Physiologic Tooth Migration

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Questions and Answers

What is the primary characteristic of physiologic tooth migration?

  • Drift of teeth through the alveolar process. (correct)
  • Inability of teeth to adapt to functional demands.
  • A static and unchanging position of teeth within the jaw.
  • Rejection of the supracrestal fibre system.

The turnover rate of the periodontal ligament (PDL) is uniform throughout the ligament.

False (B)

What role do osteoclasts play during physiologic tooth migration?

resorption of alveolar bone

A slow __________ occurs on the cementum surface throughout life, which is important for the resorptive mechanism in the bone and cementum.

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

According to Stein and Weinmann, in which direction do molars gradually migrate in adults?

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

Loss of a neighboring tooth will not induce tooth movement.

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

What coating protects the root surface during the physiologic migration?

<p>nonmineralized precementum</p> Signup and view all the answers

The depository side during bone modeling is characterized by __________ depositing nonmineralized osteoid.

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

What happens to the older fibers of the PDL during physiologic tooth migration?

<p>They become embedded in bone. (D)</p> Signup and view all the answers

The tissue reaction that occurs during physiologic tooth migration is abnormal function of the supporting structures.

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

Match the cells with their role in physiological tooth migration:

<p>Osteoclasts = Resorption of bone Osteoblasts = Deposition of new bone Fibroblasts = Produce new collagen fibrils</p> Signup and view all the answers

Which of the following is NOT a characteristic of the bone modeling processes during physiologic migration?

<p>Accelerated cementum resorption. (B)</p> Signup and view all the answers

The supracrestal fiber system remains stationary when the teeth migrate.

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

What happens to the number of osteoclasts when tooth migration is rapid?

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

When teeth migrate, it implies remodeling of the __________ and modeling and remodeling of the alveolar bone.

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

What is the importance of the nonmineralized precementum layer?

<p>It protects the root surface during migration. (B)</p> Signup and view all the answers

Physiologic tooth migration primarily involves the movement of teeth against functional demands that do not require adaptation.

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

What characterizes the depository side of bone remodeling during physiological tooth migration?

<p>osteoblast deposition of osteoid</p> Signup and view all the answers

New __________ fibrils are produced on the bone surface simultaneously with the embedding of older PDL fibers in the bone.

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

Which of the following activities is mainly associated with fibroblasts during physiologic tooth migration?

<p>Producing new collagen fibrils. (B)</p> Signup and view all the answers

Flashcards

Physiologic Tooth Migration

The gradual movement of teeth through the alveolar process due to functional demands and changes in occlusal pressure.

Adaptability of Dental Structures

The ability of teeth and their supporting structures to adapt to functional demands placed upon them.

Mesial Drift

Molars in adults gradually shift towards the midline over time.

Supracrestal fiber system

During tooth movement, the tooth brings this fiber system with it, requiring remodelling of PDL and alveolar bone.

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PDL Turnover Rate

The periodontal ligament has varying rates of cellular activity, with bone-side cells being more active than those near the root cementum.

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Osteoclasts

Cells that break down bone tissue, seen in lacunae associated with resorptive surfaces during tooth migration.

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Osteoblasts

Cells that deposit nonmineralized osteoid, which later mineralizes, on the depository side of bone during tooth migration.

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Cementum Apposition

A slow deposition of new tissue on the tooth root surface that occurs throughout life, protecting the root during migration.

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Precementum Layer

A resorption-resistant layer that protects the root surface during physiologic migration.

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Study Notes

Physiologic Tooth Migration

  • Teeth drift through the alveolar process adapting to functional demands.
  • Changes in occlusal pressure, like losing a neighboring or opposing tooth, can cause tooth movement.
  • Tissues react during physiologic migration through supporting structure function.
  • Molars in adults gradually migrate mesially (Stein & Weinmann observation).
  • Teeth bring the supracrestal fiber system along as they migrate.
  • This movement involves remodeling of the periodontal ligament and alveolar bone.
  • The periodontal ligament does not have a uniform turnover rate, cells are more active on the bone side compared to the cementum side.

Bone Modeling During Physiologic Migration

  • Osteoclasts are present in scattered lacunae associated with the resorptive surface along the alveolar bone wall toward which the tooth is moving.
  • The number of osteoclasts increases when tooth migration is rapid.
  • Osteoblasts deposit nonmineralized osteoid on the depository side, which later mineralizes in the deeper layer.
  • Older periodontal ligament fibers become embedded in newly deposited bone matrix.
  • New collagen fibrils are produced on the bone surface simultaneously.
  • Slow apposition occurs on the cementum surface throughout life.
  • A nonmineralized precementum layer acts as a resorption-resistant “coating”, protecting the root surface during physiologic migration.

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