Dental Hard Tissue Flashcards

(35 cards)

1
Q

What is are the two categories of periodontal tissue?

List 4 dental tissue for each category.

A

Mineralised/hard: alveolar bone, cementum, dentine, enamel

Non-mineralised/soft: oral mucosa, dental pulp, gingiva, periodontal ligaments

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2
Q

Which one of the 8 types of periodontal tissue can provide stem cells which differentiate into mineralised bone?

A

PDL

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3
Q

Composition of dentine (in percentages)?

A

70% Inorganic mineral salts (mainly HA in collagen matrix) + 20% Organic substance (protein)+ 10% H2O

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4
Q

Non-collagenous proteins include… (6)

A

Non-collagenous proteins include: DSPP, proteoglycans, gla-proteins, acidic proteins, growth factors, lipids

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5
Q

What does DSPP stand for and what is its function (2)?

A

Dentine sialo phosphoproteins ; Regulates crystal growth and mineralisation of collagen fibres within ECM

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6
Q

What tissue forms the bulk of the teeth?

A

Dentine

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7
Q

What is the colour of dentine

A

yellow

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8
Q

Major feature of dentine?

A

Dentinal Tubules

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9
Q

Dentinal tubules are h…. and have processes of cell bodies (o………).

A

Hollow

Odontoblasts

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10
Q

What cells stimulate ameloblasts?

A

Odontoblasts

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11
Q

What makes dentine permeable?

A

The hollow structure of the tubules within the collagenous matrix

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12
Q

what are Shreger Lines/Primary curvatures?

A

Sigmoidal/S Shape of dentinal tubules

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13
Q

Where are odontoblast cell bodies located (what junction)? Above or below pre-dentine?

A

DPJ - dentine-pulp junction

Just below

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14
Q

Function of dentine (4)

A
  • Vital tissue
    • Sensitive to stimuli
    • Act as “shock absorber”, dissipating large
      loads/forces throughout tooth structure; highly
      elastic
    • Formed throughout life of tooth
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15
Q

Hardest to least hardest out of…

  • Enamel
  • Dentine
  • Bone
  • Cementum
A

Enamel
Dentine
Bone and Cementum

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16
Q

3 types of dentine and define each type

A

Primary= Formed prior to apical completion; more formed rapidly and mineralised than 2nd
Secondary=formed post root completion; more slowly formed and less mineralised than 1st
Tertiary= formed as a result of injury; irregular pattern of tubules and produced by local cells in area of trauma/stimulus

17
Q

Which type of dentine are circumpulpal, pertiubular, intratubular, mantle dentine from? And define each

A

Primary Dentine
Peritubular: located in walls of tubules; highly calcified
Intratubular: located between tubules; highly calcified
Mantle: Outermost layer of 1st
Circumpulpal: located around the pulp, uniform structure except around the edges

18
Q

Which type of dentine makes up the bulk of dentine? (1/2/3 and what specifically)

A

Primary, circumpulpal

19
Q

Two types of tertiary dentine and definitions

A

○ Reactionary: derived from pre-existing dentine

○ Reparative: derives from newly odontoblasts (created pulpal progenitor cells)

20
Q

Define sclerotic, translucent and dead tracts

A
  • Translucent: caused as of ageing tubules, blocked via peritubular, more pronounced at the root apex
  • Sclerotic: occlusion/blocking of tubules caused via external stimulus (similar to translucent but linked with stimulus NOT formed by odontoblasts)
  • Dead tracts: odontoblasts killed by external stimulus; leaving hollow tubules which can then be filled with sclerotic. Appear dark under microscope
21
Q

What are Lines of Von Ebner and are they linked with dentine or enamel?

A

Dentine Linked

show cyclic activity of odontoblast during dentine formation

22
Q

What are Schreger Lines (primary curvature) and are they dentine or enamel linked?

A

Dentine Linked

tubules following sigmoid route

23
Q

How are dentine and enamel linked?

A

Dentine must be present for enamel formation; ameloblasts must be present for dentinogenesis to continue

24
Q

Does enamel harden and mature before or after tooth eruption?

25
Where is enamel the thickest?
Cuspal/Incisal region
26
What colour is enamel?
Translucent but it can vary from light yellow to greyish/blue white
27
What do teeth appear whiter in primary dentition than in permanent dentition?
Primary Dentition has more opaque crystalline form therefore appear whiter than permanent dentition
28
Why does enamel appear yellower as a person ages?
Enamel gets thinner over time as of wear and so dentine (which is yellow) becomes more visible.
29
Functions of enamel (4)
Mastication Aesthetic Protective Dissipation of forces
30
Composition equation of enamel
96-97% Mineral Salts (HA, F-, carbohydrates) + 3-4% Organic substance (fibrillar matrix)
31
What is the structure of enamel composed of (3)? | They are visible under light microscopes
``` Enamel Rods (prism) Rod sheaths - Distinct thin layer peripheral to the rods inter-rod substance (cement) ```
32
What are Striae of Retzius and are they linked with dentine or enamel?
Enamel linked Dark lines form DEJ towards surface of tooth, form because of weekly rhythm of enamel production causing structural alteration of rods, 4micrometer intervals
33
What are Bands of Hunter and Schreger and are they enamel or dentine linked?
Enamel | Optical phenomena caused by changing orientation of adjacent rods
34
What is gnarled enamel and is it enamel or dentine linked?
Enamel Are like a geological fault, project from the DEJ for a short distance into the enamel contain greater concentration of enamel than the rest of the enamel
35
What is perikymata and is it dentine or enamel linked?
Enamel Enamel lamella, wave like transverse groves, external incremental lines of retzius, project from DEJ for short distance into enamel - No clinical significance