Transcript for:
Mandibular First and Second Premolars

Mandibular first premolar is the 4th tooth from  the midline and second premolar the 5th tooth from   the midline. This gives the two teeth different  tooth numbers in various tooth numbering systems.   Chronologically the first premolar erupts  at the age of 10 to 12 years and second   premolar at the age of 11 to 12 years. If we  compare the measurements of the two teeth,   the first premolar's crown is longer than the  second premolar's crown, but the root is shorter,   so that the total length of the two teeth remains  the same. The mesio-distal diameter of the crown   is same whereas, the bucco-lingual diameter is  bigger in second premolar than first premolar.   If we see the development, the first premolar  develops from 4 developmental lobes but the second   premolar may develop from 4 or 5 developmental  lobes. This leads to the variations in the number   of cusps, in second premolar, there are two cusps  but in second premolar there are two cusps in two   cusp-type and three cusps in three-cusp type.  Moreover, if we see the number of functional   cusps in first premolar, only the buccal cusp is  functional as the lingual cusp is non-functional.   Whereas, in second premolar all the cusps  are functional with no non-functional cusps.   Let us now study the morphological differences  between the two teeth, here we will be studying   differences between first premolar and second  premolar of three cusp type only as it is the more   common variety. Starting with the buccal aspect.  The outline form of both premolars is trapezoidal.   The buccal cusp of first premolar is sharper and  longer than the buccal cusp of second premolar,   which is short and less sharp. This is because  in first premolar the cuspal ridges meet at a   more acute angle than in the second premolar. The  contact areas of both premolars are in the middle   third however, the contact areas of second  premolar are slightly more occlusal than in   the first premolar. Moving to the root. In second  premolar the root is thicker and has a blunt apex   when compared to the root of first premolar. Next,  the lingual aspect. From the lingual aspect all   cusps are seen, in first premolar the buccal  cusp and lingual cusp and in second premolar   buccal cusp, mesio-lingual cusp and disto-lingual  cusp. So we see, in second premolar there are   two lingual cusps and in first premolar there is  one lingual cusp, which is smaller and narrower.   Now because of this in first premolar more  of occlusal surface is visible as compared   to the second premolar. Additionally in first  premolar there is significant lingual convergence,   because of which more of mesial and distal  surfaces can be seen. Whereas, in second premolar,   lingual convergence is minimal because of which  lesser mesial and distal surfaces are seen.   In first premolar a mesio-lingual developmental  groove runs adjacent to the lingual cusp. Whereas,   in second premolar a lingual developmental  group runs between the two lingual cusps.   Next, mesial aspect. Both premolars have a  rhomboid outline form. In first premolar both   buccal cusp and lingual cusp are visible, whereas  in second premolar the buccal cusp and only the   meso-lingual cusp are visible. In first premolar  the lingual cusp is just two third the height of   the buccal cusp whereas, in second premolar the  mesio-lingual cusp is smaller than the buccal   cusp, but not that small. In first premolar  the mesial marginal ridge is slanting whereas,   in second premolar it is horizontal. In  first premolar the mesio-lingual groove   is visible from this aspect, but in second  premolar there is no such groove present.   Now, coming to the distal aspect. In  first premolar like the mesial aspect,   both the buccal cusp and lingual cusp are  seen but in second premolar all three cusps,   the buccal cusp, mesiolingual cusp  and disto-lingual cusp are seen.   Interestingly, in first premolar more of occlusal  surface is visible from the mesial aspect than   its distal aspect, on the other hand in second  premolar, more of occlusal aspect is visible from   the distal aspect than mesial aspect. Finally, the  occlusal aspect. The outline form of the crown of   first premolar is diamond shaped and that of  second premolar is square shaped. In first   premolar both cusps are seen whereas in second  premolar all three cusps are seen. In second   premolar two triangular fossa, distal triangular  fossa and mesial triangular force are present.   Whereas in first premolar the mesial fossa and  distal fossa are not triangular in shape but   linear and circular, hence not called triangular  fossa. The second premolar has a central pit   in the middle of the occlusal surface, but in  first premolar no such pit is present. Lastly,   both premolars have 3 developmental  grooves, mesial developmental groove,   distal developmental groove but the third  groove in first premolar is mesio-lingual   developmental groove whereas in second  premolar it is lingual developmental groove.   Moreover, the grooves in second premolar form a  Y-shaped pattern not present in first premolar.