exam 2 questions Flashcards

1
Q

causes pre-odontoblasts to line up align basal lamina

A

fibronectin

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2
Q

found in odontogenic zone

A

odontoblast cell layer
cell free zone
cell rich zone
parietal plexus (raschkow’s plexus)

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3
Q

found in pulpal core

A

fibroblasts
type I and III collagen
extracellular matrix
blood vessels
nerve tissue

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3
Q

each fiber gives ____branches to raschow’s plexus

most fibers are ___________ nerve endings

A

free unmyelinated nerve endings

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4
Q

tomes granular layer is comprised on

A

hypomineralized interglobular dentin

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4
Q

clinical case with cupped occlusal surfaces, defects on lingual enamel and exposed dentin

A

erosion
ask if they eat acidic foods

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4
Q

cementicles can be _____, _____ or ________
and the number of them ______ with increasing age

A

embedded attached free
increase

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5
Q

what causes gingival cysts

A

rests of serres

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6
Q

where is cementum thinnest:

thickest:

A

CEJ

thickest: apex

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7
Q

what fibers give fast sharp localized pain:

dull pain:

A

sharp: a-delta
dull: c fibers

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8
Q

sympathetic branches are from

A

superior cervical ganglion

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9
Q

what nerve provides sensory afferent innervation

A

trigeminal

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10
Q

where are interradicular fibers found:

function:

A

in multirooted teeth
function=resist vertical and lateral force

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11
Q

lateral periodontal cyst arise from

A

epithelial rests of malassez

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12
Q

which is more calcified

peritubular or intertubular

A

peritubular more
intertubular less

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13
Q

mature odontoblasts can make _____ dentin. damage to these cells cause subodontoblastic stem cells to differentiate and make _________

A

secondary dentin

teritary dentin

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14
Q

case study: insert tooth back in alveolar bone
what reparative cell mechanism is most likely to happen?

significant-

slight-

A

alveolar bone secretes cells and fuses cementum to one

significant= ankylosis (severe)
slight- undiff cells from PDL regenerate tissue and PDL restored

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15
Q

case study: pt comes in after crown is plaed and has inflammed gums. there is .5mm distance what do you tell them

A

the biological width has been compromised

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16
Q

T/F: Raschkow’s plexus does NOT form before roots are completely developed

A

false

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17
Q

presence of carbonate apatite core in enamel is more soluble to _____ and what can replace the hydroxyl ions and less susceptible to acid dissolution?

A

acid

fluoride

18
Q

fibers responsible for resisting rotation

A

all PDL fibers

19
Q

resist vertical force

20
Q

resist intrusive force

21
Q

resist horizontal and tipping force

A

horizontal

22
resist vertical and lateral force
interadicular (between roots)
23
resist tooth separation
transseptal
24
resist gingival displacement
dentogingival alveologingival circumferential semicircular
25
resist tooth separation and gingival displacement
semicircular
26
steps of wound healing
1. undiff cels migrate to area and macrophages/PMN's remove damaged tissue 2. fibroblasts/osteoblasts replace damaged tissue 3. mast cell response -heparin/histamine released
27
patient presents to you with this case -complain of pain and you deduce that the tooth is mobile what is accountable for this mobility?
due to occlusal trauma, resorption of alveolar bone parallel to long axis of tooth
28
how would a quick inflammatory response occur in the pulp horn
thru fenestrated capillaries
29
schwann cells provide myelination for what axons
a-delta and a-beta
30
mesial movement of premolar during ortho treatment causes what to mesial and what to distal
mesial: mesial compression and resorption of bone distal: tension and bone deposition
31
T/F 1. dental pulp collagen is the largest EC component making up 25-32% 2. most prevalent is type I and III collagen
1 is true and 2 is false because type III is most prevalent
32
sympathetics cause
vasoconstriction
33
what are the 2 cementocytes:
lacunae and canaliculi
34
what houses cell bodies
lacunae
35
what prodives communication and have cytoplasmic projections
canaliculi
36
3 things exposed cementum does
1. hypermineralized (prevents reattachment of collagen) 2. attachment of plaque and calc 3. endotoxin absorption
37
what is a characteristic of the vermillion border
blood vessels, close to surface
38
remove boney thing from buccal surface of 3, you then drain blood from alveolar bone and apply a sheet -prevents what cells fro healing injury? what heals area instead?
prevents epithelial cells allows PDL to heal
39
differentiation of cementum is initiated with: what then induces the differentiation process
disruption of hertwig's root sheath allowing undiff cells to make contact with dentin dentin matrix growth factors induce process (BMG, FGF, BMP, DMP)
40
T/F 1. dentinogenesis imperfecta is characterized by blueish gray teeth. 2. enamel is affected just like dentin
1. true 2. false- enamel is not affected but is chipped off
41
in what disease are pulp chambers and canals generally obliterated by defective dentin formation
dentinogenesis imperfecta
42
T/F 1. tertiary dentin is released immediately in response to outside forces 2. it is laid down in clean fashion
1. true 2. false
43
dentin tubules tapered. largest at: smallest at: where are there more dentin tubules? less?
largest at dental pulp thinnest at DEJ more at pulpal surface and less at DEJ
44
dental matrix proteins:
-Gla proteins -help mineralize hydroxyapatite -controlling size of hydroxyapatite crystals
45