Root Development Flashcards

1
Q

When does root development begin?

A

Once the crown has formed

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2
Q

What does the onset of root development coincide with?

A

Axial phase of tooth eruption

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3
Q

What is the axial phase of tooth eruption?

A

When the tooth breaks through the gum

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4
Q

What 3 components are involved in root development?

A
  1. Dental follicle
  2. Root sheath of Hertwig
  3. Dental papilla
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5
Q

What forms the root sheath of Hertwig?

A

Internal and external enamel epithelium at the cervical loop

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6
Q

How does the root sheath proliferate?

A

Apically

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7
Q

Why does the root sheath proliferate apically?

A

Map out the shape of the future root

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8
Q

How does a primary apical foramen subdivide to create multiple root patterns?

A

Ingrowth of shelves

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9
Q

How is root dentin formed?

A

Cells of internal enamel epithelium induce mesenchymal cells of papilla to differentiate into odontoblasts and produce root dentin

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10
Q

What 3 things occur once root dentinogenesis has begun?

A
  1. Root sheath loses continuity and separates from developing root dentin
  2. Epithelial cells of sheath disperse into small clusters - Epithelial cell rests of Malessez
  3. Mesenchymal cells differentiate into cementoblasts and produce cementum
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11
Q

What happens to any remaining cells in dental follicle once cemetogenesis has begun?

A

Differentiate into fibroblasts and produce collagen of periodontal ligament

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12
Q

Describe the vascularity and innervation of cementum

A

Avascular with no innervation

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13
Q

What are 3 functions of cementum?

A
  1. Provide attachment of collagen fibres of periodontal ligament
  2. Cover root surface
  3. Provide seal for open dentinal tubules
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14
Q

Name 3 ways that cementum can form a relationship with enamel

A
  1. Overlap
  2. Meet
  3. Gap
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15
Q

What is a potential problem with a gap between the enamel and cementum?

A

Due to gingival recession, dentinal tubules could become exposed

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16
Q

Describe the chemical properties of cementum

A

45% inorganic
33% organic
22% water

17
Q

Describe the inorganic component of cementum

A

Calcium hydroxyapatite

18
Q

Describe 2 things found in the organic component of cementum

A
  1. Collagen Type I

2. GAGs

19
Q

What are 2 contributing factors to whether cementum is calcified?

A
  1. Presence / absence of cells

2. Nature and origin the organic matrix

20
Q

What is the primary difference between primary and secondary cementum?

A

Secondary cementum contains cells - cementoblasts / cementocytes

21
Q

Where does acellular cementum tend to be found?

A

Covering root adjacent to dentin

22
Q

Where 2 areas is cellular cementum likely to be found?

A
  1. Apical area overlying acellular cementum

2. Interradicular areas

23
Q

What is an interradicular area of a tooth?

A

The area between roots

24
Q

What 2 sources is the organic matter of cementum derived from?

A
  1. Sharpey’s fibres from PDL (extrinsic fibres)

2. Cementoblasts (intrinsic fibres)

25
In what direction do Sharpey's fibres run in cementum?
Same direction as principal fibres of PDL
26
In what direction do cementoblasts run in cementum?
Parallel to root surface
27
How do Sharpey's fibres run with regards to cementoblasts?
Right angles
28
What are the 2 main varieties of cementum found in human teeth?
1. Acellular extrinsic fibre cementum (AEFC) | 2. Cellular intrinsic fibre cementum (CIFC)
29
Where is collagen derived from in AEFC?
Sharpey's fibre of the periodontal ligament
30
What is the main function of AEFC?
Provide attachment of tooth to PDL
31
What is CIFC composed of?
Intrinsic fibres
32
What cell is contained within CIFC?
Cementocytes
33
What are cementicles?
Small globular masses of cementum found on human roots
34
What is hypercementosis?
Excessive production of cementum
35
What is concrescence?
Fusion of roots of adjacent teeth due to loss of interdental bone