Tooth Numbering Systems Page 2

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TOOTH NUMBERING SYSTEMS
Permanent Teeth
Primary or Deciduous Teeth
Each tooth is numbered by the quadrant (1 to 4)
Each tooth is numbered by quadrant (5 to 8) to
and by the tooth within the quadrant (1 to 8).
continue with the permanent quadrant numbers.
The teeth are numbered within each quadrant
Quadrant Numbers
(1 to 5).
1 Maxillary right
2 Maxillary left
Quadrant Numbers
3 Mandibular left
5 Maxillary right
4 Mandibular right
6 Maxillary left
7 Mandibular left
Tooth Numbers Within Each Quadrant.
8 Mandibular right
Start with number 1 at the midline (central
incisor) to number 8, third molar.
Tooth Numbers Within Each Quadrant.
Number 1 is the central incisor, and number 5
Designation. The digits are pronounced sepa-
is the second primary molar.
rately. For example, ‘‘two-five’’ (25) is the
maxillary left second premolar, and ‘‘four-two’’
Designation. The digits are pronounced sepa-
(42) is the mandibular right lateral incisor.
rately. For example, ‘‘eight-three’’ (83) is the
mandibular right primary canine, and ‘‘six-
five’’ (65) is the maxillary left second primary
molar.
Palmer System
Permanent Teeth
Primary or Deciduous Teeth
With number 1 for each central incisor, the teeth
Upper case letters A through E are used instead
in each quadrant are numbered to 8, the third
of the numbers. Examples are the mandibular
molar. To identify individual teeth, horizontal
left canine C and the maxillary right first
and vertical lines are drawn to indicate the
primary molar D .
quadrant. For example, the left maxillary first
premolar is 4 , the right mandibular first and
second molars are 76 . An entire quadrant may
be represented by the use of the letter Q, for
example, the maxillary right quadrant is Q .
Adapted from Wilkins EM. Clinical Practice of the Dental Hygienist, 9th ed. Baltimore: Lippincott Williams & Wilkins,
2005.

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