PDL Flashcards

1
Q

General characteristics of the PDL

A

Soft CT composed of collagen
Principle fibers of periodontium
Sharpey’s fibers= terminal ends of principle fibers

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2
Q

What are the functions of the PDL?

A
Supportive
Nutritive
Formative
Protective
Sensory
Hemostatic
Eruptive movement
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3
Q

What are the supportive functions of PDL?

A

Supports root in alveolus & resists forces

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4
Q

What are the nutritive functions of PDL?

A

Carries nutrients to cementum, ABP and PDL

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5
Q

What are the formative functions of PDL?

A

Forms and resorbs cementum, ABP and PDL

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6
Q

What are the protective functions of PDL?

A

Shock absorber for BV, lymphatics and nerves

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7
Q

What are the sensory functions of PDL?

A

Pain, touch, temp and proprioceptive

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8
Q

What are the hemostatic functions of PDL?

A

Maintains constant width of PDL space

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9
Q

What are the eruptive movement functions of PDL?

A

Assists in eruptive movement

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10
Q

Where is the PDL located? Where is it widest and thinnest?

A

Located between the ABP and cementum

Widest at alveolar crest and apex, thinest at midpoint of root

Thin, limited space, narrows with age

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11
Q

What is the embryonic origin of the PDL?

A

Neuroectoderm/Neural crest cells of the head and neck

Ectomesenchyme of neural crest cells give rise to dental sac–> dental sac/follicle gives rise to fibroblasts that form the principle fibers of the PDL

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12
Q

What cells is the PDL composed of?

A
Fibroblasts (most abundant)
Mesenchyme cells
Cementoblasts
Osteoblasts
Cell rests of Malassez

Additional cells: mast, macrophages, lymphocytes, plasma cells

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13
Q

Fibroblasts function in PDL

A

Produce/resorb collagen, maintains PDL fibers and space

Produces ground substance

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14
Q

Function of mesenchyme cells in PDL

A

Form fibroblasts, cementoblasts, osteoblasts

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15
Q

Where are cementoblasts found in PDL?

A

Closest to cementum

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16
Q

Where are osteoblasts found in PDL?

A

Closest to ABP

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17
Q

Where are cell rests of Malassez located in PDL and what is their function?

A

Found closest to the cementum

May participate in PDL repair/regeneration- potential to form cysts

18
Q

What are the 5 principle fibers of the PDL?

A
Alveolar crest fibers 1st group
Horizontal fibers 2nd group
Oblique fibers 3rd group
Apical fibers 4th group
Interradicular fibers 5th group
19
Q

Where are alveolar crest fibers located and what types of forces do they resist?

A

Apex of alveolar crest to cementum at cervix of root

Resists tilting, occlusal, avulsive and rotational forces

20
Q

Where are horizontal fibers located and what types of forces do they resist?

A

Extend horizontally from ABP to cementum just apical to alveolar crest fibers- coronal 1/3 of root

Resist tilting and rotational forces

21
Q

Where are oblique fibers located and what types of forces do they resist?

A

Largest group

Extend obliquely from ABP to cementum just apical to horizontal fibers- mid portion of root to apical 1/3
Acute angle to horizontal fibers

Most resistant to occlusal and some rotational forces

22
Q

Where are apical fibers located and what types of forces do they resist?

A

Extend from apical ABP to apical cementum- parallel with long axis of root

Resistant to avulsive and rotational forces

23
Q

Where are interradicular fibers located and what types of forces do they resist?

A

*only in multi rooted teeth

Extend from apex of interradicular septum ABP to cementum of furcation area

Resist tilting, occlusal, avulsive, and rotational forces

24
Q

What are oxytalan fibers? Where are they located?

A

Support the BV and alleviate some masticatory stress on the BV

Positioned in various angles to principle fibers

25
What is in the ground substance of PDL and what is its function?
Glycoproteins, glycosaminoglycans and bound water Acts as a hydraulic system during mastication- equalizes occlusal forces by redistributing them throughout the PDL
26
Where are gingival ligaments found?
Found in CT of the gingiva, NOT THE PDL Not considered part of the periodontium Supports gingiva Specific orientation that forms 5 distinct groups
27
What are the 5 groups of gingival ligaments?
``` Circular fibers Alveogingival fibers Dentoperiosteal fibers Dentogingival fibers Transseptal fibers/Interdental fibers ```
28
Where are the circular fibers?
Encircle the cervix of the tooth, found in CT of free gingiva and interdental papilla
29
Where are alveogingival fibers located?
Extend through CT (lamina propria) of free/attached gingiva to alveolar crest of ABP
30
Where are dentoperiosteal fibers found?
Extend throught CT of attached gingiva from alveolar cortical plate to cervical cementum
31
Where are dentogingival fibers found?
Extend from CT of free/attached gingiva to cervical cementum
32
Where are transseptal/interdental fibers found?
Extend from cervical cementum of tooth through CT of interdental papilla to cervical cementum of adjacent tooth
33
What is the main blood supply to the PDL?
Maxillary artery
34
What are the 3 sources of blood supply to the PDL?
Dental arteries- branch before entering apical foramen- clastic cells for repair Alveolar bone/cribiform plate- perforating arteries of nutrient canals Zucker/Hersch Gingiva- blood vessels of supporting CT
35
Where does venous drainage of PDL occur?
In capillary bed in apical region
36
What nerve innervates the PDL?
Trigeminal (5th cranial) Superior & inferior alveolar Myelinated nerves mediate proprioception and pain Non-myelinated nerves control lumen size of PDL blood vessels
37
What are cementicles and where are they found?
Excementosis- hypercalcification of dead cells, collagen, debris etc Free- in PDL Attached- cementum to PDL Interstitial- completely embedded in cementum
38
PDL remodeling in humans
Entire length of principle fibers continuously remodeling NO INTERMEDIATE PLEXUS- only occurs in some rodents
39
What is hypofunction of PDL?
PDL narrows/thins Tooth/teeth out of occlusion- may overerupt or be lost Loss of functional stimuli, PDL atrophies Lamina dura thins and trabeculae decrease in #
40
What is hyperfunction of PDL?
PDL thickens Tooth/teeth are in occlusion w/ heavy occlusal forces (not traumatic) PDL undergoes hypertrophic changes Lamina dura remains & trabeculae increase in #- supporting alveolar bone becomes denser
41
What happens from occlusal trauma?
PDL is destroyed & PDL space widens Clenching/bruxism (sever, long) PDL crushed causing hemorrhage/necrosis of fibers Resorption of ABP, cemental tears, root resorption, fractures, abfraction Teeth involved may become mobile or lost
42
What results from clastic activity of cementoclasts and odontoclasts and is initiated by the PDL?
External root resorption Due to trauma or infection