the dentinal tubules. This specialized dentin is important for protecting the tubules and maintaining tooth integrity. [Q5500]
  • In the Palmer system, LL8 refers to the lower left third molar. This notation is commonly used in dental records and treatment planning. [Q5502]
  • Mantle dentin is the outermost layer of dentin near the dentinoenamel junction. It plays a crucial role in the initial formation and mineralization of dentin. [Q5503]
  • Osteodentin is a type of dentin that has properties similar to bone. This dentin type is important for understanding pathological changes in teeth. [Q5515]
  • Predentin is the initial unmineralized layer of dentin that later undergoes mineralization. This layer is essential for the continuous formation of dentin. [Q5519]
  • Primary dentin is the first layer of dentin formed during tooth development. It is critical for the initial structure and function of the tooth. [Q5520]
  • Sclerotic dentin is more mineralized and less permeable, often found in older teeth or areas with long-standing caries. This type of dentin is important for understanding tooth aging and pathology. [Q5525]
  • Tertiary or reparative dentin forms in response to caries or trauma to protect the pulp. This defense mechanism is crucial for maintaining tooth vitality. [Q5532]
  • The compressive strength of enamel is approximately 400-500 MPa. This high strength is essential for the tooth’s ability to withstand masticatory forces. [Q5580]
  • Primary dentin is formed during tooth development, while tertiary dentin forms in response to caries or trauma. This distinction is important for understanding dental pathology and repair. [Q5595]
  • Adult teeth contain about 25% water. This water content is crucial for maintaining tooth resilience and function. [Q5706]
  • The pulp-dentine complex is comprised of pulp and dentine. This complex is essential for the sensory and nutritive functions of the tooth. [Q5717]
  • The tensile strength of enamel is approximately 100 MPa. This property allows enamel to resist fracture under tensile forces. [Q5741]
  • The average eruption time for the lower permanent canine tooth is 10-12 years. Knowing this timing helps in monitoring normal dental development. [Q5742]
  • In the FDI system, tooth 15 refers to the upper left second premolar. This notation is widely used for dental identification and treatment planning. [Q5750]
  • In the Universal numbering system, tooth 16 is the upper right first molar. This system is commonly used in the United States for dental records. [Q5751]
  • In the FDI system, tooth 85 is the lower right second primary molar. Accurate identification using this system is important for pediatric dental care. [Q5752]
  • The periodontal ligament is located between the tooth and the alveolar bone. It provides support and shock absorption during mastication. [Q5849]
  • Enamel has the strongest and hardest walls among the listed dental tissues. This property is crucial for protecting the tooth from wear and damage. [Q5875]
  • Dentin is approximately 45% mineralized and resorbs slower than bone. This mineral content is important for the structural durability of teeth. [Q5909]
  • Gingival fibers run from the cementum of the cervical part to the free gingiva. These fibers help maintain the integrity and stability of the gingiva. [Q6027]
  • Decreased pH in inflamed tissues reduces the efficacy of local anesthetics. This understanding helps in managing pain effectively during dental treatments. [Q6029]
  • The fovea palatini marks the posterior limit of an upper denture. This anatomical landmark is important for proper denture fitting and comfort. [Q6050]
  • Permanent first molars and incisors are typically present in an 8.5-year-old child. Monitoring these teeth helps in assessing normal dental development. [Q6059]
  • The width of the periodontal ligament ranges from 0.2 to 0.3 mm. This measurement is important for understanding the health and function of the PDL. [Q6104]