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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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