Documente Academic
Documente Profesional
Documente Cultură
Tooth movement
Eruption Lateral tooth movement within the alveolar bone
Physiological mesial drift Movement of teeth after loss of opposing or neighboring teeth Lateral movement in response to occlusal forces Orthodontic tooth movement
Tooth wear
Occlusal wear Proximal wear
Proximal surfaces rub against each other when they move in function Reduction in mesiodistal width Contact areas broaden Degree of wear related to type of food
Mesial drifting
Maintains teeth in contact A result of tension in PDL transseptal bundles Pass over the interdental bony septum Maintains a slow turnover of precursor cell compartment
of PDL
Maturation of osteoblasts & cementoblasts on the distal tension side Maturation of osteoclasts on mesial compression side Maturation of fibroblasts to breakdown and renew the collagen fiber apparatus
tooth axis
Proliferation of fibroblasts & osteoblasts after 12 hrs with a peak after 24 hrs, at this point. Osteoclasts appear at compression side Osteoblasts lay down osteiod that embed the stretched PDL bundles Cementoblasts lay down cemetum on compression side
Piezo-electric effect
Deformation & movement of bony crystals Exerted by the stretched fibers on the alveolar
bone Generate minute electrical currents Thought to stimulate the osteoblastic activity Does not have much evidence
Occlusion of capillary networks on compression side necrosis Blood-borne macrophages digest dead tissue & new bone is laid down Clinically
Little or no movement until necrotic tissue is removed Followed by a sudden movement Followed by a more gradual steady movement
Tension side
Blood supply remains no necrosis Cell proliferation greatly increased Alveolar bone surface is rapidly covered with osteoblasts
Dental implants
Reimplantation of avulsed teeth Prosthetic dental implants
a suitable fluid
Pulp dies immediately RCT is needed at a later stage Incompletely formed roots may be replaced by granulation
tissue
hole drilled into bone Tight fitting Repair process will provide functional union Does not look like the PDL attachment Implants are not covered by cementum
Implant surface covered by a thin layer of calcified material similar to that in resorption or cement lines
Fibro-osteal integration Fibrous capsule surrounds the implant and separate it from direct contact with alveolar bone Occurs when bone is overheated during drilling necrosis
provided by PDL No possibility of orthodontic movement Stable point of anchorage for orthodontic appliances
osteogenic cells Some ostenonecrosis may occur in the screw threads in the less vascular cortical bone
the implant surface Bone is subsequently laid down in a collagenous matrix Gingival epithelium proliferates down the side of implant for a short distance to develop a hemi-desmosome type of attachment to a basal lamina secreted on the projecting implant surface (similar to junctional epithelium)