Category Archives: Education

Check Out The Latest Dental News

Every couple of weeks I go to Google News and type in the word ‘dentist’ or ‘dentistry’ or another related word and see what is happening in the world or what is making headlines in the dental world.

Try it out by using the links below where I have already chosen the search parameters.

Dentist

Dentistry

As of this writing the word ‘dentist’ brought up a couple of interesting articles. One was about a dentist in Canada whose neighbors were mad because he is trying to get a permit in his yard for a helicopter landing pad.

The other article was about a Chinese dentist who has been designing dental instruments for the last 20 years and this hobby of his has led to a handful of engineering feats he has designed that have made it to space.

Classes of Cavities

There are six types or classes of cavities which are used daily in dental school and of course in private practice.  It is always good to get exposure to this terminology before school (or as a review).  By your second semester of dental school this should be second nature. I have usd terminology in these definitions that can be reviewed here.
Class I:

Caries involving the pits and fissures on the occlusal, buccal and lingual surfaces of molars (occlusal 2/3 of the crown), the occlusal surfaces of premolars, and the lingual surfaces of incisors and canines.

Class II:

Lesions (another word for an abnormal area) on the proximal surfaces of posterior teeth (premolars and molars).

Class III:

Lesion on the proximal surfaces of canines or incisors which do not include the incisal angles.

Class IV:

Proximal surface lesions that include the incisal angles of incisors and canines.

Class V:

Lesions of the gingival 1/3 of the facial and/or lingual surfaces of all teeth.

Class VI:

Lesions of cusp tips of canines, premolars, or molars or the incisal edges of incisors that do not impinge on the incisal angles.

These are the simplest definitions and because they are basic definitions dental schools like to make them harder by adding information to them.  For example when a tooth is developing caries , the caries will form a triangular shape as it courses through the enamel.  When it reaches dentin a new triangular shaped form will occur.  In a radiograph this decay looks like two triangles stacked with there bases touching (forming a diamond shape).  It is called base to base.  It should be noted that decay has a mind of its own and so not all decay takes this form, but it is just something else you can apply to the basic definition of Class I.  Various classes of cavities have various forms of decay, like apex to apex or apex to base.

It should also be mentioned that when you prep a tooth because it has proximal decay (1st maxillary molar for example – Class II) the preparation is also given the name Class II. If there is caries on the mandibular central incisor but not the incisal angle then the prep would be called a Class III prep which matches the Class III lesion you have surgically removed.

Again this is basic stuff and you are taught it once and are expected to know it from there on out.  I also wouldn’t imagine many schools taking too much time explaining the intricacies of these either.  They show a picture or illustration of a tooth with a black spot on the area that meets the definition and move on to the next slide.  Hope it helps.

Directional Terms to Memorize

Starting dental school with a little bit of knowledge can help to decrease the new stress of having to learn a large amount of new material. I hope that this new section called ‘education’ will provide a good overview of concepts and terminology you can use before or after you start dental school. I figured I would start on something simple and increase the knowledge bank from here.

These terms are basically beat into you the first semester (at least at Temple) of dental school and if not, then you should know them by the end of the first year. They are pretty basic and knowing them ‘cold’ will help in all aspects of dentistry. In fact they should be second nature after your first semester of dental school.

Facial – towards the face. The facial surface of a tooth is the side next to the cheeks or lips. The side you see in a normal smile.

Buccal – another term for facial usually denoted for posterior teeth, or teeth located next to the cheek. Do not use this term for incisors or canines. Bucca is Latin for cheek.

Labial – the term used for the facial aspect of anterior teeth, or incisors and canines. Do not use this word for posterior teeth (premolars or molars). Labia is Latin for lips.

Anterior – nearer to the front. A canine is more anterior than a premolar or molar. Anterior teeth include the incisors and canines.

Posterior – in the back. A molar is more posterior than an incisor. Posterior teeth include premolars and molars.

Occlusal – the chewing surface of posterior teeth. The top ‘flat’ part of the tooth. Anterior teeth have an edge and are designated differently.

Incisal – The edge of anterior teeth, used to cut food.

Lingual – The tongue side of the tooth.

Palatal – Only used for the teeth in the maxillary arch (upper teeth) and also refers to the tongue side of the teeth. This term can also be used because these teeth are adjacent to the palate.

Proximal – the sides of the teeth that usually are in contact with one another. The side in between adjacent teeth.

Mesial – The proximal aspect of the tooth closer to the midline of the face.

Distal – The proximal aspect of the tooth further from the midline of the face.

These are the general terms and during your first semester learning these will not be difficult. What gets difficult is putting everything together. All those terms come together at line and point angles of every tooth. For example, where the distal and lingual aspects meet, they will form a line angle called the distolingual line angle. This line angle will ascend and meet with the occlusal surface to create a corner or point called the distolinguoocclusal point angle. Add varying anatomy to each of the 32 teeth in the human mouth and your brain starts doing tricks. Also add that every cusp on the teeth also get a designated directional term along with the anatomy in that tooth. Triangular ridge of mesiolingual cusp for example, or mesial cusp ridge of distobuccal cusp.

It is difficult at first and hopefully a list like this can give you a head start on learning the language of dentistry. One day it will click and by second semester you should be using these terms and associating them with the anatomy of the teeth like it was tying a shoe. When was the last time you had to think while tying your shoe? Exactly. :)