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Difference Bw D P Dentition

Apr 08, 2018

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Shwetha Rao
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    DIFFERNCES BETWEEN DECIDUOUS

    AND PERMANENT TEETH

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    DIFFERENCES OF THE CROWN

    Primary Teeth Permanent Teeth

    Lighter in colour, bluish

    white/ milk teeth (R.I. is

    same as milk i.e. 1)

    Darker in colour, grayish or

    yellowish white.

    Duration: 6 months to

    5-6 years

    Duration: 6 years onwards

    Number: 20 Number: 32

    Smaller in dimension Larger in dimension

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    DIFFERENCES OF THE CROWN

    Crowns are wider

    mesiodistally.

    Crowns are wider cervico

    incisally

    Cervical ridges are

    prominent especially onbuccal aspect

    Cervical ridges are less

    prominent

    Narrow occlusal tables Less convergence of

    buccal and lingual surfaces

    Sharp cervical constriction Less constriction of the

    neck

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    DIFFERENCES OF THE CROWN

    Enamel is thinner anduniformly thick(1mm).

    Enamel is about 2-3 mmthick.

    Contact areas are broader

    and flatter and gingival.

    Contact points are more

    occlusally situated.Enamel rods at the cervical

    slopes occlusally from DEJ

    Enamel rods are oriented

    gingivally

    Supplemental grooves are

    more

    Supplemental grooves are

    less

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    DIFFERENCES OF THE CROWN

    Mammelons absent Mammelons are present

    on newly erupted teeth

    First molar is smaller in

    dimension than second

    molar

    First molar is larger in

    dimension than second

    molar

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    DIFFERENCES OF THE ROOT AND PULP

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    DIFFERENCES OF THE ROOT

    The roots are larger and

    slender compared to crown

    size

    Roots are more bulbous

    and shorter in comparison

    to crown

    Root trunk is smaller Root trunk is larger

    Roots flare outward to

    accommodate permanentteeth

    Marked flaring is absent

    Physiologic resorption

    during shedding

    Physiologic resorption is

    absent

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    DIFFERENCES IN THE PULP

    Pulp chamber is larger in

    relation to crown size

    Pulp chamber is smaller in

    relation to crown size

    Pulp horns are moreprominent and are closer to

    the outer surface

    Pulp horns arecomparatively away from

    the outer surface

    High degree of cellularity

    and vascularity in tissue

    Comparatively less degree

    of cellularity and vascularity

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    DIFFERENCES IN THE PULP

    High potential for repair Less potential for repair

    Greater thickness of dentin

    over the pulpal wall at theocclusal fossa of molars

    Comparitively lesser dentin

    on the occlusal surface

    Root canals are ribbon like.

    Radicular pulp is thin,

    tortuous and branch.

    Root canals are well

    defined with less

    branching.

    Floor of pulp chamber is

    porous. Accessory canals

    are present in good number

    Floor of pulp chamber does

    not have any accessory

    canals.

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    HISTOLOGICAL DIFFERENCES

    Enlarged apical foramen

    Abundant blood supply

    demonstrates typical

    inflammatory response

    Foramens are restricted

    Reduced blood supply

    favours calcific response

    Reparative dentin formationis more extensive and

    irregular

    Reparative dentin formationis less

    Density of innervation is

    less of which primary teethare less sensitive

    Density of innervation is

    more

    Localisation of infection

    and inflammation is poorer

    in pulp

    Inflammation and infection

    in pulp is localised.

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    MINERAL CONTENT

    Enamel and dentin are less

    mineralized

    Enamel and dentin are

    highly mineralized

    Neonatal lines are present Neonatal lines seen only infirst molar

    Dentinal tubules are less

    regular

    Dentinal tubules are more

    regular

    Dentin is less dense. It cuts

    more easily

    Dentin is difficult to cut as it

    more dense.

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    PERIODONTAL DIFFERENCES

    Cementum is very thin.

    Secondary cementum isabsent

    The secondary cementum

    is present

    Alveolar atrophy is rare Alveolar atrophy occurs

    Gingivitis is generally

    absent in healthy child

    Gingivitis is common in

    adult.

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    CLINICAL IMPLICATIONS

    Cavity cutting

    Root canal treatment.

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    Doubts??

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