Human teeth - structure, quantity, numbering and composition


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Crooked, unhealthy teeth can ruin the appearance of an otherwise attractive person. Oral health is important not only for our attractiveness, because the main function of teeth is to grind food. The condition of the stomach and intestines depends on this, which directly affects health and life expectancy .

Teeth of ancient people

The dentofacial apparatus of prehistoric and modern humans differs significantly. Ancient people had more than 36 teeth, protruding fangs and a massive jaw. This was explained by the need to chew rough food and raw meat. With the addition of thermally processed foods to the diet, the dentition began to change. The canines were the first to transform, becoming aligned with the bite line. Then the jaw arch narrowed, the interdental spaces disappeared, and the teeth themselves decreased in size. Currently, 32 teeth in humans are the norm, but third molars are considered to be an atavism.

Interesting fact!

The teeth of ancient man cannot be called aesthetic, but they were healthy. According to scientists, cavemen never suffered from caries and other oral diseases.

Name of human teeth

Depending on the location and structure, dental units have their own functional characteristics and are called differently.

  • Incisors.
    On both jaws there are four front teeth in humans - medial and lateral incisors, which are used for biting food.
  • Fangs.
    Sharp teeth designed for chewing hard foods.
  • Premolars.
    "Fours" and "fives" on the left and right sides of each jaw arch grind soft or small pieces of food.
  • Molars.
    Three large outer teeth in each row are aimed at grinding coarse substances.
  • The canines
    and incisors are part of the anterior group, or the “smile zone,” and the human molars are part of the chewing segment.

In addition, teeth are divided into temporary and permanent. In the first case, we are talking about dairy products that appear in children from the fifth month of life to three years. The second refers to the final bite, which is formed between six and thirteen years of age. Milk teeth differ from permanent teeth only in size, but in structure they are identical.

Anatomy of the human jaw

The human maxillofacial region has the following anatomical structure:
  • mouth slit,
  • vestibule of the oral cavity,
  • cheeks,
  • lips,
  • solid sky,
  • soft sky,
  • language,
  • gums,
  • teeth,
  • upper and lower jaw.


The oral fissure is limited by the lips, which represent the orbicularis oris muscle and subcutaneous fat.
The cheeks are formed by adipose tissue (Bishat's lump) and bundles of buccal muscle. In the projection of the crown of the upper second molar on the inside of the cheeks there is a papillary elevation of the mucous membrane.

The excretory duct of the parotid salivary gland opens from the papillary eminence.

The oral cavity, cheeks, upper and lower gums and teeth form the vestibule of the oral cavity.

Gums are alveolar processes of the upper and lower jaws, covered with mucous membrane, which cover the teeth in the cervical area.

The mucous membrane of the mouth and the enamel of the teeth are constantly moistened with saliva, which is secreted by paired parotid, sublingual and submandibular glands, as well as many small glands, in a volume of up to 1.5 liters per day. Saliva contains organic and inorganic substances, it contains about 18 amino acids, 50 enzymes, mucin, substances with antibacterial activity (leukins, opsonins, lysozyme).

Saliva promotes the maturation of enamel, remineralization, has a cleansing effect, antibacterial activity and at the same time favors the formation of plaque and tartar.

The hard palate is formed by the palatine processes of the upper jaws and the perpendicular processes of the palatine bones.

The soft palate is formed by muscle fibers covered with a mucous membrane with a large number of mucous glands. On the sides of it there are arches - the palatine lingual and the velopharyngeal, between which there are accumulations of lymphoid tissue, the so-called palatine tonsil.

The tongue is a muscular organ covered with a mucous membrane. Its structure is divided into a wide rear part - root, body, middle part and apex. On the upper mucous membrane of the tongue, there are four types of papillae containing taste buds: filiform, leaf-shaped, mushroom-shaped, and rough.

Upper jaw

The upper jaw is a paired fixed bone. Its structure includes the body, palatine process, frontal process, zygomatic process, and alveolar process.

The palatine process takes part in the formation of the hard palate, the frontal process participates in the formation of the orbit, the alveolar process carries the sockets of the teeth - alveoli, and the zygomatic process attaches the zygomatic bone.

In the body of the upper jaw there is a cavity - the maxillary sinus, containing air and lined from the inside with mucous membrane. In close proximity to it are the apexes of the roots of the large molars (especially the sixth). Therefore, there is a high probability that the inflammatory process that has arisen in the tooth and periodontal tissues can easily spread to the sinus - sinusitis will develop.

Lower jaw

The lower jaw is an unpaired movable bone, shaped like a horseshoe. Its structure includes: a body with dental alveoli; two branches ending in condylar and coronoid processes; the condylar process, which connects with the articular fossa of the temporal bone, participates in the formation of the temporomandibular joint, due to which movement in the lower jaw is carried out.

According to data from dental reference books

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How many teeth does a person have?

The number of teeth a person has depends on age and anatomical features. The child has a set of 20 primary teeth, which are replaced by a permanent bite of 28 teeth. Third molars erupt, as a rule, after twenty years or do not grow at all, which is not a pathology.

In dentistry, a single numbering of human teeth is adopted. Doctors classify teeth as lower and upper and distinguish the right and left segments of the jaws. Each of them includes two incisors, a canine, two premolars and three molars. The countdown starts from the first front tooth and ends, accordingly, with a figure eight. Sometimes a number is added to the serial number indicating the location zone. For example, the right canine of the top row is numbered 13. This order in the schematic representation is called the formula of human teeth.

Polyodontia

In rare cases, an anomaly such as polyodontia is observed - supernumerary, or extra teeth in a person. Dental units can appear in the primary and permanent dentition anywhere in the jaw, separate from or fused with the main teeth. The defect affects not only the aesthetics of the smile, but also leads to the formation of incorrect occlusion, impairs the quality of chewing food and diction. Most often, supernumerary teeth are removed in childhood or built into the dentition.

Edentia

There is also a deviation of the opposite meaning called edentia - congenital or acquired absence of dental units. The causes of the phenomenon include heredity or improper development of the embryo in the womb. People without teeth cannot fully eat and speak, have a deformed facial contour and weakened immunity.

Upper jaw

The upper jaw (in Latin - maxilla) occupies a central place among the bones of the facial part of the human skull. This bone structure has a complex structure and performs a number of vital functions.

INTERESTING : As their work activity developed, ancient people transferred some of the grasping functions from the jaw to their hands. As a result, the size of this bone structure has decreased significantly

Functions and purpose

The upper jaw bone performs a number of important functions. Below is a description of some of them:

  • Shape-forming. Forms the nasal and eye cavities, the partition between the mouth and nose.
  • Aesthetic. The size and shape of this bone will determine the oval of the face, the setting of the cheekbones, and the external attractiveness of a person.
  • Respiratory. Forms an extensive maxillary sinus, in which the inhaled air is moistened and heated.
  • Chewable . The teeth located on the jaw ensure chewing of the food consumed.
  • Swallowing . The muscles and ligaments involved in the process of swallowing food (including the tongue) are attached here.
  • Sound-forming. Together with the lower jaw and air sinuses, it takes part in the formation of various sounds. When this bone structure is damaged, a person’s diction is impaired.

IMPORTANT ! During the day, a person makes about 1.4 thousand chewing movements. When chewing bread, the jaw experiences a pressure of 15 kg, fried meat - 25 kg, maximum pressure - 72 kg

Structural features

The upper jaw bone has a complex structure. It consists of several segments and processes, shown in the following picture.

Below we will consider how the body of the jaw bone is structured and how many interconnected surfaces it consists of.

Jaw body

The anterior surface , located under the infraorbital margin, has a slightly curved shape. On it you can see the infraorbital foramen and the canine fossa.

The posterior surface consists of a tubercle and several alveolar openings for nerves and vessels. Next to the tubercle is the palatine groove.

The orbital surface consists of the lacrimal notch and the infraorbital groove, which passes into the infraorbital canal.

The nasal surface and the anterior surface are isolated from each other by the nasal notch. The main part of the nasal surface consists of the maxillary cleft.

REFERENCE : The fixed upper jaw bone is stronger than the movable lower one. Together with other bone structures of the skull, it protects the brain from injury and bruises.

Processes

The palatine process occupies a significant area of ​​the hard tissues of the palate. It is connected to the second process, located on the opposite side, using a median suture.

The frontal process with its upper side is attached to the nasal region of the frontal bone, its anterior side to the new bone, and its posterior side to the lacrimal bone. The lower edge of the process connects to the body of the jaw. The process has a lacrimal groove and a ethmoidal ridge.

The zygomatic process begins at the outer upper corner of the body and has a lateral location. The upper part of the zygomatic process is adjacent to the frontal bone.

The alveolar process is a bone formation with a complex structure. It includes walls, dental alveoli, interdental and interradicular bone septa.

Mounds

The infratemporal part of the jaw has a convex shape. Its most prominent area is called the “maxillary tubercle” (in Latin - tuber maxillae). At the base of the tubercle there are alveolar openings for blood vessels and nerves. The oblique head of the pterygoid lateralis muscle is attached to the maxillary tubercle.

In international practice, the following abbreviations are used to designate tubercles: PNA (according to French nomenclature), BNA (according to Basel nomenclature) and JNA (according to Jena nomenclature).

Features of blood supply

The maxillary internal artery, or rather its four branches, is responsible for the blood supply:

  • posterior superior alveolar;
  • infraorbital;
  • descending palatine;
  • nasopalatine (see the following diagram).


The following table shows which areas the listed vessels supply blood to.
Blood supply to the maxillary bone

ArteriesAreas to which blood is supplied
Posterior superior alveolarGums, teeth, alveolar process, mucous membrane of the maxillary cavity, bone walls (posterior, lateral)
InfraorbitalInferior orbital canal, orbit, anterior gums, teeth
Descending palatineHard palate, pterygopalatine canal, soft palate and surrounding tissues
NasopalatineNasal cavity, incisive canal, posterior parts of the nasal septum

The venous network, which is responsible for the outflow of blood, does not always follow the pattern of the supply vessels. It is represented by parallel veins and venous plexuses. From the pterygopalatine ganglion, blood flows into the maxillary vein, and from there into the external jugular vein. From the plexus of the alveolar process it enters the facial vein, and then into the internal jugular vein.

Teeth

When studying the anatomy of the human upper jaw, one should dwell in more detail on the structure of the teeth. This bone structure contains incisors, canines, premolars and molars.


Below is a brief description of the structure of the teeth of a normal, healthy human upper jaw.

Teeth located on the human upper jaw

Tooth nameTooth shapeNumber of tuberclesRoot structure
Central incisorChisel-shaped3Single, cone-shaped
Lateral incisorChisel-shaped3Flattened from center to edge
FangPointed1Single, powerful
First premolarPrismatic2How many tubercles, so many roots
Second premolarPrismatic2Cone-shaped, compressed front and back
First molarRectangular4With three branches
Second molarCubic4With three branches
Third molarCubic4Short, powerful

Despite the fact that teeth differ in types (types) and shapes of crowns and roots, their internal structure is the same.

Diseases and pathologies of the upper jaw

Inflammatory processes in the oral cavity can provoke the appearance of cysts on the human jaw - hollow tumors filled with fluid. Cysts are treated in several ways, but surgery is considered the most successful. More information about the treatment of cysts can be found in the article “Treatment of jaw cysts: radicular, follicular, odontogenic and others.” Bone inflammation can lead to osteitis, periostitis or osteomyelitis, the characteristics of which are presented in the following table.

Inflammatory diseases of the human maxillary bone

Namea brief description of
OsteitisBone damage
PeriostitisInflammation of the periosteum
OsteomylitisBone marrow inflammation

Periostitis can occur in fibrous, purulent or serous forms, and osteomyelitis - in acute or chronic forms. The listed diseases can cause odontogenic sinusitis - a disease associated with the penetration of infection into the maxillary sinuses.

Among malignant formations of this bone structure, tumors of epithelial origin predominate.

Dimensions of human teeth

The upper central incisors are twice as wide as their antagonists. The remaining dental units of the same name have approximately equal parameters. The size is determined using special tables with the optimal size and permissible deviations. Experienced doctors calculate proportions by dividing the length of a person’s teeth by the width. A result of about 0.75 millimeters is considered close to ideal. For more detailed diagnostics, other professional formulas and techniques are used.

Size deviations from the norm occur due to improper formation of the jaw, fusion of tooth buds, or genetic predisposition. Teeth that are too large are called macrodentia, and abnormally small teeth are called microdentia. Pathologies are accompanied by problems with bite and chewing functions, but can be successfully corrected by a dentist.

Interesting fact!

The longest tooth in the world belongs to an Indian teenager. The size of its crown is almost four centimeters. About a year ago, the tooth was removed, and the young man was included in the Guinness Book of Records.

The structure of the human tooth

Anatomy

From an anatomical point of view, a human tooth consists of three parts.

  • Crown.
    The visible part protruding above the gum. It has four sides: the occlusal, or cutting edge, in contact with the antagonist teeth; contact wall adjacent to adjacent dental units; vestibular and lingual surfaces facing the lips and tongue, respectively.
  • Root.
    Fixed in the socket by connective tissue, located in the recess of the jaw. As a rule, premolars have two roots, and molars have three, four or even five. The remaining dental units have one root canal.
  • Neck.
    It is located between the coronal part and the root of a human tooth, surrounded by periodontium.

Histology

What are human teeth made of? Let's look at the cross-section of the structure of a human tooth.

  • Enamel.
    A transparent protective coating of the crown, almost entirely consisting of inorganic microelements.
  • Dentine.
    The hard base of the tooth, containing 80% mineral components and 20% organic substances. The shade of dentin is responsible for the color of dental units, as it shines through the enamel.
  • Cement.
    The bone tissue covering the tooth root. Plays the role of a fastening element connecting the tooth to the alveolus.
  • Pulp.
    Soft tissue filled with bundles of nerves and capillaries. Painful sensations during caries are explained precisely by the presence of nerve endings.

The structure of baby teeth

A temporary bite differs from a permanent bite not only in the number of teeth (in a temporary bite there are 20). Baby teeth have a bluish tint to the crown, which is also much wider than the root. Children have less enamel mineralization, so caries affects them very quickly, and the pulp takes up more space compared to permanent teeth. The canals of baby teeth are wider, easier to pass for instrumentation, and the roots themselves have a rounded shape. The structural features of baby teeth determine their rapid destruction in case of infection penetration and very severe pain in the child, so in childhood, visit the dentist in a timely manner.

Knowing the structure of teeth will help you quickly find a common language with the dentist and feel more confident when discussing treatment issues.
You will be able to better navigate the manipulations performed by the doctor and clarify all the points that interest you with an understanding of the essence of what is happening. This article is for informational purposes only, please consult your doctor for details!

Human wisdom teeth

A “wisdom tooth” is the third outer molar with three to five roots. In structure it is no different from its “neighbors”. To the question “How many wisdom teeth does a person have?” cannot be answered unambiguously. They erupt around the age of twenty, one on each side of both jaws. However, there are people without wisdom teeth. This is a variant of the norm, since in the process of human evolution the need for the “eight” disappeared, and the structure of the jaws underwent corresponding changes. Today, third molars are considered a vestigial organ.

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