Oral biology excel Flashcards

1
Q

What does the dental pulp originate from?

A

The dental papilla and is enclosed by the enamel organ.

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2
Q

What cells does the dental pulp contain?

A
  • Granulocytes: The most common leukocyte in dental pulp, making up about 50% of the total
  • T lymphocytes: Make up about 32% of the total leukocytes in dental pulp
  • Monocytes/macrophages: Make up about 9% of the total leukocytes in dental pulp
  • Dendritic cells: Make up about 4% of the total leukocytes in dental pulp
  • Natural killer cells: Make up about 3% of the total leukocytes in dental pulp
  • B lymphocytes: Make up about 2% of the total leukocytes in dental pulp

Other cells found in dental pulp include:
Odontoblasts
Fibroblasts
Mast cells
Undifferentiated mesenchymal stem cells
Nerves
Vascular and perivascular cells

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3
Q

What types of collagen is the pulp rich in ?

A

Collagen I (60%)
Collagent III (40%)

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4
Q

What are rules of the pulp: (4)

A
  1. Nutritional support for odontogenesis.
  2. Formation of tertiary dentine in response to trauma or stimuli
  3. Contribute towards the interstation pressure of dentinal fluid.
  4. Odontoblasts act as barrier which stops the spread of toxins to the pulp.
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5
Q

What is the composition of different dental tissues? (inorganic, organic, water)
a. enamel
b. dentine
c. cementum
d. alveolar bone
e. pulp

A

Enamel
- 96% inorganic
- 1% organic
- 3% water

Dentine
- 70% inorganic
- 20% organic
- 10% water

Cementum
- 65% inorganic
- 23% organic
- 12% water

Alveolar bond
- 60% inorganic
- 25% organic
- 15% water

Pulp
- 0% inorganic
- 25% organic
- 75% water

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6
Q

What are the layers of the pulp?

A
  1. Odontoblast layer at the periphery
  2. Cell-free zone of Weil (misonmer). This zone contains nervous plexus of Raschkow.
  3. Cell-rich zone
  4. Pulp core (nerves and blood vessels)
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7
Q

What are odontoblasts in the pulp linked by?

A

Ob are linked together by a number of small processes, tight junctions and desmosomes for communication and integrity.

Collagen fibres are released from OB process in form of microfilament.

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8
Q

What are the most dominant cells of the pulp?

A

Pulp fibroblasts which release collagen and other matrix proteins.
Fibroblasts are interlinked by desmosomes and gap junctions.
Apoptosis occur at the end life of fibroblasts.

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9
Q

What is the vascular supply of the pulp?

A

Through capillary plexus that do not enter dentinal tubules.
4-5% of capillaries are fenestrated to allow filtration.

High interstitial pressure does not allow leaking of fluids into the pulp which can be protective during progressing caries.

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10
Q

What is the pulp nervous supply?

A

Nervous venous plexus of Raschkow present just underneath coronal OB (not in the root).
Located in the cell-free zone of Weil.
Nerve fibres can extend between the OB and predentine to form marginal nerve plexus.
It can also extend into the dentine tubules.
Nerve fibres are more in the higher levels of the pulp, but they are less in the apical part.
70-80% of the nerve fibres are non-myelinated of C type.
90% of the myelinated fibres are of A delta type.
usually nerve fibres accompany blood capillaries.

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11
Q

What happen to the pulp as we age?

A
  • Decrease in volume (deposition of more secondary dentine)
  • Decrease in vascularity
  • Decrease in sensitivity
  • Decrease in ability of self repair (due to reduction of cells)
  • Increase in fibrous tissue
  • Increasing the resistance against injury
  • Change in collagen fibres distribution
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12
Q

What are the different types of bone?

A
  • Cancellous bone (also called spongey or trabecular bone)
  • Cortical bone (also called compact bone)

Cancellous bone
Also known as spongy or trabecular bone, is lighter and less dense than cortical bone. It has a honeycomb-like structure of plates and rods that surround small cavities containing red bone marrow. Cancellous bone is found in the ends of long bones, as well as in the pelvic bones, ribs, skull, and vertebrae.

Cortical bone
Also known as compact bone, is dense and solid, and surrounds the marrow space. It’s found in the shafts of long bones and is responsible for the strength of those bones. Cortical bone has better structural support than cancellous bone, but fewer cells and slower revascularization.

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13
Q

What is woven bone?

A

Woven bone is a type of bone tissue that forms during fetal development and when bones are healing from a fracture:

Formation
Woven bone is produced when osteoblasts quickly create osteoid, an unmineralized extracellular matrix (ECM).

Structure
Woven bone has a random arrangement of collagen fibers, giving it a woven texture. It’s weaker and less rigid than lamellar bone, but the body can create it more quickly.

Replacement
In adults, woven bone is replaced by lamellar bone, which is stronger and more organized.

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14
Q

What is the cribriform plate and its function in a dental socket?

A

Cribriform plate is a thin layer (0.1-0.5mm) of compact bone that lines the socket to allow passing of blood vessels from PDL.
Alos passed sharpey fibres of PDL and in this case it is called bundle bone.

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15
Q

What is the function of the bone marrow?

A

Bone marrow is red at younger age and it possess a great haemopoietic capacity as it can produce; blood cells, osteoblasts, chondroblasts, myoblasts, fibroblasts and also contains adipose.

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16
Q

What is the clinical relevance of alveolar bone?

A
  1. Alveolar bone remodelling ability is the basis of orthodontic treatment.
  2. Alveolar bone is lost post-extraction, reduction in blood flow, localised injury or abscess.
  3. Ankylosis can happen as a result of chronic inflammation or increased lingual pressure. In this case PDL is lost and cementum becomes adjacent to AB.
17
Q

What age related things happen to alveolar bone?

A
  1. Reduction in bone mass and thinning of cortical bone leading to increasing tubercular spacing.
  2. Reduction in alveolar crest
  3. Reduction in vascularity and cellularity.
18
Q

What is the width of cementum cervically compared to apically?

A

Cervical thin cementum - (10-15 um)
- Easier to remove by abrasion

Cementum of root apex - (50-200um)

19
Q

What are the physical characteristics of cementum?

A

Pale, yellow with dull surface.
Permeability vary by age.
Harder than alveolar bone but softer than dentine.

20
Q

What are the functions of cementum?

A
  1. Gives attachment to PDL
  2. Readily resorbed which makes its remodelling easier
  3. Help in maintaining tooth in functional position
  4. Involved in teeth repair and regeneration
21
Q

What is the classification of cementum?

A
  1. According to the presence of cells (cellular or acellular)
    –> Cellular cementum is usually present in apical areas over acellular layer.
    –> Acellular cementum is usually present adjacent to granular layer of tomes of dentine.
  2. According to source of fibres:
    –> extrinsic when fibres are from PDL
    –> intrinsic when fibres are from cementoblasts
22
Q

What is AEFC?

A

Acellular extrinsic fiber cementum (AEFC).

Located mainly over the cervical 1/2-1/3 of the teeth and it forms first.
It contains no cells and form the bulk of some teeth such as the premolars.
Smoother than cellular cementum.
Important for teeth attachment as sharpey fibres are embedded in it.

23
Q

What is CIFC?

A

Cellular intrinsic fiber cementum (CIFC)
Located mainly in the apical 1/3 and in different locations within the intraradicular cementum (bifurcation)
Has no role in teeth attachment.

24
Q

Cementum-dentine attachment:

A
  • Clinically important as cementum has the ability to repair.
  • Both cementum and dentine fibrils are formed and intermingle together.
  • Deposition of minerals spread from dentine and migrate to cementum
  • This forms a strong union between D and C.
25
Q

How does cementogenesis of AEFC occur?

A

Starts by hyaline layer of dentine.
Hertwig sheath continues last.
Some fibroblasts differentiate into cementoblasts.
Cementoblasts release precementum
Mineralisation happens through dentine
Non collagenous proteins are released and they play important role in regulation of cementogenesis.
Collagen of precementum is also released at the same time as PDL fibres, so they integrate with it and then mineralisation occurs.

26
Q

How does cementum resorb and repair?

A

Less susceptible to resorption compared to bone but resorption happens in response to injury or pathology.
Resorption happens in the inner side of cementum by odontoclasts, and release of new cementum happens by cementoblasts in cellular cementum. This is associated with appearance of reversal lines.