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Lecture 8a.

The Maxillary Molars


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1. Which teeth are the largest and Maxillary molars by virtue of their
strongest maxillary teeth and why? bulk and their anchorage in the jaw

2. How many maxillary molars do we 6


have?
R and L 1st, 2nd, 3rd

3. In what dimensions are the maxillary cervico-occlusal dimension


molars NOT greater than the maxillary
premolars?

4. In which dimension is the maxillary facio-lingual


molar wider - the facio-lingual or the
mesiodistal?

5. What gets progressively smaller in the the distolingual cusp


second and third maxillary molars?
(shaded)

6. How many roots do the maxillary mo- 3 (trifurcated)


lars have?
generally in the 1st and 2nd

mesiobuccal
distobuccal
palatal

7. What is the purpose of the 3 roots? provides great anchorage for the
molars

8. Where is the normal location of the at the center of the fully developed
first permanent molars? jaw anteroposteriorly

9. Why are the maxillary first molars con- their positions and circumstances
sidered the cornerstones of the dental surrounding their eruption of the
arches? first permanent molars

10. Which cusp of the maxillary first mo- the mesiobuccal cusp
lar is generally visible when a person
smiles?
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11. What is the shape of the maxillary first trapezoidal


molars from the buccal view?

12. In what line of vision can the distal when line of vision is perpendicular
surface be seen from the buccal view? to the buccal groove

13. How many of the cusps can be seen parts of the 4 cusps
from the buccal view of the maxillary
first molars?

14. Which cusp - mesiobuccal or disto- mesiobuccal


buccal - is broader?

maxillary first molars

15. The mesial and distal cusp ridges of obtuse


the mesiobuccal cusp meet at what
kind of angle?

maxillary first molars

16. The mesial and distal cusp ridges of right angle


the distobuccal cusp meet at what
kind of angle?

maxillary first molars

17. Which cusp is generally sharper and distobuccal is sharper and longer
longer - distobuccal or mesiobuccal?

maxillary first molars

18. Where is the buccal groove located located at approx. half way be-
and where does it terminate? tween the mesial and distal line an-
gles and it is terminated at the ap-
maxillary first molars prox. midpoint gingivo-occlusally.

parallel to the long axis of the dis-


tobuccal root
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19. The cervical line in the buccal view apical direction


does not have much curvature, only
slightly curves in what direction?

maxillary first molars

20. Where is the mesial contact on the at the area 2/3 the distance from
maxillary first molars? cervical line to tip of the MB cusp

21. Where is the distal contact on the distal surface is more convex
maxillary first molars?
contact is half way from the cervi-
cal line to the tip of the DB

22. Where is there a concavity on the max- in the cervical 1/3 of the DB cusp
illary first molar?

23. Where do the MB and DB roots curve? at the middle 1/3 of the roots

maxillary first molars

24. How long is the root trunk in the buc- 4 mm long


cal aspect?

maxillary first molar

25. The mesio-distal measurement of the LESS than


roots is which one - greater than or
less than - that of the crown?

maxillary first molar

26. On average, how long is the root root length is twice as long
length as compared to the crown
length?

maxillary first molar

27.
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What two major cusps are visible from mesiolingual
the lingual view? distolingual

maxillary first molar

28. What is the Cusp of Carabelli? aka 5th cusp

visible in the lingual view

generally ONLY seen on the maxil-


lary first molars

orange dot mesial side = cusp of


Carabelli

29. From the lingual view, what shape is semicircular


the distal outline?

maxillary first molar

30. The cusp tip of the fifth cusp is usually 2 mm apical to the ML cusp tip
located where?

maxillary first molar

31. Where is the lingual groove located? located at the approx. center of the
lingual surface
maxillary first molar

32. Which cusp is longer and wider from mesiolingual cusp is longer and
the lingual view? wider than the distolingual cusp
(ML 3/5 and DL 2/5 of the lingual
maxillary first molar surface)

33. The angle formed by the ML cusp 90 degrees


ridge and the mesial surface is what?

maxillary first molar

34. obtuse
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The mesial and distal cusp ridges of
the ML cusp meet at what type of an-
gle?

maxillary first molar

35. Which cusp is somewhat round and DL (distolingual)


difficult to be described as an angle?

maxillary first molar

36. Where is the buccal height of contour cervical 1/3


of the maxillary first molar?

37. Where is the lingual height of contour middle 1/3


of the maxillary first molar?

38. What is the location of the cusp tips? WITHIN the root base

maxillary first molar

39. Which roots are visible from the only the mesiobuccal and palatal
mesial view? roots are visible

maxillary first molar

40. Which root trunk is shorter - mesial mesial root trunk is 3mm
root trunk or buccal root trunk?

maxillary first molar

41. Which cusps are visible from the Mesiobuccal, Mesiolingual and
mesial view? fifth cusp

maxillary first molar

42. Which root is flat from the mesial view the MB root is flat
and how big is it at the cervical line?
and it is approx. 2/3 of the BL mea-
maxillary first molar surement at the cervical line
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43. From the mesial view, is the cervical slightly curved


line curved?

maxillary first molar

44. Which cusp is more centered within the ML cusp


the outline of the root base?

maxillary first molar

45. The tip of what cusp is on the line with the ML cusp tip
the long axis of the palatal or lingual
root?

46. Where is the mesial proximal contact junction of the occlusal and middle
of the maxillary first molar? 1/3 somewhat toward the buccal

47. A shallow concavity is present cervical to


___________________ the mesial con-
tact area.

maxillary first molar

48. Where is the greatest projection of the outside of the crown projection
MB and P roots?
* the root trunk is a little closer
maxillary first molar to the cervical line than buccally
(3mm)

49. Which marginal ridge - distal or mesial distal marginal ridge


- is located more cervically?

maxillary first molar

50. Can part of the occlusal surface be yes


seen from the distal view?

maxillary first molar

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51. The crown on the buccal tapers to distally
which direction?

maxillary first molar

52. Is part of the buccal surface visible yes


from the distal view?

maxillary first molar

53. What structure of the DB root contin- a distinct concavity at the cervical
ues on to the distal surface? 1/3 of the DB root

What does this mean for restorations? it is challenging to restore this area
to the natural contour
maxillary first molar

54. How many roots are visible in the dis- all 3 roots
tal view?

maxillary first molar

55. From which surface is the root trunk the distal surface
the longest?
it is 5 mm
maxillary first molar

56. Is the cervical line curved in the distal no, it is straight


view?

maxillary first molar

57. Where is the distal proximal contact of centered cervico-occlusally and


the maxillary first molar? buccolingually

58. How many cusps are visible from the 5


occlusal view?

maxillary first molar

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Lecture 8a. The Maxillary Molars
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59. From the occlusal view, which dimen- the buccolingual is greater than the
sion of the maxillary first molar is mesiodistal
greater?

60. List the cusps of the maxillary first ML, MB, DL, DB, 5th
molar from largest to smallest.

61. Even though the fifth cusp may be in- there are always traces of develop-
distinct or absent, what is always pre- mental lines of the 5th cusp in the
sent? maxillary first molars

62. From the occlusal view, the maxillary wider mesially than distally and
first molar crowns are wider in what wider lingually than buccally
two dimensions?
B shorter than L
M longer than D

63. What is the shape of the maxillary first rhomboidal


molar in the occlusal view?
acute angles MB and DL
obtuse angles ML and DB

64. What does the maxillary molar prima- the MB, DB, and ML cusps
ry cusp triangle include?

65. What is important about the maxillary it is important in endodontics be-


molar primary cusp triangle? cause it reflects the outline of the
root trunk when this tooth is sec-
tioned

66. What are the 2 major fossae seen on central and distal fossae
the occlusal surface of the maxillary
first molar? (red circles)

67. What are the 2 minor fossae seen on mesial and distal triangular fossae
the occlusal surface of the maxillary
first molar? (blue triangles)

68. a union of the triangular ridge of


the distobuccal cusp and the dis-
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Lecture 8a. The Maxillary Molars
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What is the oblique ridge of the oc- tal cusp ridge of the mesio lingual
clusal surface of the maxillary first cusp.
molar?
this ridge is crossed by a shallow
groove that joins the 2 major fos-
sae

69. What are the mesial and distal margin- the ridges that bound the occlusal
al ridges of the occlusal surface of the table mesially and distally
maxillary first molar?
they are confluent with the cusp
ridges of the major cusps

70. What are the boundaries of the central cusp ridges of each of the 3 prima-
fossa? ry cusps

maxillary first molar

71. What lies in the approximate center of the central developmental pit
the central fossa?

maxillary first molar

72. What extends buccally onto the buc- the buccal developmental groove
cal surface of the crown between the
MB and DB cusps from the central pit?

maxillary first molar

73. What extends mesially at the obtuse the central developmental groove
angle to the buccal groove from the
central pit? it terminates at the mesial pit in the
mesial triangular fossa
Where does this structure terminate?

maxillary first molar

74. Where is the transverse groove of the it is a short developmental groove


oblique ridge and what is it? that progresses from the central pit
in the distal direction at the obtuse
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Lecture 8a. The Maxillary Molars
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angle to the buccal groove.
maxillary first molar
when it runs across the oblique
ridge, joining the central and distal
fossae, it is the transverse groove
of the oblique ridge

75. Where is the distal fossa of the maxil- linear in form, located distal to the
lary first molar? oblique ridge (yellow circle)

76. Where is the distal oblique groove traverse the deepest portion of the
(DOG) of the maxillary first molar? distal fossa

(green arrow)

77. What is the lingual developmental connected to the DOG at the junc-
groove connected to and where are tion of the cusp ridges of the ML
they connected? and DL cusps

maxillary first molar (blue arrow)

78. Where does the 5th cusp groove join near its terminus
the developmental lingual groove?

maxillary first molar

79. What do the two terminal branches of form two sides of the outline of the
the distal oblique groove form? distal triangular fossae

maxillary first molar

80. What forms the 3rd side of the distal the mesial slope of the distal mar-
triangular fossa? ginal ridge

maxillary first molar

81. The lingual outline of the DL cusp is in the lingual outline of the 5th cusp
line with what?
(yellow dashes)
maxillary first molar
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82. Where does the DL cusp tip lie in rela- slightly buccal
tion to the 5th cusp tip?

83. Where is the ML cusp located in rela- more buccal


tion to the Dl cusp?

84. What is the function of the maxillary supplement the functions of the
second molars? maxillary first molars

#2 and #15

85. What size are the maxillary second same as the first molars
molars in the facio lingual direction?

86. What size are the maxillary second slightly smaller than first molars
molars in the mesio distal and cervico
occlusal dimensions?

87. How many cusps do the maxillary sec- 4


ond molars generally have? What are mesiobuccal, mesiolingual, disto-
they? buccal, distolingual

88. Which cusp is smaller on the second the distolingual cusp


molar than on the first?

89. The outline of which tooth - maxil- maxillary second molars


lary first or second molars - converges
more distally?

90. Which maxillary molars have more maxillary second molars


supplemental anatomy?

91. Does the maxillary second molar have NO


a 5th cusp?

92. How many roots do the maxillary sec- 3 roots


ond molars have and what is their same length as firsts
length compared to the maxillary first
molars?
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Lecture 8a. The Maxillary Molars
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93. Which way do the roots of the maxil- distal inclination


lary second molars incline?

94. From the buccal aspect, the crown of a. shorter cervico-occlusally


the maxillary second molar is..
a. shorter cervico-occlusally as the
maxillary first molar
b. longer cervico-occlusally as the
maxillary first molar
c. same cervico-occlusally as the max-
illary first molar

95. From the buccal aspect, the crown of a. narrower


the maxillary second molar is..
a. narrower mesio-distally than the
maxillary first molar
b. wider mesio-distally than the maxil-
lary first molar

96. Are the MB and DB roots of the maxil- almost same length
lary second molar the same length as
the maxillary first molar? What is their parallel
inclination?
incline distally

97. The apex of the DB root of the maxil- the most distal extremity of the
lary second molar is distal to what? crown

98. The apex of the MB root is in line with the buccal groove
what?

99. Which has a smaller DL cusp: max- maxillary second molar


illary first molar or maxillary second
molar?

100. From the mesial aspect, the max- a. same


illary second molars have the
___a.____ bucco-lingual dimension b. shorter
as the maxillary first molars, a
____b.____ crown cervico-occlusally, c. bucco-lingually
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and roots that do not spread as far
________c._________.

101. Why is the bucco-lingual dimension because the crown is tapered DIS-
of the maxillary second molar in the TALLY
distal aspect less than that of the first
molar?

102. What is the shape of the maxillary sec- rhomboidal


ond molars from the occlusal view?
obtuse angles are greater and the
acute angles are smaller than the
maxillary first molars

* more supplemental grooves

103. From the occlusal aspect, the max- a. same


illary second molars have the
____a.____ bucco-lingual dimension b. 1mm
and a mesio-distal dimension that is
_____b. ____ smaller than the maxil-
lary first molars.

104. From the occlusal aspect, which the DB and DL of the maxillary sec-
cusps of the maxillary second molar ond molar
are smaller and less developed than
those of the maxillary first molars?

105. Which of the 3 maxillary molars is the the third maxillary molar
smallest in all dimensions?

106. The occlusal outline of the third max- heart shaped


illary molars is what shape?

107. How many cusps do the third max- 3


illary molars have? What are they
called? MB
ML
DB

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NO DL usually

108. Which of the 3 maxillary molars has third maxillary molars


the most variation and most supple-
mental anatomy?

109. Which maxillary molar has roots that third maxillary molar
are shorter and closer and often
fused?

110. To which direction are the roots of the more distally inclined than other
third maxillary molar inclined? maxillary molars

111. Long roots with a small crown is com- third maxillary molar
monly seen for which maxillary mo-
lar?

112. What is microdontia? a common root and crown varia-


tion for the third maxillary molar in
which the entire tooth is abnormal-
ly small

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