Tooth Supporting Structures (Killeen) Flashcards

1
Q

The tooth supporting structures are the ____, ____, and ____

A

PDL
Cementum
Alveolar bone
- Collectively termed the “Attachment apparatus”

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2
Q

The PDL:

A
Is CT that connects Cementum to Bone
Complex Vascular tissue
Surrounds the tooth
Develops from the dental sac
Narrows with age
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3
Q

Principal fibers of the PDL are ____

A

Sharpey’s fibers (collagen bundles)

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4
Q

Alveolar crest fibers extend from ____ to ____ and prevent ____

A

Cementum
Alveolar crest
Tooth extusion and Resist lateral movement

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5
Q

The most numerous fibers of the PDL are the ____ fibers and are the main support of the tooth

A

Oblique

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6
Q

The PDL DOES/DOES NOT contain mature elastin

A

Does not

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7
Q

Cellular elements of the PDL include:

A

Connective tissue cells
Epithelial rest cells
Immune system cells
Cells of NV elements

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8
Q

The most common cell type in the PDL is the ____

A

Fibroblast (Synthesizes new collagen and Degrade old collagen)

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9
Q

Epithelial rests of Malassez are ____

A

Remnants of Hertwig’s epithelial root sheath

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10
Q

Cementicles develop from ____

A

Calcified epithelial rests

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11
Q

The two PDL function theories are the ____ and the ____

A

Tensional theory

Viscoelastic theory

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12
Q

The Tensional theory states:

A

Principal fibers unfold and straighten to absorb occlusal forces

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13
Q

The Viscoelastic theory states:

A

Displacement of the tooth is controlled by fluid movement (Fibers play a secondary role)

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14
Q

The formative function of the PDL involves:

A

The formation and resorption of cementum and bone

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15
Q

The nutritive function of the PDL involves:

A

BVs to Cementum, Bone, and Gingiva

Lymphatic drainage

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16
Q

The dental artery supplies the ____

A

Dental pulp

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17
Q

The interseptal artery supplies the ____

A

PDL

18
Q

The interdental alveolar arteries supply the ____, and ____

A

Interdental papillae and adjacent Buccal/Lingual gingiva

19
Q

The ____ arteries anastomose with the PSA, MSA, ASA, IA, Mental, GP, and SL arteries

A

Interdental alveolar

20
Q

Cementum is ____ tissue

A

Mesenchymal

21
Q

The first cementum to be formed is ____ cementum

A

Acellular

Forms before the tooth erupts

22
Q

Cellular cementum is formed ____

A

After the tooth reaches the occlusal plane

23
Q

Cellular cementum differs from Acellular cementum in that it is/has:

A

Cells in lacunae
Less calcified than acellular cementum
Fewer Sharpey’s fibers than acellular cementum

24
Q

Cementum permeability ____ with age

A

Decreases

25
Q

Cementum formation is most rapid in the ____ region

A

Apical

26
Q

Cementum is thicker of the ____ than the ____

A

Distal than the Mesial

27
Q

Cementum thickness ____ with age

A

Increases

28
Q

Paget’s disease may correspond to ____

A

Hypercementosis

29
Q

The origin of cementum:

A

HERS disintegrates
Cementoblast differentiation
Cementoid deposition
Mineralization (begins at CEJ, moves apically)

30
Q

Cementum and Recession

A

Apical migration of the JE

Cementum exposed, is permeable, and penetrated by bacteria

31
Q

Which root fractures are repairable?

A

Horizontal root fractures, as long as they are not exposed to the oral cavity
Vertical root fractures are exposed to the oral cavity and are thus non-repairable

32
Q

The ____ is the least stable on all periodontal tissues

A
Alveolar bone
(Resorption and formation constantly occurring)
33
Q

The Alveolar process is a ____ structure

A

Tooth-dependent

Disappears after tooth loss

34
Q

A cribriform plate can be found on/in the _____

A

Alveolar bone proper

35
Q

Bundle bone contains ____

A

Sharpey’s fibers

36
Q

Cancellous bone contains ____

A

Trabeculae (irregularly shaped marrow spaces)

37
Q

The Periosteum is ____

A

Layers of differentiated osteogenic CT

38
Q

The interdental space is the ____

A

Narrow space between the teeth

39
Q

A Fenestration is a “____” in bone

A

Window

The tooth is covered by periosteum and gingiva

40
Q

A Dehiscence is a ____

A

V-shaped defect
Marginal bone is gone
CT attached to cementum