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Names
Of Individual teeth
Palmer's Notation
Palmer's notation is a widely used method
to designate individual teeth. In Palmer's
notation, your mouth is divided into
four parts called quadrants, that is
the upper left quadrant, the upper right
quadrant, the lower left quadrant, and
the lower right quadrant as illustrated
in the figure on the right. Then each
individual tooth in the quadrant is
given a name. For example the two upper
and two lower teeth at the center of
your mouth are called central's. One
then combines the names of the quadrant
and the tooth to come up with a Palmer's
notation. For example, the central on
the upper right side of your mouth is
called an upper right central.

The remaining teeth are designated as
follows:
Central
The two upper and two lower teeth in
the very center of your mouth.
Lateral
The teeth just adjacent to the centrals.
Cuspid
The pointy teeth just behind the laterals.
These teeth have one cuspal (or point).
Cuspids are also called canines.
First Bicuspid
The teeth just behind the cuspids. These
teeth have two cuspals (or points)
Second Bicuspid
The teeth just behind the first bicuspids.
These teeth also have two cuspals (or
points)
First Molar
The teeth just behind the second bicuspids.
These teeth have a level surface with
four cuspals.
Second Molar
The teeth just behind the first. These
teeth also have a level surface with
four cuspals.
Third Molar
The teeth just behind the second molars.
These teeth also have a level surface
with four cuspals.
Other names for teeth:
Incisor
Another name for the centrals and laterals
Canine
Another name for the cuspids
6 year molar
Another name for your first molar
12 year molar
Another name for your second molar
Wisdom Tooth
Another name for the third molar
Anterior Teeth
Your centrals, laterals, and cuspids.
These are the teeth in the front of
your mouth
Posterior Teeth
Your bicuspids and molars. These are
the teeth in the back of your mouth.
Deciduous Teeth
Your primary, or "baby teeth"
Primary teeth
The first set of teeth which come in.
Primary teeth are also called "baby
teeth" or deciduous teeth.
Secondary Teeth
Your permenant teeth, i.e. the second
group of teeth to come in.
Quadrants
The four parts of your mouth, that is
the upper left, the upper right, the
lower left, and the lower right.
Numerical notation for teeth
The numerical notation for teeth is
an alternate to Palmer's notation. In
this notation, the centrals are designated
as 1's, the laterals as 2's, the cuspids
as 3's, the first bicuspids as 4's,
the seond bicuspid's as 5's, etc.
Universal numerical notation
for teeth
The universal numerical notation is
an alternative numerical notation for
teeth. In this notation, your upper
right third molar is designated as tooth#1,
and then you number each tooth sequentially
moving right to left and down across
your mouth.
Parts Of
A Tooth And Your Mouth
Alveolus
A opening in your jaw-bone in which
a tooth is attached.
Apex
The very bottom of the root of your
tooth
Buccal
The tooth surface which is next to your
cheeks. Usually only posterior teeth
touch your cheeks, so people usually
use the term "buccal" only
when talking about your back teeth.
Cementum
A bony substance covering the root of
a tooth.
Crown
The part of your tooth above your gum.
Cuspal
The chewing or tearing points of the
cuspids, bicuspids, and molars.
Dentin
The calcium part of a tooth below the
enamel containing the pulp chamber and
root canals.
Enamel
A hard ceramic which covers the exposed
part of your teeth.
Frenum
Small pieces of pink colored skin that
attach your lips, cheeks and tongue
to your mouth. Examples include the
piece of skin under your tounge which
sticks out when you pick up your tongue,
and the piece of skin which sticks out
when you pull out your lips.
Gingivae
Another name for your gums
Gums
The pink areas around your teeth
Pulp
The soft inner structure of a tooth,
consisting of nerve and blood vessels
Pulp Chamber
The very inner part of your tooth containing
nerve cells and blood vessels.
Pulp canal
Another name for the pulp chamber
Root
The part of your tooth in your gums
Other dental terms
Abutment
The teeth on either
side of a missing tooth.
Amalgam
A silver/mercury mixture which is used
for fillings.
Anatomy
1)The arangement of the bones in your
skeleton 2) The study of the arrangement
of the bones in your skeleton.
Antiseptic
A chemical agent which can be applied
to living tissues to destroy germs.
Anesthetic
A drug which a doctor or dentist uses
to put you, your mouth, or some other
part of your body asleep so you do not
feel any pain during dental or medical
procedures.
Anterior
An adjective used to describe things
pertaining to your your Centrals, laterals
and cuspids (your front teeth).
Arch
Collectively, either the teeth or the
basal bone of either jaw.
Articulator
A special holder for models of your
teeth. The articulator holds the models
in the same alignment as your jaw so
the orthodontist can look carefully
at your bite.
Asepsis
The avoidance of potentially pathogenic
microorganism. In practice,it refers
to those techniques which aims to exclude
all microorganisms.
Aspirator
A tube like a straw which the dentist
puts in your mouth to suck up all the
saliva.
Aspiration
Removal of fluids from your mouth with
an aspirator.
Bruxism
Clenching or grinding of your teeth
especially at night.
Calculus
A hard deposit that forms when you do
not brush your teeth so the plaque hardens.
Calculus is also known as tartar.
Caries
Another name for a cavities (tooth decay)
Cavity
A small hole in one of your teeth caused
by tooth decay.
Cross contamination
Passing bacteria, viruses or AIDS indirectly
from one patient to another through
the use of improper sterilization procedures,
unclean instruments, or "recycling"
of orthodontic products.
Crown
1) An artifacial tooth, 2) an artificial
replacement for the covering on a tooth.
Curettage
A periodontal procedure where your gums
are scraped to remove bacteria.
Decalcification
The loss of calcium from your teeth.
This weakens your teeth and makes them
more succeptable to decay
Denture
A synthetic replacment for all of your
teeth in either your upper or your lower
jaw.
Diagnosis
the process of identifying the nature
of a disorder.
Direct contamination
Direct contact with impurities or germs.
(for example by a Patient sneezing on
the assistant.)
Disinfection
A cleaning process which destroys of
most microorganism, but not highly resistant
forms such as bacterial and mycotic
spores or the AIDS virus.
Disinfectant
A chemical agent which is applied onto
inanimate surfaces, for example chairs,
to destroy germs.
Disposable materials
materials intended for one use and discarded.
(e.g.: Gloves, paper gowns, cotton rolls,
sponges, etc.)
Distal
Behind towards the back of the mouth.
For example you might say that the first
bicuspid is distal to the cuspid.
Edentulous
Someone is said to be edentulous whene
all of their teeth are missing from
either their upper or lower jaw.
Endodontist (Endo)
A dentist who specializes in root canals
and the treatment of diseases or injuries
that affect the root tips or nerves
in your teeth.
Erupt, Eruption
When a new tooth comes in, the tooth
is said to erupt when the tooth breaks
through the surface of your gums, so
you can see the tooth in your mouth.
Exfoliate
to fall out. (Your Deciduous teeth exfoliate
and permanent teeth erupt into the space.)
Extraoral
Outside of your mouth. For example,
neck pads are sait to be extra oral
products since they go outside of your
mouth.
Filtrum
the dimple or indentation under the
nose directly above the upper lip.
Fluoride
A chemical solution or gel which you
put on your teeth. The flouride hardens
your teeth and prevents tooth decay.
Gingival hypertrophy
The abnormal enlargement of the gingiva
surrounding the teeth caused by poor
oral hygiene.
Gingivitis
The inflammation of your gums caused
by improper brushing. The first sign
of periodontal (gum) disease.
Impacted tooth
An unerupted tooth that somehow has
gotten stuck and cannot come in.
Implant
A replacement for one of your missing
teeth. The implant is different than
a bridge in that the implant is permenantly
attached into your jaw.
Incisal
The biting edge of your centrals and
laterals.
Interproximal
the space between adjacent teeth
Intraoral
Inside your mouth. For example, orthodontic
rubber bands are called intraoral products
since the rubber bands are designed
to go in your mouth.
Irrigation
the technique of using a solution to
wash out your mouth and to flush debris.
Labial
The tooth surface next to your lips
or things mounted on the tooth surfaces
next to your lips.
Lingual
The tooth surface next to your tongue
or things mounted on the tooth surfaces
next to your tongue.
Mandible
Your lower jaw
Mandibular
Pertaining to your lower jaw
Masticate
To chew your food and mix the food with
saliva
Maxilla
Your upper jaw
Maxillary
Pertaining to your upper jaw
Mesial
Forward or front. For example your cuspid
is mesial to you bicuspid. The mesial
surface of your bicuspid is the part
of the bicuspid closest to your cuspid.
Midline
A plane through the very center of your
mouth perpendicular to your nose.
Mixed dentition
The situation when both deciduous and
permanent teeth are present.
Occlusal
the chewing or grinding surface of the
bicuspid and molar teeth.
Occlusal plane
the imaginary surface on which upper
and lower teeth meet.
Occlusal radiograph
the only x-ray that is taken without
a precision(tm) x-ray holder. The x-ray
film for this procedure is shaped like
a large oatmeal cookie. You are asked
to bite on the x-ray film and the top
of the x-ray machine is positioned over
your nose for a maxillary occlusal x-ray
or under your chin for a mandibular
occlusal film. The x- ray shows the
whole arch.
Oral
pertaining to the mouth.
Osteoblasts
Cells which aid the growth and development
of teeth and bones.
Osteoclasts
Cells which help create the sockets
in bones. For example osteoclasps create
the openings in your jaw bone to hold
your teeth.
Pathogens
disease producing organisms that can
exist in many different places. (e.g.:
Air, dust, counter top surfaces, the
body, etc.)
Pathology
the study of abnormal (diseased) tissue
conditions.
Pedodontist (Pedo)
A dentist who specializes in the treatment
of children's teeth.
Periapical
x-ray of individual teeth or groups
of teeth.
Periodontist (Perio)
A dentist who specializes in the treatment
of diseases of your gums.
Plaque
is a colorless, odorless, sticky substance
containing acids and bacteria that causes
tooth decay.
Periodontal
Pertaining to your gums. For example
periodontal desiese is gum disease.
Periodontist
A dentist who specializes in the treatment
of gum disease.
Posterior
An adjective used to describe things
pertaining to the back of your mouth
or your back teeth.
Prophylaxis
Cleaning your teeth
Prosthodontist
A dentist who specializes in the replacement
of missing teeth.
Proximal
Refers to the surfaces of teeth that
touch the next tooth; the space between
adjacent teeth is the interproximal
space.
Radiograph
Another name for an x-ray
Root canal
A procedure where the nerve of a heavily
decayed tooth is removed from the tooth
replaced with a filling material
Sagittal plane
The longitudinal vertical plane that
divides the mouth into two halves (left
and right.)
Sanitization
A cleaning process which reduces germs
to a "safe" level.
Space maintainer
A gadget used to maintain a space in
your mouth. You would use a space maintainer
when you lose one of your baby teeth.
The space maintainer will keep a space
in your mouth until a permenant tooth
comes in to fill the space.
Sterilization
A process where a medical material is
treated to remove all possible germs
and other forms of life
Supernumerary teeth
Some people have extra teeth. These
are called "supernumerary teeth".
Tartar
Another name for calculus
TMJ
An abreviation for the "temporomandibular
joint" The "temporomandibular
joint" is the joint where your
lower jaw connects to your skull.
Treatment card
a sheet of paper or special index card
used to record your treatment progress.
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Definitions
Of Orthodontic Terms
Parts Of Your Braces
Appliance
Anything the orthodontist attaches to
your teeth to move your teeth or to
change the shape of your jaw
Arch Wire
A metal wire which is attached to your
brackets to move your teeth.
Band
a metal ring that is usually placed
on you teeth to hold on parts of your
braces
Bracket
A metal or ceramic part that is glued
onto a tooth and serves as a means of
fastening the arch wire.
Breakaway
A breakaway is a small plastic piece
with an internal spring which is used
to provide force on a facebow.
Buccal tube
A small metal part that is welded on
the ourside of a molar bank. The buccal
tube contains a slots to hold archwires,
lip bumpers, facebows and other things
your orthodontist uses to move your
teeth.
Chain, Orthodontic Chain
A stretchable plastic chain used to
hold archwires into brackets and to
moke teeth.
Facebow, Headgear
Facebows are wire apparatus used to
move your upper molars back in your
mouth which creates room for crowded
or protrusive anterior teeth. Generally,
the facebow consists of two metal parts
which have been attached together. The
inner part is shaped like a horseshoe.
This part goes in your mouth and is
connected to your buccal tubes. The
outer part has two curves. The curves
go around your face, and connect to
the breakaways or high pull headgear.
To properly use the product, the inner
bow needs to be inserted into your buccal
tubes. An elastic neck band is placed
around the back of the neck while the
triangular cast offs on both sides of
neck band are attached to the outer
bow of the headgear. Completing the
apparatus is a plastic safety strap
that is placed over the neck band and
onto the outer bow of the headgear.
Ligating module
A small plastic piece, shaped like a
donut, which is used to hold the arch
wires in the brackets on your teeth.
Lip bumper
A lip bumper is used to push the molars
on your lower jaw back to create more
space for other teeth. The lip bumper
conists of an arch wire which is attached
to a molded piece of plastic. You mount
the arch wire in the buccal tubes on
your lower jaw, and plastic piece rests
against your lips. When you eat or talk,
you push the plastic piece back which
pushes on your molars. That pushes your
molars back.
Mouthguard
A device that is used to protect your
mouth from injury when you are participating
in sports. The use of a mouthguard is
especially important for orthodontic
patients, to prevent injuries.
Neck pad
A neckpad is a cloth covered cushion
which you wear around your neck when
you put on your facebow. Generally,
the breakaways are attached to the neckpad
to provide force for the facebow.
Palatal Expander
A device used to make your jaw wider
Retainer
A gadget that the orthodontist gives
you to wear after the orthodntist removes
your braces. The retainer attaches to
your upper teeth and holds them in the
correct position. You wear the retainer
at night to make sure that none of your
teeth move while your jaw hardens and
your teeth get strongly attached to
your jaw.
Safety Strap
A plastic strap which prevents a facebow
from coming loose and hurting you.
Seperator
A plastic or metal part which the orthodontist
uses to create space between your teeth
for bands.
Wax
A clear wax used to prevent your braces
from irritating your lips when your
braces are first put on, or at other
times.
The
Orthodontist's Tools
Band Remover
A special plier which the orthodontist
uses to remove bands from your teeth
Bite Stick
A device the orthodontist uses to help
put on your bands. The orthodontist
puts the band in place, then asks you
to bite down on the bite stick to help
push the band in place.
Cephalometric Viewer
An x-ray viewer
Cheek retractors
Small plastic pieces used to draw back
your lips and cheeks so the orthodontist
can more easily see you teeth and work
in your mouth.
Curing Light
A special UV light used to help attach
brackets to your teeth
Distal End Cutter
A special plier used to cut off the
ends of your arch wires.
Explorer
a hook-like fine pointed instrument
used in examining the teeth.
Interproximal Stripper
A device used to remove some of the
enamel from the spaces between your
teeth. The stripper is used to create
extra space for crowded teeth.
Mathieu Plier
A special plier which locks when it
closes so it holds on to small parts.
Pin and Ligature Cutter
A special plier use to cur off arch
wires, ligatures etc.
Scaler
A tool with a curved hook on one end.
The orthodontist uses the scaler to
remove excess cement, and check for
gaps.
Twirl On
A device used to help place ligating
modules on brackets.
Orthodontic Procedures
Acid etch
A procedure where a weak acid smeared
on your teeth to ready your teeth for
brackets. The acid etch helps your brackets
stay on better.
Banding
the process of cementing orthodontic
bands to your teeth
Bonding
the process of attaching brackets to
your teeth using a special safe glue
Cephalometric X-Rays
An x-ray of the head that shows whether
your teeth are aligned properly, and
whether they are growing properly.
The Consultation
A meeting with your orthodontist where
he discusses your treatment plan
Debanding
the removal of cemented orthodontic
bands.
Debonding
The removal of the brackets from your
teeth
Extraoral photograph
facial photos.
Impressions
The first step in making a model of
your teeth. You bite into a container
filled with algenate, and the algenate
hardens to produce a mold of your teeth.
Interceptive Orthodontic Treatment
Orthodontic treatment usually done when
you are 6-8. The objective of interceptive
orthodontic treatment is to expand your
palate and make other corrections, so
that your later orthodontic treatment
goes quicker and is less painful.
Ligation
A process where an archwire is attached
to the brackets on your teeth.
Ligating
An adjective used to describe components
used to attach archwires to brackets.
For example a ligating module is a small
plastic piece that goes over the brackets
to hold in your archwires.
Panoramic x-ray
An x-ray taken by a machine that rotates
around your head to give the orthodontist
a picture of your teeth, jaws and other
important information.
The records appointment
One of the initial appointments with
your orthodontist. The orthodontist
or his/her assistant takes pictures
of you, x-rays, and impressions so that
they can figure out what treatment needs
to be done. Click here for more information
about the records appointment
Tightening your braces
A process which occurs every 3-6 weeks
when you have braces. You go into the
orthodontist's office and the orthodontist's
assistant either makes adjustments to
the wires in your braces, or changes
the wires.
Wax bite
A procedure to measure how well your
teeth come together. You bite a sheet
of wax and leave bitemark in the wax.
The orthodontist looks at the bitemarks
to see how well your teeth are aligned.
Dental
and orthodontic gadgets and materials
not mentioned elsewhere
Acrylic
A plastic used to false teeth, retainers,
and other dental products. Dental acrylic
has been tested and thought to be perfectly
safe.
Algenate
A plaster like compound used to take
impressions. It tastes awful, but is
safe.
Armamentarium
A general term for the dental chairs,
lights and equipment used by your dentist
or orthodontist.
Biomechanics
the relationship between the force you
apply to living tissue such as teeth
and gums and and how the tissue moves
and changes
Biteplane
a removable appliance made of acrylic
designed to open a deep bite.
Nickel Titanium or (NiTi)
An especially strong orthodontic wire
which allows for rapid tooth movement.
"Recycling"
A disgusting procedure where an orthodontist
takes bands, brackets, wires, etc. out
of one patient's mouth and "recycles"
them to another patient's mouth. This
should not be confused with the kind
of recycling you do in your house; materials
recycled in your home are used as a
source of raw materials and not simply
reused.
Other
Orthodontic Terms
Archform
the shape of the dental arch. For example
the orthodontist could say that you
have a horseshoe archform or a "v"-shaped
archform.
Closed bite
A malocclusion where your upper teeth
cover your lower teeth when you bite
down. This is also called a "deep
bite."
Crossbite
A malocclusion where some of your upper
teeth are inside of your lower teeth
when you bite down.
Crowding
An orthodontic problem caused by having
too many teeth in two small of a space.
Crown angulation
a tooth movement in which the root of
the tooth is tipped forward or backward
to correct the angle of the crown.
Crown inclination
a tooth movement in which the root of
the tooth is tipped toward cheeks (lips)
or toward the lingual (palate) of the
mouth.
Deep bite
excessive overbite; closed bite.
Dentition
the arrangement of the teeth.
Diastema
a space between two teeth.
Drift
Unwanted movement of teeth.
Extrusion
Tooth movement in the direction of eruption.
Natural extrusion: teeth grow until
there is contact with another tooth.
Mechanical extrusion: to pull the teeth
so that it extends farther out of your
gums.
Fixed appliance
any orthodontic component that is cemented
or bonded to the teeth.
Flared teeth
A term used to indicate the position
of the teeth. The upper teeth are flared
lingually (toward the lip).
Full orthodontic treatment
Getting braces
Inclination
the angle of the long axis of a tooth
from a particular line of reference;
the tilt or tip of a tooth.
Interocclusal registration
a wax bite which is used to see how
your teeth come together
Interproximal stripping
reduction of the enamel of the teeth
on both sides of the tooth. This procedure
is preformed to create space for crowded
teeth.
Intrusion
movement of a tooth back into the bone.
Lingual appliances
orthodontic appliance fixed to the inside
of your teeth. i.e. Lingual appliances
are attached to the part of your teeth
next to your tongue.
Lingual arch
An orthodontic wire attached from molar
to molar in the inside of your teeth.
Lingual retainers
a variation of the lingual arch going
from cuspids to cuspid.
Malocclusion
Poor positioning of your teeth.
Class I Malocclusion
A Malocclusion where your bite is OK
(your top teeth line up with your bottom
teeth) but your teeth are crooked, crowded
or turned.
Class II Malocclusion
A Malocclusion where your upper teeth
stick out past your lower teeth. This
is also called an "overbite"
or "buck teeth"
Class III Malocclusion
A Malocclusion where your lower teeth
stick out past your upper teeth. This
is also called an "underbite".
Occlusion
The alignment and spacing of your upper
and lower teeth when you bite down.
Proper Occlusion
A beautiful smile where all of your
teeth are straight and your top teeth
line up with your bottom teeth
Open bite
A malocclusion in which the teeth do
not close or come together in the front
of your mouth
Orthodontics
The treatment preformed to correct your
bite and make your smile look wonderful.
Orthodontist
A dentist who has been specially trained
to do orthodontics.
Orthodontia
Braces
Overbite
vertical overlapping of the upper teeth
over the lower.
Overjet
horizontal projection of upper teeth
beyond the lower.
Retruded
a term used when your front teeth are
slated lingually (i.e. toward the back
of your mouth).
Rotation
a movement in which the tooth turned
along the long axis of the tooth.
Spee
the curve of spee is the curvature of
the occlusal plane of the teeth.
Stop
a bend or auxiliary attachment placed
on a wire to limit the archwire from
sliding or moving in the bracket slot
of the bracket.
Tipping
a tooth movement in which the root of
the tooth is tipped labially (lip) or
lingually (tongue) to correct the angle
of the crown of the tooth.
Torque
the rotation of a tooth on the long
axis moving the root of the tooth in
a buccal or labial direction.
Tracing (cephalometric)
an overlay drawing traced over a cephalometric
x-ray that shows specific structures
and landmarks that provided a basis
for orthodontic therapy.
Traction
the act of drawing or pulling the teeth.
Translation
a tooth movement in which the entire
tooth moves forward or backward without
tipping or rotating.
Typodont
A plastic model of a typical mouth,
showing the alignment of teeth. A typodont
is used to teaching orthodontic procedures.

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