Supporting Structure Flashcards

1
Q

Radiologically, alveolar bone called ______.

A

lamina dura

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2
Q

Alveolar Bone

A
  • forms the tooth socket

- AB + cementum anchors PDL

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3
Q

Alveolar Crest

A

ridge of alveolar bone that is the coronal border of the alveolar process

wiki- the thickened ridge of bone that contains the tooth sockets (dental alveoli) on bones that hold teeth

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4
Q

The _______ (compact lamellar) plate of bone faces the cheek and lips (buccal).

The _______ (compact lamellar) plate of bone faces the tongue and palate (lingual).

A

outer cortical; inner Cortical

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5
Q

The cribiform plate (or lamina dura) faces the root of the tooth….

1) Sharpey’s Fibers
2) Volkmann’s Canals
3) Interradicular Alveolar Bone
4) Interdental Alveolar Bone

A

1) SF- LB + PDL (the CP contains lamellar bone and a layer of bone into which the periodontal fibers insert (SF))
2) VC- opening; openings of CP for blood vessels/ nerves
3) IAB- multirooted; alveolar bone of multirooted teeth: cribriform plates and spongy bone
4) IAB- between teeth; Alveolar bone between teeth: cribriform plates of both teeth and some spongy bone

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6
Q

Both cementum and cribriform plate can show _______ indicating alterations in the deposition of cementum and bone by cementoblasts and osteoblasts, respectively.

A

arrest lines

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7
Q

Orthodontic Forces: Movement effects the PDL, stretching on one side (________) and compacting on the other (________).

A

tension zone; compression zone

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8
Q

Orthodontic Forces: Depending upon stresses, bone can undergo both resorption and deposition.

What causes resorption and deposition to occur?

A

R- Tooth movement toward the cribriform plate stimulates osteoclasts to resorb bone to make room for the new position of the tooth (resorbed area= resorption lacuna)

D- Tooth movement away from the cribriform plate stimulates osteoblasts to lay down new bone, filling in the space left by the repositioning of the tooth.

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9
Q

What are 2 major types of PDL fibers? What does interstitial spaces refer to?

A
  • gingival fibers and principal fiber bundles (designation related to location, not appearance)
  • Between fiber bundles—loose connective tissue called interstitial spaces, contains vasculature and nerves
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10
Q

Gingival Fibers (4)

A

1) Dentogingival F.- from cervical cementum to free gingiva + lamina propria of gingiva
2) Dentoperioseal F.- from CC over aleolar crest to cortical plates
3) Transseptal Fibers- cementum of tooth> adjacent tooth> over AC
4) Circular Fibers- around cervical part of root + inserts into cementum & LP of gingiva and AC

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11
Q

Principle Fibers (5)

A

1) Alveolar Crest F- from cervical cementum into alveolar crest (resists horizontal movement)
2) Horizontal F- right angles to long axis of root from alveolar bone to cementum (resists horiz. mov)
3) Oblique F- from cementum to Alveolar bone (most abundant; resists compressing)
4) Apical F.- apical cem into AB (stabilizes)
5) Inter-Radicular F- cementum into furcation area of tooth to IR AB (stablizes; multiroot teeth)

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12
Q

Circular Fibers/ Alveolar Crest/ Apical Fiber/ Transseptal Fibers function

A
  • Circular fibers resist rotational movement of the tooth.
  • Alveolar crest and apical fibers resist pull of the tooth from its socket.
  • Transseptal fibers connect all teeth and maintain integrity of the dental arches.
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13
Q

Sharpies Fibers of PDL

A

found on both sides of PDL; inserts into the cribiform plate and the cementum

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14
Q

What supports principal fibers?

A

Oxytalan Fibers; appears in larger numbers when PDL has increased stress

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15
Q

Vssels in PDL and bone interconnected via openings in cribriform plate, called _______.

A

Volkman’s canals

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16
Q

2 types of nerve endings found in the PDL:

A

1) Free, unmylenated nerve endings–pain sensation.

2) Encapsulated nerve endings–sense pressure changes during mastication.

17
Q

2 types of nerves of PDL

A

1) Autonomic- sympathetic fibers that travel with blood vessels–regulate flow of blood to the tissues.
2) Afferent sensory fibers- mostly mylenated nerves from branches of of the second and third divisions of the trigeminal nerve.

18
Q

Junctional Epithelium

A
  • attaches gum to tooth; able to repair itself when damaged
  • attached by hemidesmisomes to cementum/ enamel of tooth
  • 2 Basal Lamina: 1 facing tooth + 1 facing CT of gum
  • Primary Cuticle: between BL and tooth; thickens w/ age
19
Q

Sulcar Epithelium

A
  • forms pocket between gum/ junctional epithelium
  • forms shallow pocket
  • deepens in disease states/ exhibits rete’s pegs/ uncerations
20
Q

Primary Cuticle

A

Primary Cuticle: between BL and tooth; thickens w/ age

21
Q

What’s the hallmark of periodontal disease?

A

Sulcus deepens in disease states and exhibits rete’s pegs and uncerations