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Universal numbering system. This is a dental practitioner view, so tooth number 1, the rear upper tooth on the patient's right, appears on the left of the chart. The Universal Numbering System, sometimes called the "American System", is a dental notation system commonly used in the United States. [1] [2]
The system uses two numbers to define each tooth. One to specify the quadrant, and one to specify the tooth within that quadrant. Orientation of the chart is traditionally "dentist's view", i.e. patient's right corresponds to notation chart left. The designations "left" and "right" on the chart below correspond to the patient's left and right.
The notation was originally termed the Zsigmondy system after Hungarian dentist Adolf Zsigmondy, who developed the idea in 1861 using a Zsigmondy cross to record quadrants of tooth positions. [3] 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 ...
The uppercase letters A through T are used for primary teeth and the numbers 1 – 32 are used for permanent teeth. The tooth designated "1" is the maxillary right third molar ("wisdom tooth") and the count continues along the upper teeth to the left side. Then the count begins at the mandibular left third molar, designated number 17, and ...
The lower right teeth begin with the number, "4". For primary teeth, the sequence of numbers goes 5, 6, 7, and 8 for the teeth in the upper right, upper left, lower left, and lower right respectively. As a result, any given tooth has three different ways to identify it, depending on which notation system is used. The permanent right maxillary ...
In the universal system of notation, the permanent mandibular central incisors are designated by a number. The right permanent mandibular central incisor is known as "25", and the left one is known as "24". In the Palmer notation, a number is used in conjunction with a symbol designating in which quadrant the tooth is found. For this tooth, the ...
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In the universal system of notation, the permanent mandibular first molars are designated by a number. The right permanent mandibular first molar is known as "30", and the left one is known as "19". The Palmer notation uses a number in conjunction with a symbol designating in which quadrant the tooth is found. For this tooth, the left and right ...