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IOE Dentistry - Dental Anatomy > Periodontal Ligament (PDL) > Flashcards

Periodontal Ligament (PDL) Flashcards

1
Q

What is the periodontal ligament?

A

It is the dense fibrous connective tissue that occupies the periodontal space between the cementum of the root and the alveolar bone of the tooth socket

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2
Q

What is the average width of the periodontal space?

A

0.25mm

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3
Q

What are the 4 main functions of the periodontal ligament?

A
  1. It’s responsible for resisting displacing forces and for protecting the dental tissues form damage caused by excessive occlusal loads
  2. Responsible for the mechanisms whereby a tooth attains and maintains its functional position
  3. Its cells form, maintain and repair alveolar bone and cementum
  4. Its mechanoreceptors are involved in the neurological control of mastication
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4
Q

Which cell makes up most of the PDL

A

Fibroblasts

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5
Q

What is the PDL made up of?

A

Connective tissue (mainly fibroblasts) and an extracellular matrix

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6
Q

What is the extracellular matrix made up of?

A 
Type I collagen 
Glycosaminoglycans 
Proteoglycans
Glycoproteins
Oxytalan
Water
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7
Q

What are the 6 cells that make up the PDL?

A
  1. Fibroblasts
  2. Cementoblasts
  3. Osteoblasts
  4. Osteoclasts
  5. Epithelial cells (Rests of Malassez)
  6. Macrophages
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8
Q

What are the fibroblasts responsible for?

A

For the synthesis and degradation of collagen and for secretion of all components of the PDL ground substances

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9
Q

What type of cell and where are cementoblasts and osteoblasts found?

A

They are formative cells found on the surface of both the cementum and alveolar bone

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10
Q

Which cells are of mesenchymal origin?

A 
Cementoblasts
Osteoblasts
Preosteoblasts 
Precementoblasts
Epithelial cells
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11
Q

Which cells are involved in resorbing? And where are they found?

A

Osteoclasts and odontoclasts

They are found on the surface of bone and cementum

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12
Q

Which cells are of macrophage origin?

A

Osteoclasts
Odontoclasts
Macrophages

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13
Q

What are the rests of Malassez?

A

Epithelial cells

They are remnants of the epithelial root sheath

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14
Q

What are maacrophages?

A

Defense cells
They are blood borne cells that enter the PDL from blood vessels
They make up a small percentage of the cell population

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15
Q

What are the collagen fibres in the extracellular mastic gathered into?

A

They are gathered to form bundles called principal fibres

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16
Q

The region of attachment of the gingiva to the tooth is called what?

A

The gingival cuff

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17
Q

Where are elastin fibres found?

A

Elastin fibres are restricted to the walls of the blood vessels

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18
Q

Which fibres make up the periodontal fibres?

A
  1. Collagen:
    Type I, III, IV, V, VI, VII, XII
  2. Oxytalan, elastic and elaunin
  3. Reticulin
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19
Q

Which type of collagen makes up most of the PDL?

A

Type I (70%)

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20
Q

What other types of collagen (apart from type I) make up the PDL?

A

Type III - 20%

Types IV, V, VI, VII, XII In trace amounts

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21
Q

Where are elaunin fibres found?

A

They are found around the blood vessels

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22
Q

What might the elaunin fibres do?

A

They might provide mechanical protection for the vascular system

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23
Q

What are reticulin fibres now known to be?

A

Type III collagen

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24
Q

What do reticulin fibres form and what do they do?

A

They for crosslinks and a fine meshwork to aid tissue support

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25
Q

What found between the collagen fibres?

A

The ground substance

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26
Q

Where are the ground substances found and what do they do?

A 
They are found between collagen fibres
They are thought to have many important functions including:
Water binding 
Control of collagen fibrillogenesis 
Fibre orientation 
Binding of growth factors
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27
Q

What is the basic unit of collagen fibres?

A

Triple helical tropocollagen molecules

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28
Q

What happens when triple helical tropocollagen molecules are secreted outside the cell?

A

They are cleaved and spontaneously aggregate in a staggered fashion, first as a 5 membered micro fibrils and then into classical fibrils

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29
Q

What is the characteristic banding of classical microfibrils?

A

Characteristic banding at 64nm

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30
Q

What are the fibrils grouped into after classical microfibrils

A

These fibrils are then arranged into larger structures called bundles ranging from 1 micrometer upwards

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31
Q

What are bundles then further arranged into?

A

These bundles are then arranged to give he overall tissue architecture called the principle fibre bundles

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32
Q

What is the diameter of small fibrils?

A

Approx 40nm

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33
Q

What are the 5 different orientation of the principle collagen fibres?

A
  1. Dentoalveolar crest fibres
  2. Horizontal fibres
  3. Oblique fibres
  4. Apical fibres
  5. Inter-radicular fibres
34
Q

Where do the alveolar crest fibres run?

A

They run from the alveolar crest upwards to insert into the cementum below the crown

35
Q

Where do the horizontal fibres run?

A

Run horizontally from bone to tooth

36
Q

Which orientation of the principle collagen fibres is the largest?

A

Oblique fibres

37
Q

Where do the apical fibres run?

A

They radiate from the root to the apex

38
Q

Where do the Inter-radicular fibres?

A

In a multi rooted tooth the fibres radiate from the apex of the inter-radicular bone

39
Q

Where do the oxytalan fibres run in the outer part of the PDL?

A

Runs obliquely down from the cementum to terminate in the vicinity of the periodontal capillaries

40
Q

Where do the oxytalan fibres run within the periodontal ligament proper?

A

They tend to be more longitudinally orientated, crossing the oblique fibre bundles more or less perpendicularly

41
Q

What is the suggested function of oxytalan fibres?

A

There is no clear idea but the suggested function of these fibres might be to aid fibroblast migration in the PDL

42
Q

What does their ultrastructural characteristic of oxytalan suggest?

A

Suggests that they are immature elastin fibres called ‘pre-elastin’

43
Q

What is the difference between the ‘pre-elastin’ and mature elastin?

A

Pre-elastin does not have a central amorphous core

44
Q

What does the PDL demonstrate in response to axial loading?

A

The periodontal ligament demonstrates a BIPHASIC, ‘VISCO-ELASTIC’, response to axial loading

45
Q

How does the PDL seem to resist intrusive loads

A

Some of the load applies to the tooth is probably dissipated through the oblique fibre system
Primarily the ligament appears to resist intrusive loads by compression and fluid flow

46
Q

What does evidence suggest collagen fibres, vasculature and ground substance are involved in?

A

Tooth support

47
Q

What fibres are involved in tooth support?

A

Collagen fibres,
Vasculature
Ground substance

48
Q

The lamina propia of the gingiva is what?

A

A relatively dense and fibrous tissue that has insertions into both tooth and bone of the alveolar crests

49
Q

What does the lamina propia of the gingiva do?

A

They act together with tissue fluid to support the free gingiva and hold the attached gingiva against the tooth

50
Q

What is the gingival cuff?

A

The region of attachment of the gingiva to the tooth

51
Q

What percentage of the extracellular matrix is made up of oxytalan fibres?

A

3%

52
Q

What us the junctional epithelium

A

It is a specialised nonkeratinised stratified squamous epithelium which is unusual in having a basal lamina on both surfaces
They are part of the gingival cuff

53
Q

Where is the basal lamina?

A

It is deposited on the enamel surface and the cells attach via the semi-desmosomes

54
Q

Which organelles to fibroblasts have a lot of?

A

They are metabolically active with large amounts of rough endoplasmic reticulum

55
Q

What processes surround the fibre bundles?

A

Cellular processes surround, or envelop, the fibre bundles

56
Q

What are processes from adjacent cells joined by?

A

They are joined by intercellular contacts to form a cellular network

57
Q

What are fibroblasts as well as metabolically active? How?

A

They are also metabolically coordinated as they demonstrate significant numbers of gap junctions between adjacent cells
This may help them to coordinate their matrix turnover activities.

58
Q

What is an unusual feature of periodontal fibroblasts?

A

They frequently contain intracellular vacuoles containing fragments of fibrillar collagen

59
Q

What type of event is the degradation of collagen fibrils in MOST connective tissue?

A

An extracellular event as the cells secrete collagenases into the extracellular environment

60
Q

By what process does the degradation of collagen fibrils occur in the periodontal ligament?

A

The fibroblasts appear to degrade the fibrillar collagen by phagocytic process

61
Q

Explain the phagocytic process of degrading collagen fibrils

A

Lysosomes fuse with the ‘phogosome’ containing the collagen fibril and form a ‘phago-lysosome’ where the fibril is degraded. .

62
Q

Why might the phagocytic process of degrading collagen fibrils in the PDL be more advantageous

A

This may enable the cells to control the degradative process more precisely.

63
Q

What do the epithelial cell rests of malassez look like?

A

They appear as islands of epithelial cells

64
Q

What are the epithelial cell rests of Malassez?

A

Remnants of the epithelial root sheath of Hertwig which disintegrates following root development and have been considered to be relatively inactive

65
Q

What can the epithelial cell rests of Malassez be triggered to do?

A

These cells can be triggered to proliferate and form peri-apical cysts

66
Q

Where does the PDL get its blood supply from?

A

The PDL has a rich blood supply derived from the superior or inferior alveolar arteries

67
Q

Where do the majority of capillaries within the ligaments have their origin?

A

Their origin is in the intra-bony spaces within the alveolus

Arterioles within the gingiva may also be involved

68
Q

What do the capillaries and arterioles in the PDL form around the tooth?

A

They form a PLEXUS around the tooth which is primarily situated towards the socket wall, between the principal fibre bundles
Occupies 50% of the periodontal space

69
Q

What is the PDL derived from?

A

Derived from the dental follicle

70
Q

How is the PDL formed?

A
  1. Once the crown has fully formed the internal and external enamel epithelia proliferate downwards as a double layer sheet of flattened epithelial cells, epithelial root sheath of Hertwig that outlines the shape of the tooth
  2. Then the epithelial root sheath induces the peripheral cells of the dental papillae to differentiate into odontoblasts and begin producing dentine
  3. It’s in contact with the initial pre-dentine layer for only a short time before the continuity of its cell is lost
71
Q

What lie close to the surface of newly formed unmineralised dentine?

A

Adjacent cells of the dental follicle come to lie close to the surface of the newly formed unmineralised dentine

72
Q

What characteristics do dental follicle cells have prior to root formation?

A

They have the characteristics of undifferentiated mesenchymal cells

73
Q

After root formation what happened to dental follicle cells?

A

They show an increase in cytoplasmic organelles especially those associated with protein synthesis and secretion

74
Q

What do the cells of the dental follicle differentiate to form?

A

Cementoblasts
Fibroblasts
Osteoblasts

75
Q

What do cells of the inner layer of the dental follicle differentiate to?

A

Cementoblasts that form the initial layer of cells on the surface of root dentine

76
Q

What happens to dental follicle cells once cementogenesis has begun?

A

The remaining cells of the dental follicle become obliquely orientates along the root surface and show an increased content of intracellular organelles
They become fibroblasts

77
Q

What do fibroblasts secrete into the PDL?

A

Collagen

78
Q

What process triggered the formation of fibroblasts?

A

Cementogenesis

79
Q

What do the unmineralised fibres of the PDL run into?

A

They run into the organic matrix of precementum secreted by cementoblasts

80
Q

When are extrinsic fibres incorporated into the precementum?

Give an example of an extrinsic fibre

A

When further mineralisation occurs

An eg is Sharpeys fibres

81
Q

Where are Sharpeys fibres found in abundance?

A

The aceullular cementum

82
Q

What’s the difference between Sharpeys fibres found in the cementum and bone?

A

Sharpey’s fibres insertions into bone are larger but less numerous than those into cementum.

IOE Dentistry - Dental Anatomy (6 decks)

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