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78 Cards in this Set

  • Front
  • Back

Cellular and Acellular cementum


A= Acellularcementum next to dentine


B= Cellular cementum around apical region

Incremental lines of salter

AEFC and CIFC

Gemination and fusion

Root dilaceration

Trauma to deciduous teeth

Sometimes there is a change in variety and shape of tooth

Odontoma

Odontoma

Amelongenesis imperfecta

Dentinogenesis imperfecta

Dentinogenesis imperfecta

Fluorosis and tetracycline staining

Enamel pearls

Hypercementosis

Reduced enamel epithelium




Derived from ameloblast and stratum intermedium layers of the enamel organ


May include remnants of the stellate reticulum and outer enamel epithelium

Primary enamel cuticle


Basal lamina of the reduced enamel epithelium



abc

The epithelium becomes shorter and is eventually replaced with the secondary junctional epithelium. The gingival sulcus forms during the replacement at a stage where further recession would expose the cementum


SJE contains some cells derived from the oral epithelium

Coatings of teeth during eruption




As the tip of the crown emerges the reduced enamel epithelium disintegrates and fuses with the oral epithelium. During this fusion apoptosis occurs




This becomes the primary junctional epithelium



Cleidocranial dysplasia/ Dystosis

Osteopetrotic mice 'stone bone' or 'marble bone disease'

Primary failure of tooth eruption

Alveolar bone crypt of mouse molar

Osteoclasts on alveolar bone surface

Teeth that can be used for stem cell use

Impacted third molars in young, middle and aged populations




Teeth extracted for ortho reasons


Primary teeth exfoliated


Teeth extracted due to irreversible perio




Gingiva thats been resected due to aesthetic or hyper plastic reasons

DPSCs


Dental papilla stem cells

Follicle and tooth germ 

Follicle and tooth germ



Rat alveolar bone showing the dental follicle (DF) surrounding an unerupted tooth (M1) encased in alveolar bone (AB)




SR= stellate reticulum

Reduced enamel epithelium

Thin multilayered epithelium that covers the enamel of an unerupted tooth


(naysmyths membrane)

Primary enamel cuticle

basal lamina lying between the reduced enamel epithelium and the enamel surface


(naysmyths membrane)

Nasmyth's membrane

reduced enamel epithelium and primary enamel cuticle

Junctional epithelium

portion of gingival epithelium that is attached to the tooth enamel on one side and gingival connective tissue on the other. The coronal end lines the base of the gingival sulcus. The primary function is as a permeable barrier layer involved in limiting and controlling infection of periodontium

Acquired enamel cuticle

Protective, acellular protein layer covering the enamel surface coronal to the gingival margin derived

Dental biofilm

Inflamed junctional epithelium 

Inflamed junctional epithelium

the EM of the junctional epithelium in inflamed gingiva




Marked distention of intracellular spaces by PMNs) that are migrating from the connective tissue toward the gingival sulcus.




Fluid exudate from the connective tissue also flows through the sulcus through the Intracel spaces.

Healthy junctional epithelium 

Healthy junctional epithelium

orientated with long axis parallel to tooth surface


Intracell spaces narrow

Arrows show the junctional epithelia is the most permeable region of gingival epithelia

Bulls pemphigoid

Secondary junctional epithelium




IBL= internal basal lamina (faces tooth enamel)


EBL= External basal lamina (faces CT)


Attached to enamel surface via hemidesmosomes

Regeneration of tooth tissues




Periodontal diseases: stem cells (PDLSCs and DFPCs) and molecules ed PDGF BDNF




Dental caries/pulp injury: SCs= DPSCs, SHED, SCAP and molecules= BMPS, GDNF, BDNF





Bright et al 2015

irrespective of defect type of animal tissue used:




PDL SC implantation can result in beneficial outcome for periodontal regeneration





Key factors for stem cell transplantation

Use of multipoptent adult stem cells


Need singling molecules/inductive morphogenetic signals




Need growth factors




Need a scaffold: biodegradable material that can be a synthetic polymer or pressed bio product (e.g. collagen)

applications of dental stem cells

stem cells of apical papilla

Anodontia




Complete absence


VERY RARE


permanent dentition fail to form

Supplemental


Resembles normal tooth




U2 more common than L5 more common that U5

Cherubim

Familial multilocular cystic disease




Genetic


Autosomal dominant


SH3BP2 gene


Chromosome 4


Leads to abnormal bone due to the disruption of signalling pathways associated with the maintenance of bone

Cherubim




Multilocular cystic radiolucencies


Abscent UEs



Supernumerary




1-3% of the population


More females than males


Mesiodens


Paramolar (buccally)


Distomolar (Behind 8s)

who knows

Submerged Es

Dentigerous Cyst

Cherubim

Tetracycline staining

Amelgenesis imperfecta




usually autosomal dominant and affects both dentitions




Abrasion and attrition of enamel


No increase risk to caries

Fluorosis

Mulberry molars

Hutchinson's incisors

Effect of measles

Turner teeth

Hypohydrotic ectodermal dysplasia




absence of ectodermal structures


Usually X linked recessive (rare in females)


Most cases caused by defects of EDA genes


Fine/sparse hair


Defective fingernails


Absence of sweat glands and get hyperthermia

Hypohydrotic ectodermal dysplasia




Dental probs? Anodontia- due to failure of dental lamina to form


Hypodontia- any teeth formed are deformed with conical crowns and delayed in eruption

Delaceration

Crown of tooth displaced from normal alignment


Result of acute mechanical trauma

Enamel pearl

Nodule of enamel at ADJ on maxillary molars


HERS differentiate into ameloblasts

Dens in dente (dens invaginus)




invagination of dental papilla




may cause enamel linked cavity opening onto the surface of max incisors




Increases caries risk

Hypcementosis




Cleidocranial dysplasia


Hypophosphatasia (recessive autosomal)

Ghost teeth

short, blunt roots, partial/total obliteration of the pulp chamber and root canal by dentine

Double teeth

Taurodont

Delaceration

Scleroderma

Scleroderma