Lecture 7: Eruption and Shedding Flashcards

1
Q

physiologically, a tooth will move in all directions, except ____, to attain and maintain its position in the jaw. also, normal tooth movement occurs _____ ____

A
  • apically

- throughout life

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2
Q

the movements of eruption are a cellular activity involving different cell types of the PERIODONTAL LIGAMENT including: (4 things)

A
  • cementoblasts
  • osteoblasts
  • osteoCLASTS
  • fibroblasts (most numerous cell type of the PDL)
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3
Q

what are the functions of a fibroblast in the PDL?

A
  • secretes extracellular fluid (fibroblasts)
  • lysis the extracellular substance (fibroclasts)
  • may become a contraction cell called a FIBROMYOCYTE fibroblast (connected to collagen fiber bundles that connect the tooth to alveolar bone)
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4
Q

what are the three stages of eruption?

A
  • preemergence (moves FACIALLY)
  • prefunctional (moves OCCLUSALLY)[wants to get to oral cavity]
  • functional (moves mesially)
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5
Q

the PREEMERGENCE stage starts with the appearance of ______ and continues to the appearance of the _______ and ______ just prior to the start of root dentin formation

A
  • dental lamina
  • reduced enamel epithelium
  • hertwig’s root sheath (# of canals determined at this stage & root dentin outline)

*mainly moves facially

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6
Q

hertwigs root sheath determines the number of root canals in the _____ stage before the start of ______

A
  • preemergence stage

- root dentin formation

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7
Q

when does hertwigs root sheath determine the root dentin outline?

A

at the start of root dentin formation

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8
Q

what are some of the major events that happen during the preemergence stage

A
  • differentiation of ameloblasts, odontoblasts, and fibroblasts (NOT CEMENTOBLASTS)
  • appearance of CROWN dentin and enamel
  • DEJ forms and pulp chamber form
  • REE (attached by basal lamina to surface)
  • # root canals and HERS
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9
Q

the prefunctional stage of eruption starts with ____ and ends when ____

A
  • root dentin formation
  • tooth reaches occlusal plane

*mainly moves occlusally

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10
Q

during the PREFUNCTIONAL stage, when does the HERS break up?

A

when the root dentin forms and cementum forms of the exposed dentin

  • sequence continues apically until root dentin is completed
  • sheath diagram stage and the elongation of the sheath have already happened
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11
Q

these appear during the PREFUNCTIONAL stage and are remnants of epithelial cells from hertwigs root sheath in the periodontal ligament

A

epithelial rest of malassez

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12
Q

how does emergence happen in the pre functional stage?

A

the merged oral epithelium and the reduced enamel epithelium undergo cell death and the most coronal part of the crown emerges into the oral cavity

*when the tooth enters the oral cavity, the reduced enamel epithelium becomes the JUNCTIONAL EPITHELIUM

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13
Q

what anchors the junctional epithelium to both the tooth surface and the connective tissue of the free gingiva

A

basal lamina (it is on BOTH sides of the junctional epithelium)

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14
Q

the functional stage of eruption starts at _____ and physiologically continues _____

A
  • the occlusal place
  • throughout life

*mainly moves mesially

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15
Q

during the functional stage, the position of the junctional epithelium changes from what three places?

A
  • attached to enamel
  • attached to enamel and cementum
  • attached to cementum
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16
Q

during what stage does functional arrangement of principal fiber bundles of the PDL occur?

A

functional stage

17
Q

what changes occur during the functional stage?

A
  • attrition
  • dead tracts
  • tertiary dentin
  • reduced pulp tissue volume
  • ectopic mineralization
18
Q

physiologic elimination of primary teeth caused by the resorptive action of odontoCLASTS (come from bone marrow and transported via bloodvessels)

A

shedding

19
Q

what part of the tooth do odontoclasts resorb?

A

all three mineralized tissues of teeth (enamel, dentin, cementum)