Alveolar Bone Anatomy and Function

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Questions and Answers

Which of the following is a component of the periodontium?

  • Pulp
  • Dentin
  • Enamel
  • Alveolar bone (correct)

During tooth development, from which structure does alveolar bone originate?

  • Odontoblasts
  • Ameloblasts
  • Dental follicle (correct)
  • Dental pulp

What is a primary function of alveolar bone?

  • Support of teeth (correct)
  • Taste sensation
  • Saliva production
  • Speech articulation

What is the function of Sharpey's fibers?

<p>Attaching the periodontal ligament to the alveolar bone (C)</p> Signup and view all the answers

Which of the following best describes the relationship of alveolar bone to teeth?

<p>Forms in relation to teeth (A)</p> Signup and view all the answers

What is the normal distance between the alveolar bone crest and the Cemento-Enamel Junction (CEJ) in a healthy state?

<p>1 to 2 mm (D)</p> Signup and view all the answers

Which of the following best describes alveolar bone in a healthy state?

<p>Continues with the basal bone (B)</p> Signup and view all the answers

Which of the following is a radiographic feature of alveolar bone?

<p>All of the above (D)</p> Signup and view all the answers

What is the term for the bony defect where the root is denuded of bone including the marginal bone?

<p>Dehiscence (C)</p> Signup and view all the answers

What is the term for a window-like defect in the alveolar bone?

<p>Fenestration (B)</p> Signup and view all the answers

What happens to alveolar bone with age?

<p>It decreases in density (D)</p> Signup and view all the answers

What radiographic assessment is primarily used when assessing the height of alveolar bone crest?

<p>Periapicals or OPG/DPT (B)</p> Signup and view all the answers

Which of these is considered a function of alveolar bone?

<p>Shock absorber (A)</p> Signup and view all the answers

Which of the following represents a change in alveolar bone due to osteoporosis?

<p>Bone loss (A)</p> Signup and view all the answers

In a radiograph, what does the lamina dura represent?

<p>The alveolar bone proper (B)</p> Signup and view all the answers

Which of the following describes the structure of alveolar bone?

<p>Only present where there are teeth (B)</p> Signup and view all the answers

What does a widening of the periodontal ligament space on a radiograph typically indicate?

<p>Disease (D)</p> Signup and view all the answers

Why is radiographic assessment important in evaluating periodontal disease?

<p>Both A and B (C)</p> Signup and view all the answers

What is the effect of brittleness in age changes to alveolar bone?

<p>Decreased water content (C)</p> Signup and view all the answers

Identify the main components of the periodontium?

<p>Gingiva, periodontal ligament, cementum, and alveolar bone (C)</p> Signup and view all the answers

Which term refers to the alveolar bone loss from the furcation region?

<p>Loss of bone in furcation region (D)</p> Signup and view all the answers

What is the normal function that Sharpey's fibres provide?

<p>Attachment (A)</p> Signup and view all the answers

What type of radiographic is typically used to assess bone loss.

<p>All of the above (D)</p> Signup and view all the answers

What is the correct order in radiographic reading.

<p>Systematic and Interpretative (A)</p> Signup and view all the answers

What is the radiographic term for alveolar crest?

<p>Alveolar bone/Alveolar crest (C)</p> Signup and view all the answers

How does alveolar bone appear when there is disease state.

<p>Wider ligaments (B)</p> Signup and view all the answers

What is function of alveolar bone that is not immediately obvious.

<p>Shock absorber (D)</p> Signup and view all the answers

What the effect of the bone when there is osteoporosis?

<p>Low density (A)</p> Signup and view all the answers

From a radiographic perspective, what features a healthy state?

<p>Both A and B (C)</p> Signup and view all the answers

Flashcards

Alveolar Bone

The part of the periodontium that supports and surrounds the teeth. It is present only where teeth exist and forms in response to their presence.

Periodontium

The tissues that surround and support the teeth, including the gingiva, periodontal ligament, cementum, and alveolar bone.

Periodontal Ligament

Connective tissue attaching tooth / cementum to the alveolar bone.

Healthy Alveolar Crest

The distance between the cementoenamel junction (CEJ) and the alveolar bone crest is typically 1 to 2mm in healthy conditions.

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Dehiscence

An area of bone loss where the root is exposed.

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Fenestration

A window-like defect in the bone, where an isolated area of the root is not covered by bone.

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Periodontitis

Bone loss from periodontal disease.

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Lamina Dura

The dense, cortical bone that lines the tooth socket.

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Cancellous Bone

Bone with a lattice-like structure.

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Functions of Alveolar Bone

Support, protection, attachment via Sharpey's fibers, and shock absorption.

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Sharpey's Fibres

Collagen fibers from the periodontal ligament that are embedded in the alveolar bone and cementum.

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Radiographic Lamina Dura

Appears as a radiopaque line surrounding the tooth root on a radiograph.

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Periodontal Ligament Space (Radiographic)

The space between the tooth root and the lamina dura.

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Age-Related Bone Changes

Thinning of trabeculae and widening of marrow spaces.

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Osteoporosis effect on bone

Osteoporosis leads to decreased bone density, brittleness due to decreased water content, and thin trabeculae with wide marrow spaces.

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Radiographic Features of Periodontal Disease

Calculus spur, widening of the periodontal ligament space, and loss of bone in the furcation region.

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Study Notes

  • The aim is to outline the clinical and radiographic anatomy of alveolar bone.
  • Identify the structure and function of alveolar bone.
  • Identify features of alveolar bone from healthy to disease.
  • Recognise the relevance of radiographic assessment in periodontal disease.

Periodontium Components

  • Gingiva
  • Periodontal ligament
  • Cementum
  • Alveolar Bone

Development of Alveolar Bone

  • AM: ameloblasts
  • BO: alveolar bone
  • DE: dentin
  • DP: dental pulp
  • DF: dental follicle
  • ED: embryonic day
  • EN: enamel
  • OD: odontoblasts

Alveolar Bone Structure

  • Exists only where teeth are present.
  • It forms in relation to teeth.
  • Structurally similar to and continuous with basal bone.
  • It is subjected to continuous and rapid remodeling from tooth eruption and mastication.

Alveolar Bone Function

  • It provides support.
  • Offers protection for the teeth.
  • Facilitates attachment via Sharpey's fibres.
  • Acts as a shock absorber.

Healthy Alveolar Bone

  • The height of the Cemento-Enamel Junction (CEJ) to the alveolar bone crest is 1-2mm.

Defect: Dehiscence

Age Changes

  • Osteoporosis leads to bone loss and low density.
  • Brittleness occurs because of decreased water content.
  • Sponge bone becomes thin trabecular with wide marrow spaces.

Radiographic features

  • Alveolar bone crest / Alveolar crest
  • Lamina dura
  • Periodontal ligament space
  • Cancellous bone / Spongy bone

Radiographic Relevance

  • Alveolar bone crest height helps to classify the severity of Periodontitis.

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