Oral HistologyPractical
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Cemental Repair
Protective function of cementoblasts afterresorption of root dentin or cementum
Resorption of dentin and cementum due
to trauma (traumatic occlusion, toothmovement, hypereruption)
Loss of cementum accompanied by loss
of attachmentFollowing reparative cementum
deposition attachment is restored20
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A: Acellular cementum
B: Hyaline layer of Hopwell-SmithC: Granular layer of Tomes
D: Root dentin
Cellular: Has cells
Acellular: No cells and has no structureCellular cementum usually overlies acellular cementum
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Development of Cementum
Cementum formation occurs along the
entire toothHertwig’s epithelial root sheath (HERS) –
Extension of the inner and outer dental
epithelium
HERS sends inductive signal to ectomesen-
chymal pulp cells to secrete predentin bydifferentiating into odontoblasts
HERS becomes interrupted
Ectomesenchymal cells from the inner portionof the dental follicle come in with predentin by
differentiating into cementoblasts
Cementoblasts lay down cementum
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Acellular
Cellular
Variations also noted where acellular and cellular reverse in positionand also alternate
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Dentin
GTLacuna of cementocyte
Canaliculus
CEMENTUM
Acellular cementum
Cellular cementum
Hyaline layer
(of Hopewell Smith)
Granular layer of tomes
Dentin with tubules
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a) outer cortical platesb) a central spongiosa c) bone lining the alveolus (bundle bone)
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Oxytalan
Berkovitz BK , Holland GR, Moxham BJ.: Color atlas & textbook of oral anatomy. 1978, p115 Fig. 294
Avery JK. Essentials of oral histology and embryology A clinical
approach. 1992, p133 Fig. 11-3
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Osteoclasts
* Large and multinucleated, or small
and mononuclear
* The characteristic multinucleated giant
cells exhibit eosinophilic cytoplasm.
* It occupy in Howship’s lacunae,
or surround the end of a bone spicule
in light microscope.
Avery JK. Essentials of oral histology and embryology A clinical
approach. 1992, p149 Fig.12.1630
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Cell freezonecell rich zone
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Mylinated axon
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1-odontoblast2-cell free3-cell rich zone
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Pulp stone
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Blood vesselvein vaetery anreve n
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