Exam 2 Flashcards

(90 cards)

1
Q

What controls the way the tooth shape is formed?

A

dental papilla

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2
Q

what is the root number controlled by?

A

Hertwigs epithelial root sheath and epithelial diaphragm

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3
Q

the dentin matrix causes nuclei of pre-ameloblasts to what

A

polarize (move to the top of the cell) to become an ameloblast

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4
Q

Inner enamel epithelium become taller to create what?

A

pre-ameloblast

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5
Q

mineralization

A

laying down/ depositing of HA

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6
Q

maturation

A

where crystals grow in length (HA) over time

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7
Q

enamel comes from what germ layers

A

ectoderm

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8
Q

dentin, pulp, cementum, PDL, alveolar bone come from what layer?

A

mesoderm

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9
Q

in the crown, which one forms first?

A

dentin

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10
Q

What process does enamel form from?

A

Tomes process

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11
Q

What process does dentin form from?

A

Odontoblastic process.
- mineralizes HA into the dentin matrix

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12
Q

Role of IEE

A
  • becomes the ameloblast, makes enamel
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13
Q

what are the abnormalities of enamel?

A
  • enamel lamella
  • hypoplastic enamel
  • enamel tuft
  • enamel spindle
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14
Q

What is enamel lamella

A
  • cracks in enamel
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15
Q

what is hypoplastic enamel

A
  • thin enamel
    think of mean girls and the plastics
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16
Q

what are enamel tufts

A

hypocalcfied enamel at the DEJ

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17
Q

what are enamel spindles

A

the odontoblastic process trapped in enamel

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18
Q

imbrication lines

A

seen clinically

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19
Q

Striae of Retzius

A

under a microscope
- brown in color

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20
Q

How many increments does enamel grow each day?

A

4 um per 4 days

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21
Q

What is the last layer laid down when the ameloblasts reach the OEE?

A

Nasmyths membrane
aka: primary enamel cuticle

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22
Q

Nasmyths membrane is made when?

A
  • when enamel stops forming
  • then the membrane is laid down
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23
Q

What is the reduced enamel epithelium made up of?

A

OEE + ameloblasts

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24
Q

What is the united enamel epithelium made of?

A

REE + oral enamel epithelium

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25
ratio of enamel
96/4
26
ratio of dentin
70/30
27
ratio of cementum
50/50
28
ratio of bone
65/35
29
What are characteristics of the enamel rod?
- key hole shaped - 96% inorganic - runs from DEJ to surface - 3-4 ameloblasts made ONE rod - held together by inner rod substance
30
rod sheath characteristics
- 4% organic - fibrous - covers enamel rod
31
Inner rod substance
- holds things together - structure
32
what is the orientation of HA crystals on the head of the rod?
laid down longitudinally
33
what is the orientation of HA crystals on the neck of the rod?
laid down 60 degrees off the head
34
how many ameloblasts make one rod?
3-4
35
What are the 3 zones of dentin>
- tubule - peritubular - intertubular
36
What is the dental tubule?
- opening that runs from DEJ and CEJ to the pulp
37
what zone of dentin is related to the odontoblastic process?
dental tubules
38
what is peritubular dentin?
- immediately surrounds the tubule MOST CALCIFIED
39
what is intertubular dentin?
- bulk of the dentin
40
what are the 3 types/phases of dentin formation
- primary - secondary - teritiary
41
when does primary dentin start and end
starts at tooth formation ends prior to eruption
42
when does secondary dentin form?
starts with eruption ends with contact of opposing tooth
43
when does tertiary dentin form?
starts with contact and beyond - dense and unorganized
44
how does tertiary and reparative dentin form?
- occlusal, chemical, mechanical trauma
45
occlusal trauma
biting, chewing, grinding
46
mechanical trauma
drill and laser
47
chemical trauma
acids from bacterial products (caries)
48
what does the pulp sense
ONLY pain
49
what does the PDL sense?
- pain - pressure - temperature - touch
50
what are the types of pulp stones?
- true and false - attached - embedded - free
51
Free pulp stone
- floating there, not attached to dentin
52
attached stone
attached to the dentin wall
53
embedded stone
attached and covered by dentin
54
true pulp stone
VERY RARE - odontoblast ball of dentin made from ^^
55
false pulp stone
- onion looking - dead cells surrounded by calcium and phosphate - most common
56
how do pulp stones show up on radiographs
radiopaque
57
what is the cervical loop
- where the IEE and OEE meet - rapidly divides and grows vertical
58
Hertwigs epithelial root sheath
- part that grows vertically - meets at the furcation with the epithelial diaphragm
59
whats the epithelial diaphragm
- horizontal growth - meets with HERS at the furcation
60
what does the epithelial diaphragm and HERS determine?
the amount of roots
61
Hypercementosis
- on lower portion of root (1/3) - on cellular cementum - can grow more cementum as needed due to trauma
62
cellular cementum
- apical 1/3 of root
63
acellular cementum
- coronal 2/3 of root - doesn't respond to trauma or MAKE MORE
64
how often does enamel and cementum meet?
-50-70%
65
how often does enamel and cementum overlap
7-14%
66
how often does enamel and cementum have a gap
10-40%
67
What is the rests of malassez
HERS broke up from dentin and moved away then changed its name and it is in the PDL space now
68
what is the cortical plate?
- buccal and lingual - not seen on radiographs - compact bone
69
what is the cribriform plate (socket, alveolar bone proper)
- seen on radiographs as lamina dura - thickened bone = bundle bone from the sac - always remodeling
70
What is spongy bone?
Aka cancelous Can see on rads. Bone marrow
71
Rests of Malassez
Portions of the root sheath that may remain in the periodontal space. Was once the Hertwig’s Epithelial tooth sheath May form periodontal cysts
72
Cortical plate
Buccal/Lingual Not on rads Compact bone
73
Cribriform plate (socket, alveolar bone proper)
Rods= Lamina dura Thickened bone= bundle bone from sac Always remodeling
74
Lamina dura
the dense, thin layer of bone that lines the tooth socket, visible on dental X-rays as a white line. It acts as the attachment site for the periodontal ligaments, which hold the tooth in place
75
Bundle bone
Thickened bone
76
Cancellous bone
AKA spongy Bone- yes on rads, and compact bone
77
Alveolar Crest
Indication of periodontalntal health
78
Sharpeys fibers
PDL segment inside bone and cementum
79
All of the periodontal ligament names
Horizontal, Oblique, Apical, Intradicular, and alveolar crest
80
Causes of a retained primary tooth
Stuck, or kept due to no permanent tooth
81
Eruptive phase
When tooth is erupting
82
Pre Eruptive phase
Before eruption
83
Post Eruptive phase
Phase after the tooth has erupted
84
Spatial movement
Bone below is pushing it up
85
Eccentric Movement(off-center growth)
Balloon one
86
Medial drift
Post eruption
87
Supraeruption
Post eruption
88
Exfoliate
Natural comes out
89
The orientation that permanent teeth erupt to primary teeth
Anterior teeth erupt into the oral cavity lingually Molars are directly below
90
Gubernacular cord
Comes from dental sac/follicle Develops into the Gubernacular canal