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first molars, maxillary and mandibular, are described in detail later in this chapter. Major Contrasts between Primary and Permanent Teeth In comparison with their counterparts in the permanent dentition, the primary teeth are smaller in overall size and crown dimensions. They have markedly more prominent cervical ridges, are narrower at their “necks,” are lighter in color, and have roots that are more widely flared; in addi- tion, the buccolingual diameter of primary molar teeth is less than that of permanent teeth.' More specifically, in comparison with permanent teeth, the following differences are noted: 1, The crowns of primary anterior teeth are wider :mesiodistally in comparison with their crown length than are the permanent teeth 2. The roots of primary anterior teeth are narrower and longer comparatively. Narrow roots with wide crowns Pulp Chambers and Pulp Canals A comparison of sections of primary and permanent teeth demonstrates the shape and relative size of pulp chambers and canals (Figure 3-6), which is noted here: 1. Crown widths in all directions are large in comparison ‘with root trunks and cervices. present an arrangement at the cervical third of crown and root that differs markedly from that of the permanent anterior teeth “The roots of the primary molars accordingly are longer and more slender and flare more, extending out beyond projected outlines of the crowns. This flare allows more room between the roots for the development of permanent tooth crowns (see Figures 3-21 and 3-22). 4. The cervical ridges of enamel of the anterior teeth are ‘more prominent. These bulges must be considered seriously when they are involved in any operative procedure (see Figure 3-13). 5. The crowns and roots of primary molars at their cervical portions are more slender mesiodistally. 6. The cervical ridges buecally on the primary molars are ‘much more pronounced, especially on the maxillary and mandibular first molars (see Figures 3-25 through 3-28), 7. The buceal and lingual surfaces of primary molars are flatter above the cervical curvatures than those of permanent molars, which narrows the occlusal surfaces. 8. The primary teeth are usually less pigmented and are whiter in appearance than the permanent tecth. 3. 2. The enamel is relatively thin and has a consistent depth. 3. The dentin thickness between the pulp chambers and the enamel is limited, particularly in some areas (lower second primary molar). 4. The pulp horns are high, and the pulp chambers are large (Figure 3-7, 4 and 5. 5, Primary roots are narrow and long when compared ‘with crown width and length 6. Molar roots of primary teeth flare markedly and thin aa out rapidly as the apices are approached. we LF MR 3 ray Figure 4-14 A, Maxillary lateral incisor, which shows prominences at the centers of calcification. T, Tubercle, prominence equal to a small cusp at the cingulum; LF lingual fossa; MR, marginal ridges; IR, incisal ridge with a prominent enamel rise. B, Maxillary canine showing evidence of lobe formation. 1, Mesial lobe; 2, labial lobe; 3, distal lobe.

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