Dental Unit - Enamel Flashcards

1
Q

Where is root sheath located? What is it filled with?

A

Between rods and inter rods

contain organic material

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2
Q

Why is enamel brittle?

A

It doesn’t contain collagen (protein – organic)

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3
Q

What is lamellae?

A

Appears as a crack from the enamel surface

Filled with organic material

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4
Q

Where is tuft? Why is it present?

A

from dentinoenamel junction towards outer surface

Caused by changing in orientation of rods

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5
Q

Where is spindle? Why is it present?

A

From dentinoenamel junction towards outer surface

Trapped odontoblastic process in ameloblasts during mineralization

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6
Q

Where is gnarled enamel? How does it look?

A

At cusp tip

Appears as twisted rods

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7
Q

Where are hunter-schreger bands? Why are they present?

A

inner two-thirds of enamel (dark & light lines)

optical illusions - change in direction of enamel rods

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8
Q

Why are Straie of Retzius present?
Name of the significant one?
What would be formed if it extends onto outer surface of enamel?

A

deposition of enamel over time (incremental growth)
Neo-natal line
Perikymata on outer surface

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9
Q

5 Main Changes of Enamel over time

A
  1. Less permeable
  2. Darken
  3. More sensitive
  4. Reduced risk for dental caries
  5. Harder - more mineralized
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10
Q

5 Types of Dentine (According to position)

A
  1. Mantle Dentine
  2. Primary Dentine / Circumpulpal Dentine
  3. Secondary Dentine
  4. Tertiary Dentine
  5. Predentin
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11
Q

2 Types of Tertiary Dentine

A
  1. Reactionary Dentine - by existing odontoblasts

2. Reparative Dentine - by newly formed odontoblasts

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12
Q

A characteristic of predentin

A

unmineralized - principally consists of collagen

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13
Q

When would secondary dentine be developed?

A

After completion of root formation

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14
Q

How is secondary dentine different from primary dentine? (Give 2 differences) What function does this serve?

A

Less regular tubular structure

Tubules in secondary dentine sclerose more readily -> reduce permeability -> protect pulp

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15
Q

What are dead tracts sealed off by? What function does this serve?

A

Reparative dentine

Protect pulp from infection

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16
Q

5 types of dentine histologically

A
  1. Dentinal tubules
  2. Peritubular dentine - highly calcified
  3. Interglobular dentine - unmineralized/hypomineralized (in primary dentine)
  4. Intertubular dentine
  5. Sclerotic dentine
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17
Q

Cells forming tertiary dentine and eventually being included inside.

A

Osteodentine

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18
Q

Orientation of incremental growth lines

Where are they found?

A

Right angle to dentinal tubules

In dentine

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19
Q

What is contour lines of Owen caused by? Name of the wide line?

A

accentuated efficiencies in mineralization

Neo-natal Line

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20
Q

Where is granular layer of Tomes found?

What is it resulted from?

A

In root dentine
Near cementum
Resulted from the special arrangement of collagen & noncollagenous matrix proteins

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21
Q

4 Zones in pulp

A
  1. Odontoblastic Zone
  2. Cell-free zone of Weil
  3. Cell-rich zone
  4. Pulp core
22
Q

Where do blood vessels enter & exit the pulp?

A

Through apical & accessory foramina

23
Q

Name of extensive plexus of nerve in pulp.

In which part of pulp is it located?

A

Subodontoblastic plexus of Raschkow

in cell-free zone of Weil

24
Q

Another name of pulp stone. What is it?

A

Denticle

Discrete calcified mass

25
How is true pulp stone different from other pulp stones?
It is surrounded by cells resembling odontoblasts | may contain tubules
26
5 Characteristics of Dentine
1. Avascular 2. Yellowish 3. Permeable 4. Hard tissue 5. Elastic
27
4 Functions of Pulp
1. Formative: produces dentine that surrounds it 2. Nutritive: nourishes avascular dentine 3. Protective: carries nerves that give sensitivity 4. Reparative: capable of producing new dentine as required
28
Which 2 structures meet at apical foramen?
Pulp & periodontal ligament
29
4 Changes of pulp with age
1. flattened fibroblasts 2. smaller & eccentric apical foramen when compared to developing tooth 3. Less undifferentiated mesenchymal cells -> diminished regenerative potential 4. Increase in overall collagen content
30
Specialized fibrous joint formed by periodontium
gomphosis
31
2 Types of cementum and their role
1. Cellular cementum - associated with repair of periodontal tissues, adaptive role in response to tooth wear & movement 2. Acellular cementum - provides attachment for tooth
32
Where is cellular cementum confined to? In what kind of tooth is it often absent in?
confined to apical third & inter radicular region | often absent in single-rooted teeth
33
3 Types of cementoenamel junction
1. Cementum overlaps with enamel (60%) 2. Meet at butt joint (30%) 3. Gap in between, exposing dentine (10%)
34
3 Characteristics of cementum
1. Avascular 2. Hard - mineralized 3. Cellular/ Acellular
35
Origin of periodontium (except gingiva)
Ectomesenchymal
36
3 Parts of alveolar process
1. Cortical plate 2. Central spongiosa 3. Bone lining the alveolus
37
What is alveolar bone referred to radiographically? (2 Names) Which part of the bone is it referring to?
Lamina dura / Bundle bone | Compact bone
38
Where is trabecular bone absent?
Anterior teeth
39
4 functions of periodontal ligament
1. Support teeth in sockets 2. Permit teeth to withstand forces of mastication 3. Attach teeth to bone 4. Sensory function - for proper positioning of jaws
40
2 Types of cells in cellular cementum
1. Cementoblasts | 2. Cementocytes
41
7 Types of cells in periodontal ligament
1. Fibroblasts 2. Osteoblasts 3. Osteoclasts 4. Epithelial cell rests of Mallasez 5. Macrophages 6. Undifferentiated mesenchymal cells 7. Cementoblasts
42
5 Principal fibre bundles in periodontal ligament
1. Alveolar crest group 2. Horizontal group 3. Oblique group 4. Apical group 5. Inter radicular group
43
Embedded portion of principal fibre bundles in cementum & bone
Sharpey's fibre
44
Where is gingival ligament found?
In lamina propria
45
5 fibre bundles in gingival ligament
1. Dentogingival group 2. Alveologingival group 3. Circular group 4. Dentoperiosteal group 5. Transseptal fibre system
46
Type of elastic fibre in periodontal ligament ad its function
Oxytalan | Regulate vascular flow
47
What is sulcus lined by?
oral sulcular epithelium (non-keratinized)
48
What type of epithelium is junctional epithelium? What is it derived from? What is its function?
Stratified squamous epithelium non-keratinized Derived from reduced enamel epithelium Provides attachment of gingiva to tooth through epithelial attachment
49
Where are the 2 ends of periodontal ligament fibre bundles embedded into?
Bone | Cementum
50
3 Changes of dentine with age
1. Continuously laid secondary dentine 2. More sclerotic dentine (occluded with calcified material) -> glassy appearance 3. Obliteration of dentinal tubules by peritubular dentine
51
4 Types of non-carious tooth loss
1. Attrition 2. Abrasion 3. Erosion 4. Abfraction