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FPC Periodontology Exam Questions And 100% Correct Answers A+ Graded

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FPC Periodontology Exam Questions And 100% Correct Answers A+ Graded...

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  • October 7, 2024
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  • FPC Periodontology
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FPC Periodontology Exam Questions And 100%
Correct Answers A+ Graded


PDL

Soft, richly vascular cellular connective tissue

surrounds the roots of the teeth

joins the root cementum with socket wall



Where does the PDL arise?

Dental follicles



as crown approaches oral mucosa, the fibroblasts in the follicle produce collagen fibrils



non-organized to organized oriented



Why is the PDL present?

Proprioception (sense movement)



the presence of PDL enables forces developed by masticatory function as well as other
contacts of the teeth to be dissipated to alveolar bone



Basic functions of PDL

Attachment (teeth to bone)



shock absorption (resistance to impact from occlusal forces)

force transmission (transmits forces to bone)

,protective (soft tissue casing protecting vessels and nerves)



PDL supplies nutrients to the.

cementum, bone, gingiva through blood vessels **also provide lymphatic drainage



PDL sensory nerve fibres are capable of transmitting.

tactile, pressure, and pain receptors via trigeminal pathways



PDL cells involve the formation and resorption of

bone and cementum



PDL in X-ray

hourglass shaped

thinnest at mid-root level

average width of PDL: 0.2-0.4 mm

narrow in teeth not in function

can become widened in teeth with excessive load



Important fibers in PDL

Type I collagen arranged in bundles following a wavy course



Cells of PDL

-Fibroblast (most abundant)



-Osteoblast like fibroblasts



-Osteoclast

,-Cementoblast

-epithelial cells (rests of malassez)

-nerve fibers



-immune cells

matrix of PDL

glycosaminoglycans

True PDL fibers, principle fibers, develop in conjunction with

eruption of the tooth (dental follicles)

reticular fibers are made up of

collagen type III

The 5 groups of principle fibers in PDL

from outermost to innermost

1. alveolar crest fibers

2. horizontal fibers

3. oblique fibers

4. apical fibers

5. interradicular fibers (between roots)

periodontal fibers do not stretch from cementum to bone, but they form a .

meshwork of interconnected fibers

Sharpeys fibers

bundles of PDL fibers inserted into cementum and alveolar bone



Epithelial cells in PDL are called

epithelial cells rests of Malassez (ERM)



epithelial cells rests of Malassez (ERM) are remnants of the

, Hertwigs epithelial root sheath



IMPORTANT featuers of Epithelial Cells Rests of Malassez (ERM)

1. maintain PDL homeostasis to prevent ankylosis



2. maintain PDL space, prevent root resorption



3. serve as target during PDL innervation and help cementum repair



4. source of stem cells for periodontal regeneration



5. involved in odontogenic cysts formation



Cementodentinal junction (CDJ)

terminal apical area of cementum that joins the internal root canal dentin

*when root canal treatment is formed, the material should be at the CDJ



Hypercementosis local and systemic factors

Local factors:



Abnormal occlusion



adjacent inflammation



unopposed teeth



repair of vital root fracture

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