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what is the most important part for hygienists concerning oral health?
periodontium
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the hard and soft tissues that support the teeth is:
periodontium
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what are the three components of periodontium?
- cementum
- alveolar bone
- PDL (connects cementum to bone)
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where does cementum come from?
mesoderm
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what component covers the entire root?
cementum (like enamel covering the crown)
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one end of attachment for the PDL is ___________ and the other is the alveolar bone
cementum
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is cementum AVASCULAR or VASCULAR?
AVASCULAR
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where does it get its nourishment?
from the PDL OUTSIDE of the tooth
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cementum is _____ % mineralized, enamel is ____% mineralized and dentin is ______% mineralized
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remember....the ameloblasts couldn't create enamel because they didn't have their _______, the ondontoblasts started laying ________ matrix
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THE NEWLY FORMED DENTIN induced the cells of the ________ _____ to differentiate into ___________
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Cementoblasts laid their _________ and some of the cementoblasts got caught in the matrix and became ___________
- cementoid (matrix)
- cementocytes
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the ends of the PDL that have embedded themselves into the cementum
Sharpey's Fibers
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where the cementum and enamel meet
CEJ
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what are the three types of CEJs where they meet?
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in overlap of the CEJ the cementum overlaps the enamel because:
the enamel was formed first
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what type of meeting of the CEJ may be mistaken with calculus?
overlap
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which meet PERFECTLY in the middle?
MEET of the CEJ
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when there is a space between the cementum and enamel, the underlying dentin is exposed, this is called:
GAP of the CEJ
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which meeting type of the CEJ can cause dentin hypersensitivity?
GAP, esp with recession. eyechihuahua!
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what are the two different lines of cementum repair?
- reversal lines
- you are under arrest lines
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after cementum resorption, you can tell where the resorption stopped and started laying down new cementum, these are called:
reversal lines
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just like Retzius lines with enamel and lines of Von Ebner with dentin, for cementum they are called:
Arrest Lines
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name the two types of cementum
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the first cementum to get laid down, no cementocytes is:
ACELLULAR
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the last cementum to get laid down is:
CELLULAR phone
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which cementum gets laid at a quicker pace so the cementoblasts get stuck in it?
CELLULAR (when on your CELLULAR, you say, BLAST! i am STUCK talking to Uncle QUICK)
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T/F the cementoblasts that DON'T get stuck migrate to the periphery of the cellular cementum and wait there until more cementum is needed.
TRUE! Heaven be Praised some didn't get stuck!
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name three clinical considerations with cementum:
- cementicles
- cemental spurs
- hypercementosis
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kind of like a clam and a grain of sand, the clam doesn't like it, spits on it and creates a pearl _________ are similar in cementum
cementicles
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cementicles: cementoblasts start to lay _________ around cellular ________ in the PDL
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a cementicle can just float there or start to fuse with ________ as more is laid
cementum
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what starts as debris or floating in the PDL?
cementicles
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clinical consideration that was laid down screwy and caused a spur of cementum to come off the CEJ, similar to enamel pearls
cemental spur
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excessive production of cementum is which clinical consideration of cementum?
hypercementosis
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this clinical consideration results from occlusal trauma (clenching/grinding)
hypercementosis
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