ORAL BIOLOGY Flashcards

1
Q

DESCRIBE ENAMEL

A

an epithelial product, translucent, hard, brittle, non-vital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the makeup of an enamel prism

A

this is the basic unit of enamel (microscopically) - there is a CORE which is tightly packed and a SHEATH which is loosely packed. (packed hydroxyappatite crystals)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

describe the meaning of aprismatic

A

this is the last and first formed enamel, it has NO PRISMS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the job of the gnarled enamel at the cusps of the teeth

A

provides strength as that is where most of the load is eg masrticatory force!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where the direction of the enamel prisms point out towards?

A

the PDL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

enamel spindles are extensions of what?

A

they are extensions of dentinal tubules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the perikymata

A

these are the inward bumps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

pickerill ridges

A

the outward bumps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

enamel is best developed at where on the tooth

A

the cusps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the striae of retzius

A

incremental growth lines, if these are accentuated it means that there is a sign of illness etc etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the different lesion zones of enamel caries

A

translucent zone, dark zone, body of lesion, surface zone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

describe what happens at the translucent zone in enamel caries

A

it is the 1st carious change, few large pores, prism loss structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what happens at the dark zone of enamel caries

A

quoline cant penetrate, demineralisation and remineralisation occuring here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is happening at the body of the lesion in enamel caries

A

largest part of the zones and it is translucdent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

surface zone - what is happening here in enamel caries

A

intact, highly mineralised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

describe what happens to arrested enamel caries

A

there may have been a diet change, good plaque control, fluoride varnish placed. these are usually brown and wide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

describe what happens during occlusal caries in enamel

A

due to the fissures in the teeth, these are usually hard to detect, 2 lesions whcih follow the prism direction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

describe dentine

A

collagen matrix, specialised connective tissue, strong and hard, tubules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

describe dentine

A

collagen matrix, specialised connective tissue, strong and hard

19
Q

what is in dentinal tubules

A

can depend in which direction they go, we can have no cells only dentinal fluid, can have odontoblasts or odontoblasts AND nerves

20
Q

we can have primary curvature dentine tubules following onto what…….

A

secondary curvatures, within these we have lines of owen (following the curvatures)

21
Q

what do the collagen fibres play a role in within dentine

A

these run parallel to the ADJ and provide STRENGTH! - they also show the incremental lines of von ebner

22
Q

what are the 3 classifications of dentine

A

1) developmental dentin, 2) primary secondary and tertiary dentine, 3) peri and inter tubular dentine

23
Q

describe developmental dentine

A

2 parts = mantle - this is the 1st formed, adjacent to enamel, large collagen fibrils
2nd is circumpulpal - this makes up the REST of dentine, small collagen fibrils

24
describe primary, secondary and tertiary dentine
primary - during development, up until the root secondary - after root formation, develops slowly through life! tertiary - responds to insult dentine! there are 2 parts to tertiary (reactionary which is SLOW forming and reparative which is FAST forming)
25
describe peri and inter tubular dentine
peri = around tubules inter - between tubules
26
what is the smear layer of dentine
this is the debris formed on dentine from instrumentation, this can be removed with acid etch
27
describe the process/layers into dentine caries
cavitated/bacteria enters, we then have the destruction zone (mainly bacteria here), zone of bacterial penetration (bacteria in tubules), then the advancing front (demineralisation - no bacteria)
28
dentine bonding, describe it
fluid moves OUT of the tubules, protective from bacteria. we then have the smear layer which is dissolved by acid etch - DONT OVER DRY THE TEETH OR ESLE THE COLLAGEN COLLAPSES (this will create micromechanical retention) the acid etch will expose the collagen and tubules which creates a strong bond to resin.
29
peridontium - what are the sharpeys collagen fibres
they are terminal ends of the principal fibres that extend into cementum and alveolar bone,
30
what does the cementum do
it covers the root, supports the tooth, there are NO NERVES OR BLOOD VESSELS
31
What is acellular and cellular cementum
acellular - inside/top - fully mineralised - cervical root is thin cellular - outer/bottom - partially mineralised - apical and thicker
32
what is a cementocyte?
this is trapped in cementum - only the outer surface has live cells they are WITHIN LACUNAE (spider shaped cells) -
33
what are LACUNAE
LACUNAE (spider shaped cells) - the small finger like projections from lacunae are called cannaluculi
34
what is within the gingival sulcus
natural 3mm ppd (pathological), contains gingival crevicular fluid, it is non keratinised which means there is a rapid turnover/shed of tissue AND ALSO BACTERIA, it leaks!
35
Describe pulp
it is part/from dentine formation, defence and repair, a connective tissue, sensory (lots of nerves and blood vessels!)
36
structure of pulp -what composes it?
pulp horns, pulp chamber, apex (apex has an apical constrictor which stops pulp from reachinf the full apex of the tooth), root canals (2/3 in multi rooted teeth)
37
describe the pulp layers
odontoblast layer (pre-dentine layer), cell free zone, cell rich zone, pulp core
38
pulpal cells - odontoblast division - what is this controlled by?
TGF beta
39
describe the role of the oral mucosa
protection, sensation, secretion
40
what are the three types of mucosa we can get
lining, masticatory and specialised
41
what structures do lining mucosa have on
lips, soft palate and FOM
42
what structures do the masticatory mucosa have on
hard palate
43
what structures do the specialised mucosa have on?
tongue
44
describe NON-KERATINISED LINING MUCOSA
good absorption (eg GTN spray), it is flexible, few rete pegs, layers are - epithelium, lamina propria, submucosa, bone/muscle
45
describe KERATINISED MASTICATORY MUCOSA
many rete pegs, thick lamina propia (anchored to bone), resists compression, immobile, layers are - epithelium, lamina propia, periosteum, bone.