Lecture 3 (Dental Histology) Flashcards
96% inorganic and 4% organic
Enamel
protective covering of crown dentin and resist forces of mastication
Enamel
What are the characteristics of enamel:
- translucent
- permeable
- yellowish white to grayish white dentin
- hardest calcified tissue in the human body but it is brittle
Color of enamel comes from
the color of ____
Dentin
Hardest calcified tissue in the human body but it is brittle
Enamel
Translucent
Enamel
Permeable
Enamel
Yellowish white to grayish white dentin
Enamel
Extends from DEJ to the external surface of the tooth
Enamel rods/prisms
Oriented at right angles perpendicular to the DEJ and tooth surface
Enamel rods/prisms
Under pits and fissure, ____ will converge towards each other, towards the bottom of the pits/fissures, on the proximal sides usually have horizontal or a little oblique
Enamel rods/prisms
Consist of head and tail
Enamel rods/prisms
Made up of hydroxyapatite crystals
Enamel rods/prisms
Thin leaf like folds between your enamel rod group extending from the enamel surface towards the dej
Enamel Lamellae
Containing mostly inorganic material
Enamel Lamellae
A weak area that predisposes tooth to entry of bacteria and dental caries
Enamel Lamellae
More prone to caries
Enamel Lamellae
Composed of bundles of poorly calcified rods originating from the DEJ
Enamel Tufts
Narrow, ribbon like structure
Enamel Tufts
A lot of ____ at the DEJ, play a role in the spread of dental caries because they are poorly calcified
Enamel Tufts
This serve as pain receptors explaining the sensitivity by some patients during tooth preparation
Enamel Spindle
Odontoblastic processes that cross the DEJ into enamel
Enamel Spindle
This the reason why some patient complain of sensitivity even if you just drill in enamel
Enamel Spindle
Changes that enamel will undergo:
- Attrition
- Abrasion
- Erosion
physiologic wear of your enamel
Attrition
From tooth contact or from grinding
Attrition
Affects mainly the biting surfaces of the teeth
Attrition
Is the mechanical wear of enamel
Abrasion
usually due to aggressive tooth brushing
Abrasion
Usually seen in the cervical area
Abrasion
Educate patient how to brush properly (soft bristles brush)
Abrasion
Chemical wear of your enamel
Erosion
From an acidic diet or stomach acids; Caused by frequent intake of soft drinks (coke)
Erosion
Affects every exposed tooth surface
Erosion
65% inorganic and 35% organic
Dentin
It gives form and shape of the tooth supporting your enamel
Dentin
Whatever you do to ____ it will affect your pulp
Dentin
is a vital tissue
Dentin
What are the characteristics of Dentin:
- Softer than enamel, harder than bone
- Made up of dentinal tubules (holes)
- Light yellowish in color
Softer than enamel, harder than bone
Dentin
Made up of dentinal tubules (holes)
Dentin
Light yellowish in color
Dentin
Dentin can form:
- Primary Dentin
- Secondary Dentin
- Reparative Dentin/Tertiary Dentin
- Sclerotic Dentin
- Eburnated Dentin
First laid down dentin until root is finally complete
Primary Dentin
Continuous to constrict the pulp chamber
Secondary Dentin
As we grow older the pulp will also constrict in size because of continuous production of ____.
Secondary Dentin
Is formed when you have carries that are very deep
Reparative Dentin/Tertiary Dentin
the pulp would try to protect itself by the formation of ____ to make sure that your pulp is not further harmed.
Reparative Dentin/Tertiary Dentin
Localized to the affected area of the pulp-dentin complex
Reparative Dentin/Tertiary Dentin
Also called reparative dentin where the barrier protection is superior
Tertiary Dentin
No continuity regular
primary dentin and tertiary dentin
Different chemically and structurally from primary and secondary dentin
Reparative Dentin/Tertiary Dentin
Formed for the pulp to be protected from further injury
Reparative Dentin/Tertiary Dentin
Nearest to caries, you have to excavate this because it is usually soft and contaminated with bacteria
Infected dentin
You cannot excavate, resistant
Affected dentin
Result of aging or mild irritation and causes a change in the composition your primary dentin
Sclerotic Dentin
peritubular area are wider and
filled with calcified material from the DEJ
Sclerotic Dentin
Seals your peritubular area so, it blocks bacteria
Sclerotic Dentin
Refers to the outward or exposed portion of reactive sclerotic dentin
Eburnated Dentin
Where slow caries have destroyed the overlying tooth structure leaving a darkened cleanable surface
Eburnated Dentin
45-50% inorganic and 50-55% organic
Cementum
Serves to attach to the root of the tooth to the alveolar bone by means of the periodontal ligament fiber
Cementum
Compensates for occlusal wear
Cementum
Protects root dentin
Cementum
Repairs resorp part surface, fracture roots
Cementum
Provides for reattachment of broken
periodontal fibers
Cementum
if you extend your fill over the margin, it will irritate or infect your gums
TRUE OR FALSE
TRUE
75% water and 25% organic portion
Pulp
Supply nutritional elements to dentin, to the odontoblast and its process
Pulp
Responsible for the continuous production of dentin
Pulp
Responsible for the continuous production of dentin if your pulp is still ____.
Vital
Contains a lot of sensory and motor fibers, it is very sensitive to any irritant
Pulp
Alarm clock if there is something wrong with the tooth
Pulp
Should drill then pulp
TRUE OR FALSE
FALSE
Don’t drill without anesthesia
TRUE OR FALSE
TRUE
What are the root canal treatment:
- Removal of all the pulp contents
- Clean it
- Irrigate the tooth and replace it with a root canal material before restoration or crown
- Serves to preserve the tooth from having it extracted
Composed of supportive structures of the teeth
Periodontium
Give 2 Gingival unit of periodontium:
-free and attached gingiva
- alveolar mucosa
Give 3 Attachment apparatus of periodontium:
- Cementum
- Periodontal ligament
- Alveolar process