OCB02-1019- Structure of cementum and alveolar bones

Description

differentiation of cementoblasts Define cementoblast/cementocyte. different types of cementum form. constituents of cementum and compare with bone. acellular vs cellular cementum. Describe the CEJ and the CDJ and explain the clinical significance of these regions. five cell types found in bone, structure and function. Illustrate the tooth/alveolar process relationships around the upper & lower arch. Define and explain the significance of resting and reversal lines.
Evian Chai
Flashcards by Evian Chai, updated more than 1 year ago
Evian Chai
Created by Evian Chai about 4 years ago
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Question Answer
Label the Alveolar Bone A: Body B: Ramus C: Incisive Fossa D: Mental Foramen E: Angle F: External oblique line G: Coronoid process H: Condyle I: Mental Protuberance
What are the functions of alveolar bone? (4) 1. Muscle attachment 2. Bone marrow 3. Reservoir for ions (Ca2+) 4. Plasticity+remodelling
What does the alveolar depend on for development? Maintenance? Retain bone mass? 1. Tooth eruption 2. Tooth retention 3. Functional stimuli
When does the alveolar bone develop? Second month of fetal life with root formation/eruption of teeth
What are the 3 layers inside alveolar bone, from outside to inside? 1. Outer cortical plates (cortical) 2. Central spongiosa (spongy) 3. Bundle bone lining alveolus (cortical)
What attaches bundle bone to the PDL? Collagen fibres
Where is the outer cortical plate thicker? Mandible>maxilla Premolar/molar regions
What are Sharpey's Fibers? What orientation are they to bundle bone? Fibers of the PDL that embed in bone/cementum Perpendicular to bundle bone (vs. parallel)
What is the lamina dura? Thick line on radiograph due to lack of trabeculations
What is the cribiform plate in the alveolar bone? The preforated structure that allows for blood vessels/nerves
What does the interradicular septum separate? Roots on multirooted teeth
What does the interdental septum separate? Two adjacent teeth
What is the alveolar bone innervated by? The trigeminal nerve
What does the trigeminal nerve contain? (4) 1. Mesencephalic sensory neurons of trigeminal nerve 2. Motor nucleus 3. Sensory nucleus 4. Spinal sensory trigeminal nucleus
What does the trigeminal ganglion split into? (3) Ophthalmic branch Maxillary branch Mandibular branch
What in the alveolar bone allows nerve/blood to pass through? Canals and foramens
What is the arrangement of the trabeculae in the maxilla? Irregular (Type 2) More trabecular More porous
What is the arrangement of the trabeculae in the mandible? Regular/horizontal (Type 1) Less trabecular Less porous
What is the relationship between tooth loss and bone? Leads to bone loss (eg. shortened jaw)
What is the resting line? Where osteoblasts stop making bone
What is the reversal line? Where osteoclasts start reabsorbing bone
What is cementum? Bone like tissue covering ROOTS of teeth Thickest at apex Unvascularised
What are the functions of cementum? (4) 1. Joins enamel at cervix of teeth 2. Anchor teeth to bony walls of tooth socket 3. Anchor gingival/periodontal fibres 4. Protects dentine
What forms cementum? Where do they originate? Cementoblasts 3 models (pulp cells to odontoblasts to cementoblasts OR HERS-->Epithelial mesenchyme transformations OR dental follicle cells)
What is the composition of cementum? 65% inorganic hydroxyapatite 23% organic (type 1 collagen, proteoglycans, glycoproteins) 12% H20
What is the ranking of inorganic material from high to low of bone, cementum, dentine and enamel? Enamel (90%)>Dentine(70%)>Cementum(65%)>Bone (60%)
What are the four types of cementum? 1. Acellular, afibrillar cementum: -small islands on enamel 2. Acellular, extrinsic fibre cementum 3. Cellular intrinsic fiber cementum 4. Cellular mixed fiber cementum
What are the differences between cellular and acellular cementum in terms of cementocytes, deposition rate, incremental lines, and precementum layer? 1. Acellular has no cementocytes 2. Acellular has slow deposition 3. Acellular has close incremental lines 4. Acellular has THIN precementum layer
What are the differences between extrinsic fibrillar and intrinsic fibrillar in terms of orientation to cementum, origin, and function? 1. Extrinsic comes from PDL and is perpendicular to cementum (eg. Sharpey's) while intrinsic is parallel 2. Intrinsic is produced by cementoblasts 3. Extrinsic anchors teeth, intrinsic found near repair
Does the cementum remodel? No, unlike bone
What is hypercementosis? Too much cementum creates bulge in tooth roots
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