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91 Cards in this Set
- Front
- Back
Define Periodontium?
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Tissues that surround the tooth and contribute to its function in the oral cavity
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Define Periodontology?
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Study of the diagnosis, treatment, maintenance, and prevention of diseases of the periodontium.
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_____ are a set of realted bacterial, plaque induced, host-mediated, enviornmental-modified, inflammatory diseases, manifesting generally chronic gingival inflammation and varying degress of periodontal attachment loss.
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Periodontal Disease
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What are the four components of the periodontium?
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Alveolar Bone (Hard CT)
Cementum (Hard CT) PDL (Soft CT) Gingiva (Epithelial and CT) |
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Gingiva is composed of both epithelium and CT:
Can you name the 3 types of the epithelium and 2 types of the CT that are apart of the periodontium |
Epithelium:
-Sulcus -Oral -Juctional CT: -Superfical -Deep |
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Out of the 4 tissues of the Periodontium which are supporting and which are investing?
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Supporting
-Cementum -PDL -Alveolar Bone Investing -Gingiva |
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Name the 4 types of Bone Cells:
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Osteoblast
Osteoclast Osteocyte Pleuripotent Stem Cell |
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Osteoblast ____ bone, Osteoclast ____ bone, Osteocyte is a _____ cell, Pluripotent Stem cell is what?
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Build-up Bone
Break-down Bone Mature Bone Cell Cell in bone that can differentiate into any type of bone cell |
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What are the 3 cell types of cementum?
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Cementoblast
Cementocytes Cementoclast (Odontoclast) |
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What is the main biological component of an osteoblast and cemenatoblast?
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Alkaline Phosphatase and Collagen
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What is the main biological component of osteoclast and cementoclast?
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Acid Phosphatase and H
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What is the main biological component of osteocytes?
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No Alkaline Phosphatase
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What are the 3 main cells of the PDL
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Fibroblast
Progenitor Cells (Undifferentiated/ Differentiated Mesenchymal cells) Residual Epithelial Cells |
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The PDL is fibrous has ____ and ___biological components
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Collagen and Fibronectin
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What are the two structural components of the gingiva
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Corium
Epithelium |
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The Corium is fibrous and is made up of ____ cells. Its biological components are ____ and ____.
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Fibroblast
-Collagen and Fibronectin |
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What are the two main histologic features of the periodontium
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Stratified Squamous Epithelium
Membrane-Coatin and Keratohyaline Granules |
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What is the main cell type of epithelium?
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Keratinocyte
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Name the 3 biological components of epithelium
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BM, cell-to-cell Adhesion, Keratinized outer layer
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Define alveolar bone?
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Part of jawbone surrounding and forming the tooth sockets (called alveoli)
Part of jaw bones to which teeth are attached |
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What is Alveolar Bone?
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Type of Bone that has tooth sockets called alveoli where teeth are attached
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T or F: Alveolar Bone is not similar to bone.
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False
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Bone Resorbtion means,...
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Bone Destruction
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If the alveolar bone is destroyed or in the process of being destroyed then what will happen to the teeth.
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Become Mobile and Lose Function
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Alveolar Bone Composition:
-Inorganic Mineral? -Organic Matrix? |
Inorganic- 67%
Organic- 33% |
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What is the molecular formula for Hydroxyapeptite?
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Ca10(PO4)6 (OH)2
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Alveolar Bone
Inorganic Mineral, think _____. Organic Matrix, think _____ and ____. |
Inorganic= Crystals
Organic= Cells and Proteins |
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Alveolar Bone Organic Matrix is 85% (or 28% of total) ____ and 15% (or 5% of total)_____.
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85% Type I Collagen Fibers
15% Ground Substance |
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As a "rule of thumb," type ___ collagen is for most dental tissues and type ____ collagen is for most cartilage tissues
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Type I-Dental Tissues
Type II-Cartilage Tissues |
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This organic protein is added when doing a bone graft
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BMP (bone morphogentic protein)
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Bone has two types of control mechanisms
-Systemic and Local Can you explain how bones are controlled systemically and locally? |
Systemic Control- Hormones
Local- Growth Factors/Cytokines, Prostaglandins, Mechanical Forces |
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What is Piezoelectric-type mean?
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Type of Mechanical Force that acts as an indirect signal to the bone
-Done in Ortho |
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Bones are classified in two ways
-Gross Appearance -Developmental Pattern What are the 2 ways to classify bones on Gross Appearence? |
Long= Axial Skeleton
Flat= Facial (skull)+ Sternum, Scapula and Pelvis |
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What are the 3 ways to classify bones on developmental patterns?
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Endochondrial Bone Formation= Long Bones
Intramembranous Bone Formaion= Flat Bones Sutural Bone Growth= Flat Bones |
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Endochondral Bone Formation=
Intermembraneous Bone Formation= |
Cartilage Template
Embryonic Membrane CT Template |
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Bone is formed in layers called _____.
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Lamellae
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The peripheral surface sheets of lamellar bone are called _____.
Internal Supporting Struts of Lamellar Bone are called ___ |
Cortical Plates-AKA Compact Bone
Trabeculae- AKA Cancellous Bone/Spongy Bone |
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What is the difference between compact bone and spongy bone?
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Degree of Mineralized Tissue and Soft Tissue
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Marrow Spaces are ___ if they are primarily vascular or ___ if they are primarily fatty/
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Red= Vascular
Yellow=Fatty |
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Name the 3 Types of Lamellar Bone
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Circumferential
Concentric Interstitial |
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What part of lamellar bone forms the outer perimeter that encloses the bone
-thin and avascular |
Circumferential Lamellae
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What part of lamellar bone forms the bulk of the bone
-has osteons -thick and vascular |
Concentric Lamellae
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This part of lamellar bone is to form spaces between adjacen concentric lamellae
-residual fragments of concentric lamellae that have been remodeled |
Interstitial Lamellae
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This 2-layer CT surrounds the external surface of compact bone.
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Periosteum
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The Periosteum has 2 layers
-Outer and Inner What can be found in both of those layers |
Outer
-Sharpy's Fibers (collagen fibers in mineralized tissue) Inner -Bone Cell Precursors, Bone Cells, and Rich Microvasculature |
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1-layer CT that covers the inner surface of Compact Bone and ALL of Spongy Bone
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Endosteum
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What can be found in the Endosteum?
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Cellular Layer ONLY:
-Bone Cell Pre-cursors -Bone Cells -Rich Microvasculature |
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Structural Unit of Compact Bone
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Osteon
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General Principles of Bone
-Bone is a vascularized or non-vascularized tissue? -Mineralization/Homeostasis of Bone REQUIRES what 3 things -Thus the ___ is the central feature of the osteon. |
-Bone is Vascular
-Requries blood supply, bone forming cells and minerals -Central feature of osteon is the CAPILLARY |
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The structure of bone allow for what?
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Molecular Diffusion
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The single central vascular canal of the osteon is parallel to the long-axis of the tooth.
-Name the Canal -What lines the Canal? -What is in the Canal? |
Haversian Canal
-Lined by Endosteum -Capillary *NOTE: Canal is a Non-Mineralized area of Bone |
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The multi-lateral vascular channels that are oriented perpendicular to the long axis of the bone:
Are called ____. Lined by _____. Each surrounds _____. Interconnect _____ resulting in a rich vascular network. |
Volkman's Canals
-Lined by endosteum -1 capillary -Interconnect Haversian Canals>>Rich Vascular Network |
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Site where the osteocyte resides?
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Lacunae
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Multiple concentric bone cell canals that surround the cell processes of the osteoctye
-Name them? |
Canaliculi
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Where does the bone gets its arterial supply
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Superior and Inferior Alveolar Arteries
*cells and extracellular components of bone are continuously turn-over |
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What supplies the PDL
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Lateral Arterial Braches of the Superior and Inferior Alveolar Arteries that pass through the cribiform plate
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Venous Draniage of compact bone is achieved by ____?
Lymphatic Drainage is achieve by_____. Nerve Supply of Compact bone is from the ____. |
Post-capilary Venules
Following Venous Drainage Respective Branches of the 5th Cranial Nerve |
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Osteoblast=
Osteocyte= Osteoclast= |
Blast=Form Bone
Cyte=Maintain Bone (osteon) Clast=Remove/Break-Down Bone |
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Osteoclast remove bone with the aid of ____ and ____ via cytokine messengers
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Macrophages; Osteoblast
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Osteocytes maintain bone with the help of ____ such as the "lining cells" of the endosteum.
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Inactive Osteoblast
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What 2 bone cells are involved in bone formation and maintanance?
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-Osteoblast (active cells)
-Osteocyte//Lining Cells (resting cells) |
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Which bone cell removes bone?
Which bone cell is responsible for bone mineralization |
Osteoclast; Osteoblast
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Go through the life cycle of the osteoblast
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Pluripotent Mesenchymal Cell
Preosteoblast Precursor Cell Osteoblast Osteocyte |
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What is the morphology of the osteoblast?
Function? How does the osteoblast communicate? |
Uninucleated (one nucleus)
Function: Make Osteoid Communicates via Gap Juctions |
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What is "Course-fibered-Woven Bone?"
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Embryonic Bone and Adult Repair Bone
*Not full lamellar construct |
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What is "Fine-fibered Lamellar Bone"
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Mature Bone
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What is Osteoid
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Non mineralized organic matrix w/ collagen and non collagen proteins
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What is the inactive function of osteoblast?
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Maintain Homeostasis and Bone Vitality
-Can be a lining cell or a Osteocyte |
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What is the difference between an osteocyte and lining cell?
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Lining cells are flat and found in endosteum
(inactive surface osteoblast) Osteocyte are smaller and found in osteons (inactive lamellar bone osteoblast) |
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An osteocyte is the resultant cell from being entrapped w/in the ___.
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Lacunae
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What is the osteocytes function
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control of mineral homeostasis and bone cell vitality
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Osteoclast come from ________ stem cells
Type of Nucleated? Has a "__________" to increase its surface area |
Hematopoietic Stem Cells
-Multi-nucleated Ruffled Border (Brush Border) -secrete H which breaks down bone |
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Adjacent cytoplasm to the ruffled border is called what?
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Clear Zone
-no organelles -contractile proteins |
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What is the lifecycle of the osteoclast
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Pluripotent Hemopoietic Stem Cell
Osteoclast Precursor Cell Preosteoclast Osteoclast |
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What is the difference between the life cycles of osteoblast and osteoclast
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Osteoblast- from PP Mesenchymal Cells
Osteoclast-from PP Hematopoietic Cells Osteoblast PP>>PreOB>>Osteoblast Osteoclast PP>>Precursor>>PreOC>>Osteoclast |
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What is the importance of the ruffled border being sealed
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resorptive microenvironment
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What is destroyed first in osteoclast activity
-Minerals or Organic Matrix |
Demineralization occurs first to expose organic matrix and then organic matrix is destructed
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What happens between demineralization and degradation of organic matrix
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TRAP is syntehesized and released
(Tartrate-Resistant Acid Phosphatase) |
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What are Howship's Lacunae
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Result of bone resorption
-hollowed out depression/troughs -holes left in bone |
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____ and _____ occurs at the same time during bone resorption
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Resorption and Migration
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What do Osteoblast secrete?
(3 things) |
Alkaline Phosphatase
Structural Proteins -Collagen// Non-collagen proteins Growth Factors/Cytokine |
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Where can alkaline phosphatase be found on an osteoblast
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Outer surface of the plasma membrane
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What does alkaline phosphate do?
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Cleaves organically bound phosphate
*Necessary for the initiation and progression of bone mineral crystal growth |
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What type of structural collagen proteins do osteoblast secrete
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Collagen I, III, V
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Bone Proteoglycan/GAGS
Phosphoproteins Glycolipids Glycoproteins (Osteocalcin, Osteopontin, Osteonectin and Bone Sialoproteins) Are all ___ structural proteins secreted by the osteoblast |
Non-Collagen
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BMP is apart of the ___ and ___ that Osteoblast secrete.
The following are also apart of this group -IGF -PDGF -FGF -MCSF -IL6 -RANKL |
Growth Factors// Cytokines
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T or F:
Bone formation and Resorption are coupled |
True
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What are Osteocytes and Lining cells reactive to?
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E11 and moAB
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Is there any alkaline phosphatase activity is osteoctyes or lining cells
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NO!
There is also MINIMAL synthesis and secretion necessary to maintain bone |
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Osteoclast secrete ____, AKA ____.
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Acid Phosphatase
-AKA: TRAP (Tarate-Resistant Acid phosphatase) |
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Where is Acid phosphatase located
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Intracellularly w/ in cytoplasmic granules/ vesicles and vacuoles
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