Alveolar Bone Study Guide PDF

In partnership with Alveolar Bone Jiann Khaw Tutor Dentist  To outline The clinical and Aim radiographic anatomy of alveolar bone 2 Learning Outcomes: At the end of this session, you should be able to: 1. Identify structure and function of alveolar...

In partnership with Alveolar Bone Jiann Khaw Tutor Dentist  To outline The clinical and Aim radiographic anatomy of alveolar bone 2 Learning Outcomes: At the end of this session, you should be able to: 1. Identify structure and function of alveolar bone 2. Identify features of alveolar bone from healthy to disease 3. Recognise relevance of radiographic assessment in periodontal disease GDC Learning Outcome: 1.1.5, 1.2.5 C1.5, C1.17 3 Alveolar Bone Structure and Func,on MAORI WHALE BONE CLUB, KOTIATE PARAOA  Periodon7um Bare 1.Gingiva 2.Periodontal ligament 3.Cementum 4.Alveolar Bone Demineralised section of tooth in 5 situ. Source: Berkovitz et al. Development of alveolar bone Week 18 alveda Bone is Laid down. In the fetus. Schematic diagrams of tooth development. AM: ameloblasts, BO: alveolar bone, DE: dentin, DP: dental pulp, DF: dental follicle, ED: embryonic day, EN: enamel and OD: odontoblasts. Diagram by Nakao & Tsuji (2008) 6 Structure Alveolar Bone / Process Only present where there is teeth Forms in relation to teeth Bone Supporting teeth. Some structure as Bae. 7  -Palatal Structure Basal Bone / Body of Maxilla Alveolar Bone Structurally similar and / continuous with basal bone "File:624 Diagram of Compact Bone-new.jpg" by OpenStax College is Bucca licensed under CC BY 3.0 Longitudinal cross-section of Maxillary canine in alveolar bone. Source: Berkovitz et. al. 8  posterioreess. Structure teeficora- > more impaction mas from Subjected to ! continuous and rapid remodeling from tooth eruption and mastication Buccolingual sections through maxilla and mandible demonstrating distribution of alveolar bone in relation to roots of teeth. Source: Berkovitz et al. 9  Func7on Suppo Support · · rt Protecti protection · on Attachm Attachment ent Shock Shock · absorber Absober 10  a -Attach Bae Func7on A2achment – Sharpey’s :bres O Histology slide showing Sharpey's [bres (horizontal lines) attachment in alveolar bone (A) forming periodontal ligament. Cementum (B). Source: Berkovitz et al. 11 Alveolar Bone Health to Disease Inuit Snow Goggle, Carved bone Healthy Height of Cemento-Enamel Junc7on (CEJ) to alveolar bone crest is between 1 to 2mm O Pocket Depth Image source: Lira-Junior & Figueredo Picture of maxillary anterior teeth with healthy gingivae. Source: Pocketdentistry.com 13 Disease: Periodon77s gocet Image source: Lira-Junior & Figueredo -Bae Resorption Source: J. Khaw 14  condition where Dane around a tooth weas away below gum line , exposing the + ocths Rect - ↑ Defect: Dehiscence - Trauma R orwardsc. causingt it his shins P of a sing can · can happen with Source: J. Khaw Mrzezo. (2015) Risk factors of gingival recession. Available at: https://pocketdentistry.com/9-mucogingival-grafting-procedures-an Orthotantic TX -overview / (Accessed: April 2021). Teeth moved too quick M not allowing remodeling. 15  of Bae Detect causing root of toth to be visible. - Defect: Fenestra7on cause Trauma. Common O Edney, M. (2000) Interesting presentation of a retained upper deciduous incisor with apical fenestration. Br Dent J 188, 369–370. Mrzezo. (2015) Risk factors of gingival recession. Available at: Available at: https://doi.org/10.1038/sj.bdj.4800483 (Accessed: https://pocketdentistry.com/9-mucogingival-grafting-procedures-an April 2021) -overview / (Accessed: April 2021) 16 Age changes to alveolar bone: Osteoporosis  bone loss (low density) Brittleness  decreased water content Sponge bone become thin trabecular, wide marrow spaces Source: J. Khaw 17 Alveolar Bone Radiographic appearance Damien Hirst Self Portrait Radiograph  HEALTHY MOUTH. Radiographic features Alveolar bone crest / Alveolar crest Insert or Drag and Drop Image Here Lamina dura - Compact Bone Periodontal ligament space Cancellous bone / Spongy bone Image source: Dentist in Richmond webpage. 19 Radiographic features of alveolar bone in healthy state Alveolar crest Cemento- enamel Junction (CEJ) Alveolar crest Bitewing radiograph (leD) Periapical radiograph 20 Radiographic features of alveolar bone in healthy state CEJ Alveolar crest "Dental X-ray" by icethim is licensed under CC BY 2.0 Dental Panoramic Tomography (DPT) or OrthoPantomoGraph 21 (OPG) Radiographic features of alveolar bone in disease state Calculus spur Widening of periodont al ligament space Loss of bone in furcatio n region Disease state Healthy 22 Radiographic features of alveolar bone in disease state x 23 Radiographic relevance of alveolar bone crest height in severity of Periodon77s classiKca7on 24  third cal Ap : third mid third C cana attachment from......... goSS LET 25 Radiographic relevance of alveolar bone crest height in severity of Periodon77s classiKca7on 26 50 y 50 x eg. 50 + 50 = 1 grade 27  Structure and Features of Function health to disease Alveolar Bone Summary Relevance Radiographic in Dentistry relevance Link to: Diagnosis of Periodontitis Foundation of dental health Adaptation of diagram by S.Balian (2021) 28  In partnership with Alveolar Bone BSc (Hons) Dental Hygiene BSc (Hons) Dental Therapy Study and Activity Guide MODULE: Foundations in Clinical Skills and Practice HED_4_002 or Oral and Dental Sciences HED_4_003  Alveolar Bone: Study and Activity Guide Guide description: This document is a brief guide to assist self-directed learning for the unit prior to teaching session. Expectation: Student should review prior knowledge from anatomy and pre-reading attached. Aim: This unit aim to outline clinical and radiographic anatomy of alveolar bone Learning outcome: After this session, students should be able to – 1. Identify structure and function of alveolar bone 2. Identify features of alveolar bone from healthy to disease 3. Recognise the relevance of radiographic assessment in periodontal disease Student Activities: Essential: 1. Pre-session reading: Gehring, Shin and Willmann (2018) Foundations of Periodontics for the Dental Hygienist, Pp. 13 – 15. (Goto page 2) 2. Self- assessment on knowledge related to alveolar bone anatomy and surrounding structure. (3 Student Activities – Goto page 5) Education Curator: J Khaw Page 1 of 7 FCSP / ODS  Alveolar Bone: Study and Activity Guide Pre-session Reading: Education Curator: J Khaw Page 2 of 7 FCSP / ODS Alveolar Bone: Study and Activity Guide Education Curator: J Khaw Page 3 of 7 FCSP / ODS Alveolar Bone: Study and Activity Guide Education Curator: J Khaw Page 4 of 7 FCSP / ODS  Alveolar Bone: Study and Activity Guide Self Assessment: Activity 1: Anatomical structure Label Alveolus Alveoli Inner (lingual) alveolar plate Interradicular septum Interdental septum Outer (buccal) alveolar plate Education Curator: J Khaw Page 5 of 7 FCSP / ODS  Alveolar Bone: Study and Activity Guide Activity 2: Label Name the labelled structure from the above histological slide C E F G Gingiva (example answer) Education Curator: J Khaw Page 6 of 7 FCSP / ODS  Alveolar Bone: Study and Activity Guide Activity 3: Label Name of bone structure H I J K L Education Curator: J Khaw Page 7 of 7 FCSP / ODS Bibliography: 1. Berkovitz, BKB; Holland, GR & Moxham, BJ. (2018) Oral Anatomy, Histology and Embryology. 5 th EdiJon. London: Elsevier. 2. BriJsh Society of Periodontology (2018) BSP Qowchart implemenJng the 2017 classiUcaJon of Periodontal Disease to reach diagnosis in clinical pracJce. London: BriJsh Society of Periodontology. Available at: hWps://www.bsperio.org.uk/assets/downloads/111_153050_bsp-Qowchart-implemenJng-the-2017-cla ssiUcaJon.pdf (Accessed: 2 October 2024). 3. BriJsh Society of Periodontology. (2016) The Good PracJJoner’s guide to Periodontology. London: BSP. Available at: hWps://www.bsperio.org.uk/assets/downloads/good_pracJJoners_guide_2016.pdf (Accessed: 2 October 2024). 4. Edney, M. (2000) InteresJng presentaJon of a retained upper deciduous incisor with apical fenestraJon. Br Dent J, 188, pp. 369–370. DOI: 10.1038/sj.bdj.4800483 5. Nakao, K. and Tsuji, T. (2008) Dental regeneraJve therapy: Stem cell transplantaJon and bioengineered tooth replacement. Japanese Dental Science Review, 44 (1), pp. 70-75. DOI: 10.1016/j.jdsr.2007.11.001 29