(6) Cementum Flashcards
Is precemnetum calcified or uncalcified?
Uncalcified
Is cementum more or less hard than dentin and enamel?
Softer than
Is cementum more permeable than dentin?
Yes
More permeable
What percent of cementum is organic, inorganic and water?
Inorganic - 65%
Organic - 23%
Water - 12%
What is the structure of hydroxyapatite in cementum?
Thin plate like apatite crystals
What are the non-collage ours components of cementum, which are similar to bone?
Sialoprotein and osteopntin
What are the 2 types of cementum?
Cellular and cellular
What are the 3 types of cementum fibres based of their origin?
Extrinsic fibre cementum
Intrinsic fibre cementum
Mixed fibre cementum
What is extrinsic fibre cementum?
Only has fibres form outside cementum
Sharpeys fibres from outside the cementum
What is intrinsic cementum?
No periodontal ligament fibres inserted into it
What is the common type of cementum fibre?
Mixed fibre cementum
What is mixed fibre cementum?
Collagen fibres that are deposited by cementoblasts (intrinsic fibres)
Extrinsic fibres form the periodontal ligament
What produces intricacies fibres?
Collagen from cementoblasts
How would you classify cementum which has fibres from the periodontal ligament and has no cells present?
Acellular extrinsic cementum
How would you classify cementum which has cells present and fibres from the cementoblasts?
Cellular intrinsic cementum
What are the 2 categories to classify cementum?
- Acellular/ cellular
- Intrinsic fibres/ extrinsic fibres/ mixed fibres
Can you get afibrillar cementum?
Yes
Very rare
Where is cementum mainly located?
In the picas area and inter-redicular areas overlying acellular cementum
Where is acellular cementum normallly found?
Cervically
What is primary cementum?
Acellular
What is secondary cementum?
Cellular
A = ACELLULAR
B = cellular
C = cementocyte in howships lacunae
D = cementoblasts
E = pre-cementum
F = cementoblasts lining pre-cementum
G = periodontal ligament
What is the dark layer between the cellular and acellular cementum?
Afibrillar cementum
What is the hyaline layer
hyaline layer of Hopewell-Smith is the most peripheral layer of initially unmineralized dentin that forms immediately subjacent to the cementodentinal junction (CDJ).
What direcention do the canaliculi orientate?
Towards periodontal ligament (vascular)
Can the cmentocytes die in the lacunae?
Yes, when they get too far from the periodontal ligament and there are empty lacunae left
Hence why farm in the ground section
Are cementocytes active or inactive?
No
Minute amounts of energy and protein synthesising organelles
What are the incremental lines in cementum called?
Incremental lines of Salter
What do incremental lines of salter represent?
Mark differences both in mineralisation and in organic matrix composition
Are lines of salter regular?
No, especially in cellular cementum
What do these lines represent?
Incremental Lines of Salter
What is the Tomes’ granular layer?
Results from the looping and branching of the dentino tubules as a result of the branching of the odontoblastic processes
Where does the dark line (afibrillar) locate?
Between the hyaline layer and the cementum
A = dentino-tubules
B = granular layer of tomes’
C = dark line (afibrillar cementum)
D = acellular cementum (closely packed lines of Salter)
E = cellular
F = hyaline layer
What are the 2 main sources of the organic matrix?
Extrinsic and intrinsic fibres
How do the Sharpey’s fibres enter the cementum?
Perpendicular or slightly oblique to the root surface
How do intarsia fires run in relation to the root surface?
Parallel
True or Flase, the intrinsic and extrinsic fibres run parallel to one another?
False, run at right angles to one another
Decalcified section: A) Dentine, B) Acellular cementum, C)Periodontal ligament (Principal fibres), D) alveolar bone, E) Ginigival epithelium, White arrows pointing to Sharpey’s fibres in alveolar bone
Where is the gingiva and the connective tissue of the gingiva?
What is this a decalcified section of?
Apex of root
Where is the cementum, cellular ad mixed fibre cementum?
Apex of root, cementum neck to the periodontal ligament
A) Alveolar bone, B) periodontal ligament, C) Cellular cementum (at the root apex)
What is larger, intrinsic or extrinsic fibres?
Extrinsic fibres
Sharpey’s fibres
Where is the afibrillar cementum found?
Thin layer between hyaline layer and acellular cementum
And overlying enamel
What type of cementum overlies enamel?
Afibrillar cementum
A = Enamel
B = dentin
C = granular layer of tomes’
D = hyaline layer
E = acellular cementum
F = afibrillar cementum
Ground section
What is the origin of the afibrillar cementum?
Epithelial cementum
A = dentin
B = enamel
C = mantle dentin
D = acellular cementum
E = afibrillar cementum
F = hyaline layer
White arrow = granular layer of Tomes
How would you describe the interaction of cementum and enamel?
Cemento-enamel junction
How would you describe the relationship of cementum and dentin?
Cemento-dentinal junction
What are the three other structures which cementum interacts with?
Enable
Dentin
Periodontal ligament
What are the 3 possible arrangements of cementum and enamel?
- Cementum overlaps enamel (60%)
- Cementum and enamel meet at butt joint (30%)
- Cementum and enamel fail to meet and the dentin between them is exposed (10%)
What type of cementum is formed when cementum overlaps enamel?
Afibrillar cementum
What surface f eagle os more highly mineralised?
Aprismatic
No prisms
A = surface of enamel
B = hunter strager bands
C = enamel stria or stria of fretsius
D = mantle dentin
E = interglobular dentin
F = dentino-tubules
What junction is shown here?
Cementino-dentinal junction
A = afibrillar cementum
B = Tomes’
C = Dentino-tubules
D = acellular cementum
E = hyaline / dark line
What does the cemento-dentinal junction allow?
Anchors periodontal ligament fibre into dentin
Decalcified section:
A)Dentine
B)Acellular cementum
C)Cellular cementum
D)Reparative cementum at area of resorption
E)Periodontal ligament
What can odontocasts resorb?
Dentin
Cementum
What is a reversal line?
The reversal of activity from resorption to deposition (same as bone)
What does repair cementum represent?
Cellular cementum
Less mineralised
Smaller crystals