Lecture 3 Flashcards

1
Q

What are the cellular elements of the PDL?

A

Connective tissue-Fibroblasts, cementoblasts and cementoclasts, osteoblasts and osteoclasts
Epithelial tissue-Rest cells of Malaise (these can causes abscesses if stimulated to grow)
Defense cells-Mast cells and macrophages
Neurovascular elements

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2
Q

Which is more resistant to resorption, bone or cementum?

A

Cementum, this is important in orthodontics because you can move teeth without destroying the roots.

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3
Q

What characterizes primary and secondary cementum?

A

Acellular and cellular respectively

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4
Q

Name the three types of CE junctions?

A

Cementum overlays enamel (60-65%)
Cementum doesn’t meet enamel (5-10%)
Cementum meets enamel at butt joint (30%)

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5
Q

On what is the existence of alveolar bone is dependent?

A

Teeth, if you don’t have teeth the alveolar bone resorbs.

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6
Q

What types of bone are in the jaw?

A

Cortical bone, hard dense bone surrounding the outside of the jaw.
Cancellous bone, trabecular bone the makes up the middle portion of the jaw
Alveolar bone proper, or the cribiform plate (lamina dura on a radiograph)
There is also a periosteum

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7
Q

What is the alveolus?

A

It is the boney socket that houses the roots of the teeth

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8
Q

Where is the cortical bone the thinnest?

A

In the incisors, canine and premolar area and it is the thickest in the molar area

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9
Q

What are the three sources of vascular supply?

A

Apical vesses, penetrate through the alveolar bone, anastomosis from the gingiva

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10
Q

What does iatrogenic mean?

A

Cause by the dentist

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11
Q

What can cause pigmentation of the gingiva?

A

There are many known mechanisms from genetic to syndromes and environmental reasons

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12
Q

What is the only way to know what is the cause of the pigmentations?

A

Biopsy

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13
Q

Where are melanocytes located?

A

In the stratum basale and spinosum

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14
Q

Does grafted tissue stay pigmented?

A

No, the tissue is determined by the underlying connective tissue

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15
Q

What makes up periodontal disease?

A

Gingivitis, periodontitis and some other causes

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16
Q

What is the best way to fix the problem of periodontal disease?

A

Disrupt the microbial flora that accumulates in plaque

17
Q

How many adults suffer from periodontitis?

A

About 50% of adults

18
Q

What causes most of the damage in periodontitis?

A

It is our own immune system that is reacting to the bacterial plaque that causes most of the damage

19
Q

How long does it take for gingivitis to occur?

A

After 10-21 days of no oral hygiene gingivitis was present in students.

20
Q

The appearance of what type of bacteria precedes the clinical gingivitis?

A

Gram negative