supporting soft and hard dental tissue between and including parts of the alveolar bone
peridontium
includes the cementum, alveolar bone, and periodontal ligament
periodontium
part of the periodontium that attaches the teeth to the alveolar bone by anchoring the periodontal ligament
cementum
in health, cementum is not clinically visible.
true
a hard tissue that is thickest at the tooth apex and in the interradicular area and thinnest at the CEJ
cementum
main component cementum
calcium hydroxyapatite
Cementum forms after the disintegration of_______
Hertwig's root sheath
Disperses to cover the root dentjn area
Cementoblast
The cementoblast undergo____and begin laying down cemetoid
Cemetogenesis
What is formed because of the apposition of cementum over the dentin
Dentinocemental junction DCJ
Composition of cementum
Mineralized fibrous matrix and cells
A portion of collagen fibers from the perio ligament...each partially incerted into the outer portion of cement @ 90 degrees
Sharpey's fibers
Organized to function as a ligament between the tooth and alveolar bone
Sharpey's fibers
Entrapped cementoblast included in the cells of cementum
Cementocytes
Each cementocyte lies within this
Lacuna
The removal of cementum
Resorption
Results from the removal of cementum by odontoclast
Reversal lines
When stained...reversal lines appear as a scalloped line
True
Apposition of cementum is noted by layers of growth aka
Arrest lines
Reversal and arrest lines are prominent in cementum that has been subjected to trauma
True
Does cementum continually repair itself like bone does
No
Calcified bodies of cementum found to the root surface or lying free in the periodontal ligament space
Cementicles
Symmetricle spheres of cementum attached to the root surface and can be Found near the CEJ
Cemental spurs
2 types of cementum formed by cementoblast
Acellular
Cellular
CONSISTS OF THE FIRST LAYER OF CEMENTUM DEPOSITED AT THE DCJ AND IS ALSO CALLED THE PRIMARY CEMENTUM
ACELLULAR CEMENTUM
PRIMARY CEMENTUM IS ALSO KNOW AS....
ACELLULAR CEMENTUM
DOES THE WIDTH OF ACELLULAR CEMENTUM EVER CHANGE
NO
CONSISTS OF THE LAST LAYER OF CEMENTUM DEPOSITED OVER THE ACELLULAR CEMENTUM
CELLULAR CEMENTUM
AKA KNOWN AS SECONDARY CEMENTUM
CELLULAR CEMENTUM
THIS COVERS MAINLY THE APICAL ONE THIRD OF THE ROOT.
CELLULAR CEMENTUM
CAN THE CELLULAR CEMENTUM CHANGE WIDTHS DURING THE LIFETIME OF THE TOOTH
YES IT CAN
EXCESSIVE PRODUCTION OF CELLULAR CEMENTUM; MAINLY OCCURS AT THE APEX OF THE TOOTH.
HYPERCEMENTOSIS
PART OF THE MAXILLA OR MANDIBLE THAT SUPPORTS AND PROTECTS THE TEETH
ALVEOLAR BONE
MATURE ALVEOLAR BONE IS BY WEIGHT....
60% MINERALIZED (INORGANIC)
25% ORGANIC MATERIAL
15% WATER
NORMAL NATURAL MOVEMENT - ALL THE TEETH MOVE SLIGHTLY TOWARD THE MIDLINE OF THE ORAL CAVITY OVER TIME
MESIAL DRIFT
PORTION OF BONE THAT IS FOUND APICAL TO THE ROOTS OF THE TEETH
BASAL BONE
PORTION OF BONE THAT CONTAINS THE ROOTS OF THE TEETH
ALVEOLAR BONE, ALVEOLAR PROCESS OR ALVEOLAR RIDGE
THE 2 DIVISION OF THE ALVEOLAR BONE
ALVEOLAR BONE PROPER
SUPPORTING ALVEOLAR BONE
COMPONENTS OF THE ALVEOLAR BONE PROPER AND THE SUPPORTING ALVEOLAR BONE
FIBERS
CELLS
INTERCELLULAR SUBSTANCES
NERVES
BLOOD VESSELS
AND LYMPHATICS
LINING OF THE TOOTH SOCKET
ALVEOLAR BONE PROPER
TOOTH SOCKET
ALVEOLUS
ALVEOLAR BONE PROPER
CRIBRIFORM PLATE
CONTAINS VOLKMANN'S CANALS
CRIBRIFORM PLATE/ALVEOLAR BONE PROCESS
ALSO CALLED BUNDLE BONE
ALVEOLAR BONE PROPER
WHEY IS THE THE ALVEOLAR BONE PROPER ALSO CALLED THE BUNDLE BONE
BECAUSE SHARPEY'S FIBERS ARE INSERTED HERE
UNIFORMLY RADIOPAQUE PROTION OF THE ALVEOLAR BONE PROPER
LAMINA DURA
WHY IS THE LAMINAL DURA IMPORTANT WHEN STUDING THE RADIOGRAPHS
FOR PATHOLOGICAL LEASIONS
THE MOST CERVICAL RIM OF THE ALVEOLAR BONE PROPER
ALVEOLAR CREST
the portion of the alveolar crest that is between the teeth seen on an xray is a radiopaque triangle @ the most superior portion of the interdental bone
true
consist of plates of compact bone on the facial and lingual surfaces of alveolar bone
cortical bone or cortical plate
cancellous bone located between the alveolar bone proper and the plates of cortical bone
trabecular bone
alveolar bone between 2 neighboring teeth
interdental septum or interdental bone
alveolar bone between the roots of the sam tooth
interradicular septum
made up of both alveolar bone proper and trabecular bone
interradicular bone/septum
only a portion of this bone/septum can be seen on a bwx
interradicular septum/bone
easily seen on both pa's and bwx
interdental bone/septum
consists of the compact bone of the alveolar bone proper and cancellous bone of the trabecular bone
interdental septum/bone
maxilla and madible are developed from tissue of which branchial arch
first branchial arch
the maxilla forms within the ______
maxillary process
the mandible forms from within the _________________--
fused mandibular processes of the mandibular arch
both jaw bones begin as small centers of ______________-
intramembranous ossification
the intramembranous ossification is located where
around the stomodeum
maxilla's primary center apperars around which week of prenatal development
7th
where is the maxilla center located
at the termination of the infraorbital nerve - superior to the dental lamina of the primary max. canine tooth
during which week does the mandible begin to develop
6th week
week the first bone tissue in the body of the mandible forms
7th
developmental disturbance with the alveolar bone in which tooth germs are congenitally absent - also affects the devlopment of the alveolar process.
anodontia
part of the periodontium that provides attachment of the teeth to the surrounding bone
periodontal ligament (PDL)
appears on xrays as a radiolucent area between the lamina dura(opaque) and the cementum(opaque)
periodontal space
organized fibrous connective tissue that maintains the gingiva's proper relationship to the teeth
PDL
transmits occlusal forces from the teeth to the bone-acting as a shock absorber for the soft tissues around the teeth
PDL
two types of nerves found within the PDL
afferent/sensory
autonomic sympathetic (regulates blood vessels)
the nerve supply, lymphatics and vascular supply of the PDL enters the tooth @ _____________
the apical foramen
the tissues of the PDL supply the pulp
true
componets of the PDL
intercellular substance, cells and fibers
is the PDL a connective tissue
yes
most common cell in the PDL
fibroblast
present in the PDL @ the periphery of the alveolar bone proper
Osteoblasts
the PDL has osteoclast as well as odontoclasts
true
present in the mature PDL after disintegration of Hertwig's epithelial root sheath
epithelial rests of Malassez
can become cystic usually forming nondiagnostic, radiolucent apical leasions-can usually be seen on radiographs
epithelial rests of Malassez
can the eptihelial rests of Malassez reoccur after surgical removal
yes
used in the treatment of bone loss and disorganization of the PDL caused by perio disease-increases bone levels and strengthen the PDL
GTR-guided tissue regeneration
most of the fibers in the PDL - organized groups according to their orientation to the marure tooth-resembles spliced ropes
principal fibers
distribute forces due to speech, mastication.etc...protecting the soft tissue and allowing some give
primary fibers of the PDL
main principal fiber group of the PDL
alveolodental ligament
5 fiber groups of the alveolodental ligament - on multirooted teeth
alveolar crest
horizontal
oblique
apical
interradicular
overall function of the alveolodental ligament
to resist rotational forces or twisting of the tooth within the socket
originates in the alveolar crest of the aloveolar bone proper - fans out to insert into the cervical cementum
alveolar crest group
helps to resist tilting, intrusive, extrusive and rotational forces
alveolar crest group
originates in the alveolar bone proper-apical to its alveolar crest - inserts into the cementum horizontally
horizontal group
function is to resist tilting froces which work to force the tooth to tip either mesial, distal, ligual, or facial - resist rotational forces
horizontal group
most numerous of the fiber goup - covers the apical two thirds of the root - originates i the alveolar bone proper and extends apically to insert into the cementum in an oblique manner
oblique group
resist intrusive forces- these try to push the tooth inward as well as rotational forces
oblique groups
radiate from the apical region of the cementum - inserts into the surrounding alveolar bone proper
apical group
resists extrusive forces-tries to pull the tooth outward and retational forces
apical group
found only on multirooted teeth-inserted on the cementum of one root to the cementum of the other root-superficial to the interradicular septum- no bony attachment
interradicular group
works with the alveolar crest and apical groups-resist intrusive extrusive tilting and rotational forces
interradicular group
inserts mesiodistal or interdental into the cervical cementum of neighboring teeth
interdental ligament
travels from cementum to cementum without any bony attachment
interdental ligament
function: resist rotational forces thus hold the teeth in interproximal contact
interdental ligament
found within the lamina propria of the marginal gingival-separate but adjacent fiber groups
gingival fiber groups
support only the marginal gingival tissues to maintain their relation to the tooth
gingival fiber group
occlusal trauma does not cause periondontal disease-but it can cause acceleration in its progression
true
remains the longest despite the previous destruction of the ligament
interdental ligament
congenitally missing teeth
anodontia
provides for the attachment of the teeth to the surrounding bone
PDL
the PDL appears as a ____ ____ of .4 to 1.5mm on an xray
periodontal space
most common cell in the PDL
fibroblast
present in the PDL at the periphery of the alveolar bone proper
osteoblasts
can become cystic-usually forms nondiagnostic radiolucent apical leasions
epithelial rests of Malassez
first branchial arch cartilage
Meckel's cartilage
what week does the first bone tissue in the bondy of the mandible form