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Structure responsible for root development
cervical loop
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Where is the cervical loop located? And what structures/cells does it consist of?
- most cervical portion of enamel organ
- IEE and OEE
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As the cervical loop continues to grow deeper into the ectomesenchyme of the dental sac and enclosing more of the dental papilla, it forms what?
Hertwig's epithelial root sheath (HERS)
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functions to shape the root (s) and induces dentin formation, so it is continueous with coronal dentin
HERS
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HERS induces ___________ ____ in the root area
dentin formation
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What induces the ondontoblastic differentiation in the roots?
HERS
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Why doesn't enamel form in the roots of the teeth?
because they don't have their support structure and intermediate layers (stellate reticulum and stratum intermedium)
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What happens to the basement membrane and HERS when root dentin formation is completed?
they disintegrate
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HERS root sheath disintegrates and may become these groups of epithelial cells located in the mature perio ligament. They may become cystic and cause future problems
Epithelial rests of malessez
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misplaced ameloblasts migrating to the root area, abnormally forming enamel on the root surface
enamel pearls
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small spherical enamel projections found on root surface, especially at CEJ or in furcation areas on molars where root divides
enamel pearls
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How do enamel pearls appear radiographically?
radiopaque
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enamel pearls may be confused as what? But cannot be removed.
calculus upon exploration
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apposition of cementum
cementogenesis
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When does cementogenesis occur?
when HERS disintegrates allowing undifferentiated cells of the dental sac come in contact with the newly formed root dentin
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What induces the cells of the dental sac to differentiate into cementoblasts?
coming in contact with the newly formed root dentin
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cells of the dental sac become what type of cells when they come in contact with the newly formed root dentin?
cementoblasts
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move to cover the root dentin laying down cementum matrix
cementoblasts
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cementum matrix
cementoid
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cementoblasts entrapped in the cementum
cementocytes
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matured, calcified cementoid surrounding the cementocytes
cementum
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formed as a result of the apposition of cementum over the dentin
dentinocemental junction
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excess cementum formation; union of the root structure of two or more teeth through the cementum only
concrescence
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In what teeth do concrescence usually occur?
permanent maxillary molars
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as the crown and root develop, the ectomesenchyme from the dental sac begins to form the___________, and also begins to mineralize to form the _____________
- PDL
- alveoli of alveolar bone surrounding the PDL
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The ends of collagen fibers connect in what 2 structures?
- outer portion of cementum
- surrounding alveolar bone
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base of the crown where roots of multirooted molars and premolars originates
root trunk
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WHat causes the root trunk to divide into two or three roots?
differential growth of HERS
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distorted roots or crown angulation in a formed tooth; results from distortion of HERS caused by injury or pressure
dilaceration
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deviation or bend restricted to only the root portion of the tooth, usually less than 90*, may be a result of trauma to the developing tooth
flexion
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extra roots or supernumerary roots; may be due to trauma, injury, or pressure affecting HERS
accessory roots
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What teeth do accessory roots usually affect?
permanent 3rd molars, it is rare in incisors
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actualy vertical movement of the teeth
active eruption
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occurs as we age, as gingia recedes, no actual tooth movement occurs
passive eruption
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Do mandibular or maxillary teeth usually erupt first?
mandibular usually precedes maxillary
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teeth in both jaws erupt in _____
pairs
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do permanent teeth usually erupt first in boys or girls?
girls
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eruption of primary central incisors
6.5-8 months
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eruption of primary lateral incisors
7-9 months
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eruption of primary first molars
12-16 months
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eruption of primary canines
6-21 months
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eruption of primary second molars
21-30 months
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tissue that covers newly formed enamel, but fuses with oral epithelium as it erupts
Reduced enamel epithelium (REE)
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residue formed on newly erupted tooth consisting of the fused tissue of the REE and oral epithelium as well as the dental cuticle placed by ameloblasts on new enamel. easily removed with polishing
Nasmyth's membrane
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absorb alveolar bone between shedding primary teeth and erupting permanent teeth
osteoclasts
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cause resorption or removal of portions of the primary root of dentin and cementum, as well as small portions of the enamel crown
odontoclasts
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Why is it so important to keep primary teeth as long as possible?
they servce as place holders for permanent teeth
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tendency of the permanent molars to have an eruptive force toward the midline
mesial drift
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