HomeGeneral DentistryTooth Numbering System with Teeth Numbers and Names

Tooth Numbering System with Teeth Numbers and Names

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Have you seen a dentist taking records of teeth with numbers in your dental examination and wondered how teeth are numbered? There is no need to think much as it is a standardized way of making teeth records with teeth numbers instead of names. It is also called the Tooth Notation System.

It helps for easy and quick records of teeth for diagnosis and treatment planning, professional communication, dental insurance claims requiring specific tooth location information, dental education, and dental research for accurate data records. Many types of tooth numbering systems are available, but the Universal Notation System for teeth records is widely used globally.

Different types of Tooth Numbering Systems

  1. Universal Notation System or Universal Numbering System
  2. Zsigmondy/Palmer Notation System
  3. FDI (Federation Dentaire Internationale) is also known as the two-digit system

1. Universal Notation System (Universal Numbering System)

In 1968, the ADA (American Dental Association) officially recommended the “Universal Numbering System”. It is a widely used tooth numbering system, especially in the United States. It can be used in both primary and permanent dentition.

Universal tooth numbering system
Universal tooth numbering system

For Primary Dentition

The universal numbering system uses uppercase letters for the primary dentition. For maxillary primary teeth, begin with the right second molar with the letter A to the letter J, and for mandibular teeth, start with the left second molar with the letter K to the letter T. You can see the illustration given below.

Universal numbering system for primary dentition
Universal numbering system for primary dentition

For Permanent Dentition

In the universal numbering system for permanent teeth, maxillary teeth are numbered from 1 to 16, from the right maxillary third molar tooth. In mandibular teeth, it starts from 17 to 32, from the left mandibular third molar tooth. You can see the image given below for understanding.

Universal notation system permanent dentition
Universal notation system permanent dentition

2. Zsigmondy/Palmer Notation System

In 1947, the ADA (American Dental Association) officially recommended the “Zsigmondy/Palmer Notation System” as the numbering method of choice later it was replaced with the “Universal Numbering System”. It can be used in both primary and permanent dentition.

For Primary Dentition

Zsigmondy/palmer notation system primary dentition
Zsigmondy/palmer notation system primary dentition

For primary dentition, starts from the midline with uppercase letters from A to E on each side, where A refers to the central incisors and E refers to the second molar.

For Permanent Dentition

Zsigmondy/palmer notation system permanent dentition
Zsigmondy/palmer notation system permanent dentition

For permanent dentition, it starts from the midline with numbers from 1 to 8 on each side, where 1 refers to the central incisors and 8 refers to the third molar.

3. FDI or Two-digit Numbering System

The Federation Dentaire Internationale proposes it for primary and permanent dentition. It is adopted by the World Health Organization and other organizations like the International Association for Dental Research.

For Primary Dentition

FDI or two-digit numbering system for primary dentition
FDI or two-digit numbering system for primary dentition

Here, in the 51 the first digit 5 represents the right maxillary side or right upper quadrant, and in the 61 the first 6 represents the left maxillary side or left upper quadrant. The second digit represents the tooth number for each side. It is the same for the mandibular arch as well.

For Permanent Dentition

FDI or two-digit numbering system for permanent dentition
FDI or two-digit numbering system for permanent dentition

Here, in the 11 the first digit 1 represents the right maxillary side or right upper quadrant, and in the 21 the first 2 represents the left maxillary side or left upper quadrant. The second digit represents the tooth number for each side. It is the same for the mandibular arch as well.

Frequently asked questions

Which Tooth Numbering System is most commonly used in the United States?

The Universal Numbering System is the most commonly used tooth numbering system in the United States.

How are Teeth Numbered in Australia?

The FDI (Federation Dentaire Internationale) or the Two-digit numbering system proposed by WHO is used to number teeth in Australia.

Which Tooth Numbering System Is Used in Canada?

The FDI (Federation Dentaire Internationale) or a Two-digit system is used in Canada.

Which Tooth Numbering System is Widely Used?

The Universal Numbering System is a widely used tooth numbering system globally.

I hope this informative post helped you learn how teeth are numbered with various tooth numbering systems with teeth numbers and names. Do comment below if you have any questions or feedback. Share this article with your friends and family to make them aware.

References
  1. Al-Johany, S. S. (2016). Tooth Numbering system in Saudi Arabia: survey. The Saudi Dental Journal, 28(4), 183–188. : https://doi.org/10.1016/j.sdentj.2016.08.004
  2. Peck S, Peck L. A time for change of tooth numbering systems. J Dent Educ. (1993, August 1). PubMed. : https://pubmed.ncbi.nlm.nih.gov/8349894/
Dr. Shubham G. Devaiya, BDS
Dr. Shubham G. Devaiya, BDS
Dr. Shubham G. Devaiya is a registered Dentist and Medical content writer. He owns DentalFord and publishes content related to Oral Health for Oral Health Awareness.

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Disclaimer : All the information on the page is for educational purposes only to make you aware, you can’t take it as a substitute for medical advice. If you are facing any health issues it is advised to take direct Medical help from medical professionals immediately.