Periodontium 2 Flashcards

1
Q

Cementum is a ___________ tissue.

A

Hard connective tissue

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2
Q

What are the 3 main functions cementum?

A
  • attach tooth to jaw
  • protect root dentin
  • adapting to the forces of mastication
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3
Q

What is the Chemical composition of cementum?

A

Similar to bone 45-50% organic and 50-555 inorganic.

*Major component of Inorganic matrix is hydroxyapatite.

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4
Q

In what 2 major ways does cementum differ from bone?

A
  1. It is NOT vascularized

2. IT does not remodel (resistant to reabsorption)

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5
Q

What is the thickness of cementum?

A

@ CEJ = 20-50um

Toward root apex = 150-200um

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6
Q

Describe the relationship between enamel and cementum…

A
  • Cementum overlaps enamel about 60% of the time.
  • Cementum and enamel butt together about 30% of the time.
  • 10% of the time there is a gap between the two.
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7
Q
  • Cervical
  • Acellular extrinsic fibers
  • More mineralized
  • more important in attachment
    WHAT AM I?
A

Primary cementum

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8
Q
  • Apical
  • Cellular intrinsic & Mixed fibers
  • Less mineralized
  • More important in adaptation of masticatory forces.
A

Secondary cementum

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9
Q

What is the main collagen of cementum?

A

Type 1 (90%) type 3 (10%)

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10
Q

The collagen matrix of acellular cementum consists of fibers oriented in what direction?

A

@ right angles to the cementum surface.

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11
Q

The collagen matrix of cellular intrinsic fiber cementum consists of fibers oriented in what direction?

A

Parallel to surface of cementum

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12
Q

What are the two kinds of secondary cementum?

A

cellular intrinsic fiber cementum

Mixed fiber cementum = Bulk of secondary cementum that is typically secreted after and more slowly that cellular cementum so it is more prominent in apical portion of tooth.

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13
Q

Cementocytes were once ________.

A

Cementoblasts, until they were trapped in the mineralized extracellular matrix.

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14
Q

T or F, Cementocytes are no longer involved in synthesizing cementum.

A

True

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15
Q

If cementum is laid down throughout life, and cementocytes don’t synthesize cementum, where does it come from?

A

Cementoblast lying at the edge of the adult PDL

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16
Q

What is the Cementoid?

A

The outermost layer of cementum, directly adjacent to the cementoblast is sometimes unmineralized and called the cementoid.

17
Q

The presence of an obvious cementoid layer is usually associated with ______.

A

Cellular intrinsic fiber cementum (secondary)

18
Q

What is Hypercementosis?

A

When very large amounts of cementum are deposited around he root of a tooth. Rare, but makes it hard to preform root canals and extractions.