The Periodontium

Description

bacalaureat Oral Physiology Mind Map on The Periodontium, created by Caroline Oxford on 27/05/2013.
Caroline Oxford
Mind Map by Caroline Oxford, updated more than 1 year ago
Caroline Oxford
Created by Caroline Oxford almost 11 years ago
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Resource summary

The Periodontium
  1. Cementum
    1. Periodontal ligament
      1. Develops from dental folicle
        1. Foms shortly after root formation
          1. Starts with conective tissue/collagen fringes, extending to cementum
            1. Fibroblasts secrete collagen which remodel fringes
        2. Fibers change as tooth errupts, then thicken
          1. Narrows with age
            1. Thin in non functional teeth
              1. Functions: Attachment, proprioreceptor, shock absorber
          2. Composed of
            1. Cells; Fibroblasts, epithelial cells (malassez,) Undifferenciated mesenchymal cells, Cementoblasts, Macrophages
              1. Ectracellular; Colagen, elastin (immature only), Ground substance (glycoprotein, glycolipids.)
            2. Fibroblasts synthesis/degrade collagen for rapid turnover
              1. Mesenchymal cells are source of new PDL cells
                1. Oesteoblasts/Oesteoclasts line bone
                  1. Cementoblasts line cementum.No Cementoclasts unless resorbtion of deciduos
              2. Collagen, types 1,3+7. Remodelled withe stress forces
                1. 5 principle types; Aveola crest, Horizontal, oblique, apical, inerridicular
                  1. They run from cementum-bone. Sharpeys fibres
                    1. Ground substance 70% water
                2. Rich blood supply; main from superiour and inferiour alveolar arteries,More posteria and mandible, less ants and maxilla
                  1. 4 types of nerve endings, mostly free, Nocirecptors+ mechanicreceptor
                3. Alveolar Bone
                  1. Consists of spongsiosa, sandwiched between buccal and ligual cortical plates
                    1. Bone lining known as Bundle bone as attaches PDL bundles
                      1. Perforated by forimina for nerves, vessels, known as cribiform plate or Lamina Dura on x-ray (white lining)
                  2. Gingivae
                    1. Gingivae fibres, insert into lamina propria
                      1. Groups include; Dentogingival, Alveologingival, circular, dentoperioestial,transseptal
                      2. Dentogingival Junction
                        1. Gingival tissue to tooth
                          1. Epithelial and connective parts
                            1. Epithelial part
                              1. Statified, squamous epithelial cells
                                1. Junctional epithelial, attached to tooth surface, forms collar, non keratinised
                                  1. Sulclar epithelial, lines sulcus, non-keratinised
                                    1. Oral gingival is keratinised.
                                    2. Junctional epithelial, Flattened cells, line tooth
                                      1. attached by hemidesmosomes and have high rate of turmover
                                        1. JE has pourous intercellular, can let through antigens, lined with immune cells.
                                  2. Connective part
                                    1. Different from other connective tissue orally, as contains immflamatory cells.
                                      1. Monocytes continually migrate from vessels, through intercellular tissue, out to the sulcus
                                      2. Col (interdental papilla,) identical to juntional epithelium
                                    2. Decreases with age, due to constant low grade imflamatory- Gingival recession
                              2. Hyaline Layer
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