4th Class Periodontology 2022/2023: Periodontal Ligament
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Questions and Answers

What is the primary function of osteoblasts in the periodontal ligament?

  • Synthesis of collagen fibers
  • Deposition of cementum
  • Formation of alveolar bone (correct)
  • Resorption of alveolar bone
  • What is the approximate width of the periodontal ligament?

  • 1 mm
  • 0.1 mm
  • 0.5 mm
  • 0.25 mm (correct)
  • Which type of cells are responsible for resorbing cementum?

  • Cementoclasts (correct)
  • Fibroblasts
  • Cementoblasts
  • Osteoclasts
  • What is the main function of fibroblasts in the periodontal ligament?

    <p>Production of various types of fibers</p> Signup and view all the answers

    What is the shape of the periodontal ligament space?

    <p>Hourglass</p> Signup and view all the answers

    What is the percentage of fibroblasts in the periodontal ligament?

    <p>65%</p> Signup and view all the answers

    What is the function of epithelial rest of Malassez?

    <p>Producing cysts and tumors</p> Signup and view all the answers

    What type of cells can differentiate into functional types of connective tissue cells?

    <p>Progenitor cells</p> Signup and view all the answers

    What is the role of mast cells in the body?

    <p>They play a role in inflammatory reaction</p> Signup and view all the answers

    What is the main function of alveolar crest fibers?

    <p>To retain tooth in socket and resist lateral movement</p> Signup and view all the answers

    What is the function of oblique group of principal fibers?

    <p>To resist axial directed forces</p> Signup and view all the answers

    What is the composition of ground substance?

    <p>Glycosaminoglycans, proteoglycans, glycoproteins, and high water content</p> Signup and view all the answers

    What is the function of inter-radicular fibers?

    <p>To resist luxation and tipping and torquing</p> Signup and view all the answers

    What is the main component of principal fibers?

    <p>Collagen</p> Signup and view all the answers

    What is the function of apical group of principal fibers?

    <p>To prevent tooth tipping, resist luxation, and protect blood, lymph, and nerve supply of the tooth</p> Signup and view all the answers

    What is the function of macrophages?

    <p>They are capable of phagocytosis</p> Signup and view all the answers

    Study Notes

    Periodontal Ligament (PDL)

    • Definition: Connective tissue structure surrounding the root, connecting it to the bone
    • Structure: Hourglass-shaped, narrowest at the mid-root level, approximately 0.25 mm wide

    Cellular Composition

    • Synthetic cells:
      • Osteoblasts: Cover periodontal surface of alveolar bone, responsible for alveolar bone formation
      • Fibroblasts (most prominent, 65%): Produce collagen fibers, reticulin fibers, oxytalan fibers, and elastin fibers; synthesize connective tissue matrix
      • Cementoblasts: Line cementum, responsible for cementum deposition
    • Resorptive cells:
      • Osteoclasts: Multinucleated, resorb bone
      • Fibroblasts: Synthesize collagen, resorb and degrade old collagen fibers
      • Cementoclasts: Resorb cementum in certain circumstances
    • Progenitor cells: Differentiate into functional connective tissue cells
    • Epithelial rest of Malassez: Found close to cementum, can proliferate and produce cysts and tumors in certain pathologic conditions
    • Connective tissue cells:
      • Mast cells: Involved in inflammatory reactions
      • Macrophages: Capable of phagocytosis

    Extracellular Components

    • Fibers:
      • Collagen
      • Oxytalan
    • Ground substances:
      • Proteoglycans
      • Glycoproteins

    Periodontal Fibers

    • Principal fibers: Collagenous in nature, arranged in bundles, and follow a wavy course
    • Terminal portion of principal fibers: Sharpey’s fibers, inserted into cementum and bone
    • Five groups of principal fibers:
      • Alveolar crest fibers: Resist lateral movement, retain tooth in socket
      • Horizontal group: Resist axial forces, extend from cementum to alveolar bone
      • Oblique group: Resist axial forces, largest group, extending coronally from cementum to bone
      • Apical group: Prevents tooth tipping, resists luxation, protects blood, lymph, and nerve supply of the tooth
      • Inter-radicular fibers: Resist luxation, tipping, and torquing, extend from cementum of bifurcation areas to furcal bone

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    Description

    This quiz covers the definition, structure, and cellular composition of the periodontal ligament (PDL), a crucial connective tissue in periodontal health. Topics include the shape and width of the PDL space, and the types of cells involved.

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