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Dental Histology - ABone/PDL
Exam 4
29
Medical
Professional
11/29/2008

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Term
Alveolar Bone
Definition
-Osseous tissue of maxilla + mandible that surrounds and supports the teeth
-Partially derived from Dential Follicle
-Formed during cementogenisis when additional osteogenesis occurs along surface of bony crypts that partially enclose developing teeth
Term
Alveolar Bone Anatomy
Definition
-The structure composed of alveolar bone is know as the Alveolar Process
-Consists of an outer cortical plate, central spongy bone, and bone lining the tooth socket (bundle bone)
-Is able to deform slightly to accommodate the biting forces/minor trauma placed upon it
-PDL fiber bundles within A bone and cementum are called Sharpey's Fibers
Term
Bundle Bone
Definition
-Bundle Bone is the bone which collagen bundles of PDL insert.
-Comes from DENTIAL FOLLICLE
-Also known as the Alveolar Bone Proper
-Has numerous foramina that transmit nerves and vessels to the PDL, so it is also known as the Cribiform Plate
-Radiographically, it is known as the Lamina Dura
Term
PDL Development
Definition
-Derived from Dental Follicle
-At onset of development, PDL consists of disorganized CT which has protruding collagen fibers from cementum and alveolar bone
-Then PDL fibroblasts synthesize collagen, forming fibrous bridge between cemental and alveolar bone collagen, anchoring tooth into mouth
-At eruption, PDL fibers organizie and thicken via fibroblast remodeling
Term
PDL Function
Definition
-Supports tooth inside socket
-Helps withstand occlusal forces, shoch absorber
-Serves as sensory organ
-0.15-0.38mm and Thinnest at middle 1/3 of Root
- PDL gets thinner with age due to production of secondary dentin
Term
Cells in PDL
Definition
1. Fibroblasts
2. Epithelial Cells
3. Undifferentiated Mesenchymal Cells
4. Cementoblasts
5. Osteoblasts
6. Osteoclasts
Term
PDL Fibroblasts
Definition
-Most Common cell of PDL
-Very active and continuosly degrading and synthesizing collagen
Term
PDL Epithelial Cells
Definition
-Remnants of Hertwig's Rooth Sheath, also known as The epithelial Rests of Malassez
-Have no function other than to give people cancer! WOO!
Term
PDL Undiff. Mesenchymal Cells
Definition
-Tend to cluster around blood vessels
-Provide a cellular pool for the recruitment of new fibroblasts, cementoblasts and osteoblasts
Term
PDL Cementoblasts
Definition
-Found within the PDL
-Also associated with surface of cementum
Term
PDL Osteoblasts
Definition
-Found within the PDL
-Also associated with surface of alveolar bone
-Are either actively producing osteoid or resting
Term
PDL Osteoclasts
Definition
-Found in areas where the alveolar bone is undergoing resorption
Term
Fiber Groups in the PDL
Definition
-Fibers are Type I, III and XII
-Arranged in bundles with well defined orientation:
1. Alveolar Crest Group
2. Horizontal Group
3. Oblique Group
4. Apical Group
5. Interradicular Group
Term
PDL Alveolar Crest Group
Definition
-Attached to tooth slightly apicla to CEJ
-Insert into crest of alveolus
Term
PDL Horizontal Group
Definition
-Found JUST apical to the alveoalr crest group
-Fibers oriented at Right Angles to long axis of tooth
Term
PDL Oblique Group
Definition
-Most Common fiber group in PDL
-Largest role in anchoring teeth
-Alveolar bon attachment is coronal to their origination on the cementum
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Term
PDL Apical Group
Definition
-Run between the apical cementum directly to the apicla alveolar bone
-Resist forces that would pull teeth straight out
Term
PDL Interradicular Group
Definition
-Found in the interradicular/bifurcation regions of multi-rooted teeth
Term
PDL Elastic Fibers
Definition
-Mature elastic fibers NOT found in PDL
-BUT immature Oxytalan Fibers can sometimes be found
-Run vertically along surface of cementum to root apices where they end at vascular/nerve supply
-Thought to play a role in lympahtic flow
-Most numerous in cervical region of PDL
Term
PDL Ground Substance
Definition
-PDL ground substances acts as shock absorber against occlusal forces
-Mostly Water (70%) and Dermatan Sulfate (glycosaminoglycan)
Term
PDL Blood Supply
Definition
1. Superior Alveolar Artery - Maxilla
2. Inferior Alveolar Artery - Mandible
-Branches run through A bone and enter PDL through Cribiform Plate
-The Perforating Arteries are more numerous in posterior teeth and more common in the mandible
-Arteries reside between fiber bundles
-Arterial blood runs apical to crestal, venous and lymph run the opposite
Term
PDL Nerve Supply
Definition
Has a Dual Nerve Supply:
1. Sympatheitc nerve fibers of ANS that regulate blood flow through PDL (No PNS)
2. Afferent, mostly myelinated, Sensory branches of 2nd and 3rd divisions of Trigeminal Nerve
-Fibers enter via apical regions and run to gingival margin or via cribiform plate running up and down PDL
Term
More PDL Nerve Supply
Definition
Apical Region contains the greatest # of nerve endings With One Exception:
-The upper incisors have nerve endings concentrated in the coronal half of the labial portion fo the PDL
-Posterior teeth have the most nerve fibers
Term

4 Types of Nerve Endings in PDL

Definition
1. Free Nerve endings
2. Ruffini-like Corpuscles
3. Coiled Nerve Endings
4. Spindle-like Endings
Term
PDL Free Nerve endings
Definition
-Most Common
-Serve are Nociceptors  and Mechanpreceptors
-Found evenly distributed along length of PDL
-PAIN!
 
Term
PDL Ruffini-like Corpuscles
Definition
-Mechanoreceptors that are found among the PDL fibers
Term
PDL Coiled Nerve Endings
Definition
-Unknown function
-Found in Mid-portion of the PDL
 
Term
PDL Spindle-like Endings
Definition
-Unkown function
-Least common, seen around Root Apex
Term
Functions of the Periodontium
Definition
Periodontium = Alveolar bone, PDL and cementum complex
1. Attachment - PDL keeps tooth anchored in jaw and helps dampen occlusal forces
2. Sensation - Pain, touch, pressure
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