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Tissues of the periodontium pt 2
Tissues of the periodontium pt 2
55
Anatomy
7th Grade
12/04/2012

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Term
Does cementum or bone resorbe faster?
Definition
bone, thats why orthodontics work
Term
What can result is external resoprtion of cememtum?
Definition
end to end or edge to edge bite, a lot of force
Term
What is hypercementosis? How does it look on radiographs?
Definition
cememtoblasts make extra cementum, shows up like opaque layer around roots
Term
When is hypercememtosis seen?
Definition
in infraverted teeth because it is not receiving any pressure, wants to move up to look for antagonist
Term
What happens to cementum under pressure?

Not under pressure?
Definition
is resorbs


it thickens
Term
What makes cememtum?
Definition
undifferentiated mesenchymial cells in the PDL
Term
What is the alveolar bone?
Definition
the part of the maxilla or mandible that supports teeth, contains roots of teeth
Term
What percent of alveolar bone is...
mineralized
organic
water
Definition
Mineralized- 60%
Organic- 25%
water- 15%
Term
What types of lines does alveolar bone show that proves its constant remodeling?
Definition
arrest and reversal lines
Term
What is below the alveolar bone? What does it form?
Definition
the basal bone forming the body of the mandibular or maxilla
Term
What are the two divisions of the alveolar bone?
Definition
1.alveolar bone proper
2.supporting alveolar bone
Term
What is the alveolar bone proper?
Definition
the actual tooth socket
Term
What type of bone is alveolar bone proper composed of?
Definition
compact bone
Term
What does the alveolar bone proper contain?
Definition
1.numerous holes for fibers(Sharpeys)
2.volkmans canals (vascular)
Term
What degree do Shapery's fibers inset at?
Definition
90 degrees
Term
What is another name for the alveolar bone proper? How does it show up on radiographs?
Definition
lamina dura, readiopaque(white)
Term
How do the lamina dura appear on radiographs?
Definition
IGNORE
Term
How does the lamina dura appear in tension?
Definition
IGNORE
Term
What type of bone is supporting alveolar bone?
Definition
cortical and trabecular
Term
What does cortical bone consist of?
Definition
compact bone plates on the facial and lingual
Term
What does trabecular bone consist of?
Definition
cancellous bone located between the alveolar bone proper and cortical plates
Term
What does the thickness and contour of bone depend on? (3)
Definition
1.position of teeth in the arch
2.angulation of the roots
3.types of forces put on the teeth
Term
What can torsiversion cause in bone thickness?
Definition
can cause it to be thicker in some places and thinner in others
Term
What does clenching cause?
Definition
resoprtion of the bone
Term
What causes denuded bone? (2)
Definition
1.angulation of roots
2.position of teeth int he arch
Term
What are isolated areas of denuded bone called? What does it look like?
Definition
fenestration, marginal bone intact
Term
What is a denuded area where the marginal bone is also denuded?
Definition
dehiscence
Term
If you have no attached gingiva then you have..
Definition
no bone!
Term
What is the periodontal ligament?
Definition
fibrous CT that is continuous with the lamina dura of the gingiva
Term
What is the difference between the lamina propria and PDL?
Definition
same thing, just different locations
Term
What does the PDL do?
Definition
provides attachment of the teeth to bone
Term
How does the PDL appear on radiographs?
Definition
radiolucent
Term
What are the 6 functions of the PDL?
Definition
1.attachment apparatus
2.transmists occlusal forces from teeth to bone
3.protects nerves and blood vessels from injury
4.repair and resorption of tissues
5.nutritional support
6.sensory
Term
What are the 6 components of the PDL?
Definition
1.intercellular substance(space)
2.cells
3.fibers
4.blood vessels
5.lymph vessels
6.nerve supply
Term
Is the PDL well vascularized?
Definition
yes!
Term
What makes up the majority of cells in the PDL?
Definition
fibroblasts
Term
What are some other types of cells found in the PDL?
Definition
-cementoblasts
-osteoblasts/clasts
-odontoclasts
-undifferientated mesenchymal cells
-epilthelial rests of malassez
-WBC
Term
What are the 5 different fiber groups found int he PDL?
Definition
1.alveolar crestal
2.horizontal
3.oblique
4.apical
5.interradicular
Term
Where are interradicular fiber groups found? WHat do they attach?
Definition
-cementum to cementum between bifricated roots
-resist vertical and lateral movement
Term
What are all groups of fibers of the PDL insert into bone and cementum with?
Definition
sharpey's fibers
Term
What do horizontal group fibers do?
Definition
help resist horizontal and tipping forces
Term
What do oblique fibers do?
Definition
-majority of fibers(80%)
-resists vertical and intrusive forces
Term
What do the apical group of fibers do?
Definition
-resist vertical forces
-protect blood and nerve supply so they don't get compressed from intrusive forces
Term
Where are gingival fiber groups found?
Definition
in the lamina propria of the gingiva
Term
Do gingival fiber groups support the tooth?
Definition
no
Term
What do they support?
Definition
the marginal gingival tissues to maintain their relationship to the tooth
Term
What are the 5 gingival fiber groups?
Definition
1.alveologingival
2.circular
3.dentinogingival
4.periodtogingival(same as alveolar crestal)
5.transseptal
Term
What do alveologingival fibers do?
Definition
come off of bone and up into free gingiva, help pull down free gingiva
Term
What do circular fiber groups do?
Definition
go around root to hold gingiva
Term
What do dentogingival fibers do?
Definition
radiate out from tooth into lamina propria
Term
What do periostogingival fibers do?
Definition
resist tooth separation mesially or distally, extends from cervical tooth to tooth next to it
Term
Where is the width of the PDL wider?
Definition
near the apex and cervix
Term
What does the width of the PDL depend on?
Definition
the amount of stress a tooth is under
Term
What does a mesial drift cause to happen to the PDL?
Definition
the mesial side to be thinner than distal
Term
A tooth not in function will have a BLANK PDL, a tooth under abnormal stress will have BLANK PDL
Definition
not in funtion=thinner
under stress=thicker
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