Lower premolars

Lower premolars

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The first lower premolar

• Start of calcification: end of the 3rd year

• Complete calcification: 11-14 years 

• Eruption between: 9 – 11 years approximately 

• HT=23 mm

• It is longer than the upper premolars

• Its bicuspid character is less pronounced

• Its general shape is similar to that of the lower canine.

A-The crown:

1/ The vestibular face:

– Similar to that of the lower canine but smaller.

– The free edge is less pointed. 

– The bulge is located at the lower 1/3 coronary.

2/ The lingual face:

– It is much smaller than face V, it barely exceeds ½ the height of face V.

– It is convex in the vertical and horizontal directions.

3/ The proximal faces:

– Unlike the PM sup, they are taller than they are wide (7.5mm, 8mm).

– They converge towards each other at the collar.

4/ The occlusal face:

– Seen from the front, it is almost circular,

– Has 2 cusps, one vestibular and one lingual,

– The V has double the width and height of the lingual

– Very marked obliquity 45°.

– An intercuspal groove MD, placed near the lingual edge, barely marked and very shallow, separates the 2 cusps.

– There are 2 marginal pits, 1 mesial and 1 distal

– There are 2 marginal ridges, 1 mesial and 1 distal.       

B-The root:

– It is unique, conical, flattened in the MD direction. 

– Has the same characteristics as the root of the canine < .

– It is smaller and more slender.

– No groove on the proximal faces

C-The pulp chamber:

It has two pulp horns: a very large vestibular one and a very small lingual one.

D-Situation in the mouth:

VL meaning: 

– The V face of the crown is slightly more inclined on the L side than on the lower canine,

– The occlusal face is oblique from top to bottom in the lingual direction,

– The root has an oblique inclination of 2.5°/vertical from bottom to top in the lingual direction.

MD Meaning:

– The entire tooth has a vertical direction 

– Slightly more inclined than that of the lower canine.   

The second lower premolar

• Start of calcification: around 4 years;

• Complete calcification: approximately 12 ½ years;

• HT = 23.5 mm;

• Eruption: approximately 11 to 13 years. 

• Its crown has a cubic shape which brings it closer to that of the molars, 

• Most often, it has 3 cusps (sometimes only 2).

A- The crown:

1/ Face V:

– It is larger than on the 1st lower PM,  

– The free edge is not pointed,

– The central lobe barely exceeds the side lobes,

– The overall modeling is comparable to that of the 1st PM inf.

2/ The L side:

– A little less high than the V face, barely less wide.

– Its free edge can appear in 2 ways depending on whether the crown has 2 or 3 cusps.

In the case of 2 cusps:

Free edge has a single, very blunt point.

In the 3-cusp case:

– The free edge is divided into 2 points (the mesial point being slightly wider than the distal point) by a small groove which comes from the occlusal face and which immediately merges into the L face.

– This face is slightly convex in the vertical and horizontal direction as for the 1st lower PM, it is a little oblique from bottom to top in the L direction.

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3/The proximal faces:

They are a little wider than they are tall.

4/The occlusal face:

2-cusp case:

– Cusp V is the most prominent and strongest;

– The MD groove is curved with concavity V;

– The marginal dimples are therefore found closer to the V edge than to the L edge. 

3-cusp case:

– The L cusp is divided into 2 small cusps by a groove in the VL direction which starts from the MD groove and ends on the L face.

– The set of 2 furrows gives the shape of a Y;

– There are 2 marginal dimples 1M and 1D;

– There are 2 marginal ridges 1M and 1D.

B-The root:

It has the same conformation as the 1st lower premolar, however it is stronger, generally no groove on the proximal faces.

C-The pulp chamber:

■ It has 2 or 3 horns, depending on whether the crown has 2 or 3 cusps 

■ The root canal is very slightly flattened in the MD direction.

D-Situation in the mouth:  

Same general inclination as the 1st lower premolar, only the occlusal face is much less oblique.

Differential characteristics of premolars:

A/ Between the upper PM and the lower PM:

mesial4

B/ Between the 1st PM sup and the 2nd PM sup:

1st PM  sup2nd PM sup 
the 1st PM sup is slightly larger than the second 
A cusp L with a diameter VL smaller than that of its cusp VTwo cusps of equal diameter
The 2 cusps do not reach the same level, cusp V is more prominent.Two cusps of equal value projecting 

C/ Between the 1st lower PM and the 2nd lower PM:

1st PM  inf2nd PM inf
the 1st is clearly less bulky than the second.
a circular shapea cubic shape.
the L cusp is very small, which gives the occlusal face a very marked obliquity from top to bottom in the L direction.the more developed cusp L which reaches almost the height of cusp V consequently the occlusal face is much less oblique than the 1st . Often this portion L is divided into 2 small cusps.

Lower premolars

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Lower premolars

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