Dental professionals rely on a common language to accurately identify the 32 permanent teeth in the adult mouth. A standardized system ensures precision when discussing diagnosis and treatment. While multiple notation methods exist globally, the system most commonly employed by dentists in the United States uses a sequence of numbers to label each tooth. This methodical approach makes patient record-keeping and consultation efficient and clear.
Decoding the Universal Tooth Numbering System
The system assigns numbers 1 to 32 to permanent adult teeth, following a specific clockwise path through the mouth. The sequence begins with the upper-right third molar (Tooth #1) and proceeds along the upper jaw to the upper-left third molar (Tooth #16). The mouth is divided into four quadrants, and this initial sequence covers the two upper quadrants.
The count then drops to the lower jaw on the left side. The next tooth is the lower-left third molar (Tooth #17). From this point, the numbering moves forward along the lower arch until it completes the circuit at the lower-right third molar (Tooth #32).
Identifying the Location of Tooth 22
Following the established numbering rules, Tooth #22 is located in the mandibular left quadrant (the lower jawbone). The numbering for the lower-left teeth begins with #17, the third molar, and counts forward toward the midline of the body. Tooth #22 is situated toward the front of this lower-left section.
To pinpoint its exact position, Tooth #22 is the lower-left canine. It follows the lower-left first premolar (#21) and precedes the lower-left lateral incisor (#23). This placement makes it the fourth tooth when counting from the midline on the lower left side of the jaw.
The Function and Anatomy of Tooth 22
Tooth #22 is anatomically identified as the mandibular left canine, known for its pointed crown structure. Its placement between the incisors and the premolars allows it to function as a transitional tooth, supporting both cutting and tearing food. The canine’s long, thick root provides strong anchorage in the jawbone, enabling it to withstand the forces involved during masticcation.
This tooth typically possesses a single, prominent cusp, which aids in grasping and ripping tough foods. The crown of the mandibular canine is generally narrower than the maxillary (upper) canine, but it is one of the longest teeth in the mouth.

