Tooth Numbering System: Whydoweneed?
Tooth Numbering System: Whydoweneed?
Tooth Numbering System: Whydoweneed?
WHY DO WE NEED ?
to associate information to a specific tooth. In clinical practice some
“shorthand” system of tooth notation is necessary for recording data. To do
so efficiently, it is necessary to adopt a type of code or numbering system for
teeth .
The Hungarian dentist Adolf Zsigmondy discovered this system in 1861, using a
Zsigmondy cross to record quadrants of tooth positions. Adult teeth were numbered 1
to 8, and the child primary dentition (also called deciduous, milk or baby teeth) were
depicted with a quadrant grid using Roman numerals I, II, III, IV, V to number the
teeth from the midline. Palmer changed this to A, B, C, D, E. This makes it less
confusing and less prone to errors in interpretation.
The Palmer notation consists of a symbol (┘└ ┐┌) designating in which quadrant the
tooth is found and a number indicating the position from the midline. Adult teeth are
numbered 1 to 8, with deciduous (baby) teeth indicated by a letter A to E. Hence the
left and right maxillary central incisor would have the same number, "1", but the right
one would have the symbol, "┘", underneath it, while the left one would have, "└".
Advantages:
1) Easy to implement.
2) Easy of writing and communication.
Disadvantages:
1) Cannot be written by the computer.
2) Non-numeric symbolization.
Advantages –
1. Individual number for each tooth. 2. Simple
Disadvantages:
1. Difficult in remembering the tooth no.
3. There is no anatomic reference in this system and so it is difficult to follow for the
beginners, and needs extra training to practice
.
3. International numbering system
The Federation Dentaire Internationale (FDI) system is a two-digit system, the first
digit indicates the quadrant (1 through 4 for permanent and 5 through 8 for deciduous
teeth) and the second digit indicates the tooth type (1 through 8 or 1 through 5). It is
very simple, accurate, it is easy to memorise in the visual and cognitive sense, it is user
friendly, and prevents errors in differentiating left and right, upper and lower arches,
and tooth type. However, in the case of deciduous teeth, there can be confusion and it
is difficult to memorize. For specialists other than
Advantages:
Easy to remember and understand