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    Maxillary and Mandibular Second andThird Molars

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    Buccal aspect

    Lingual aspect

    Mesial aspect

    Distal aspect

    Occlusal aspect

    Maxillary Second Molar

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    Buccal aspect

    The crown is a little shorter cervico-

    occlusally and narrower mesiodistally.

    The distobuccal cusp is smaller and

    allows part of the distal marginal ridge.

    The buccal roots are about the same

    length.

    The apex of the mesiobuccal root is on a

    line with buccal groove of the crown

    instead of the tip of the mesiobuccal

    cusp, as found on the first molar.Dr.Syed Sadatullah Ibnsina National Medical College

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    The distolingual cusp of the crown is

    smaller.

    The distobuccal cusp may be seen through

    the sulcus between the mesiolingual and

    distolingual cusp.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    The buccolingual dimension is about the

    same ass that of the first molar but the

    crown length is less.

    The roots do not spread as far

    buccolingually, being within the confines of

    the buccolingual crown outline.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    The distobuccal cusp is smaller then

    maxillary first molar, more of the

    mesiobuccal cusp may be seen from this

    angle.

    The mesiolingual cusp cannot be seen.

    The apex of the lingual root is in the line

    with the distolingual cusp.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    Occlusal aspect is of rhomboidal shape

    commonly.

    The buccolingual diameter of crown is about

    equal but the mesiodistal diameter is

    approximately 1mm less.

    The mesiobuccal and mesiolingual cusp are

    just as large and well developed as in the 1st

    molar, but the distobuccal and distolingual

    cusp are smaller and less well developed.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    Maxillary Third Molar

    Maxillary third molar varies considerably in size, shape

    and position

    It often presents itself as a developmental anomaly

    Third molar supplements second molar and is also similarin its design

    All third molars show more developmental variation than

    any other teeth in the dentition

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    The crown is shorter cervico-occusally and

    narrower mesiodistally then that of second

    molar.

    The roots are usally fused,functioning as

    one large root, and the are shorter cervico-

    apically.

    The roots have a distinct slant to the distal,

    giving the apices of the fused root a more

    distal relation to the center of the crown.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    In comparision with the maxillary second

    molar, only one large lingual cusp is present

    therefore no lingual cusp is evident.

    However in many cases third molar with thesame essential features has a poorly

    developed distolingual cusp with a

    developmental groove lingually.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    The main feature is the taper to the fusedroots and a bifurcation usally in the region

    of the apical third.

    The root portion is considerably shorter inthe relation to the crown length.

    Both the crown and the root portion tend to

    be poorly developed, with the irregularoutlines.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    From this aspect most of the buccal surface

    of the crown is in veiw.

    More of the occusal surface can be seen with

    respect to the second molar because of the

    more acute angulation of the occlusalsurface in relation to the long axis of the

    root.

    The measurement from the cervical line tothe marginal ridge is small.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    Occlusal aspect of the typical maxillary third

    molar presents a heart shaped outline.

    The lingual cusp are larger and well

    developed and no distolingual cusp is

    evident,which gives a semicircular outline to

    the tooth from one contact area to the other.

    Three funcitional cusp are this type of

    tooth:two buccal and one lingual.

    The occlusal aspect presents many

    supplemental and accidental grooves.Dr.Syed Sadatullah Ibnsina National Medical College

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    Mandibular molars are the biggestteeth in the mandibular arch.

    They have two broad roots for superioranchorage.

    The crown of lower molars are widermesiodistally than buccolinguallym theopposite is true of upper molars.

    Dr.Syed Sadatullah Ibnsina National Medical College

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    Mandibular Second Molar and Third Molar

    Mandibular second molar is smaller than the first molar and the

    third molar is smaller than the second molar

    Mandibular second molar has four well developed cusps

    The third molar varies considerably in shape and position andpresents many anomalies.

    . Mandibular 3rd molar occasionally has four cusps, but five

    cusps and more than five cusps are also not uncommonDr.Syed Sadatullah Ibnsina National Medical College

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    Dr.Syed Sadatullah Ibnsina National Medical College

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    Buccal aspect

    Mandibular 2nd Molar

    - From this aspect thecrown is shorter cervico-occlusally

    - Two buccal cusps are

    seen: mesiobuccal cuspand distobuccal cusp

    - Both the cusps areequal in size

    - Buccal developmentalgroove separates the twobuccal cusps

    Mandibular 3rd Molar

    - From this aspect thetooth varies considerably.

    - The four cusp type hastwo buccal cusps

    - The buccal cusps areshorter and rounded

    - Both the cusps are

    equal in size

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    18/19Dr.Syed Sadatullah Ibnsina National Medical College

    Buccal aspect

    Mandibular 2nd Molar Mandibular 3rd Molar

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    Dr Syed Sadatullah Ibnsina National Medical College