M

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CEMENTUM AM
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 INTRODUCTION
 Is mineralized dental tissue covering the anatomic
roots of human teeth.
M
 Begins at cervical portion of Othe tooth at the
.C to the apex.
cementoenamel junction & continues
A
M
A
 Furnishes a medium forNthe attachment of collagen
Y
fibers that bind the tooth
D to surrounding structures.
U
T
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 Makes functional adaptation of the teeth possible.

 Unlike bone, human cementum is avascular.

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THICK CEMENTUM ON ROOT APICES
IN AN ELDERLY PERSON

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Studynama’s BDS Community is one of India’s Largest Community of Dental Students. About
19,232 Indian Dental Course students are members of this community and share FREE study
material, cases, projects, exam papers etc. to enable each other to do well in their semester exams.

Links to Popular Study Material for BDS (Dental) students:

 Orthodontic Fixed Appliances - BDS Lecture Notes PDF Download
 Amalgam Restoration - BDS Lecture Notes PDF Download
 COMPLEX NON-SKELETAL PROBLEMS IN PREADOLESCENT CHILDREN - BDS Lecture Notes
 Anatomy of Scalp - BDS Lecture Notes PDF Download
 Cerebrospinal Fluid (CSF) - BDS Lecture Notes PDF Download
 Cementum - BDS Lecture Notes PDF Download
 Recent Advances in Instrumentation Techniques - BDS Lecture Notes PDF Download
 Ameloblastoma - BDS Lecture Notes PDF Download
 Prevention of Odontogenic Infection - Principles of Management - BDS Lecture Notes
 Therapeutic Dentistry Histology of Teeth Dental Charting - BDS Lecture Notes PDF Download
 Maxillofacial Trauma and Management - BDS Lecture Notes PDF
 Technical Endodontics - BDS Lecture Notes PDF Download
And 698 more free downloads for Dental Students.
Other Popular Links for Law Study Material:
 BDS Lecture Notes, eBooks, Guides, Projects and Case Papers FREE PDF Download
 BDS Lecture Notes, eBooks, Guides & Handouts FREE PDF Download
 BDS University Previous Year Exam Question Papers & Solutions FREE PDF Download
PHYSICAL CHARACTERSTICS
Hardness is less than that of dentin.
M
O
Light yellow in color.
.C
A
M
Can A
be distinguished
N from enamel by its
lack of luster
D
Y
& its darker hue.
U
T
S
Semi-permeable to a variety of materials.

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CHEMICAL COMPOSITION
Contains 45% to 50% inorganic
substances & 50% toM55% organic
material & water. CO
.
A
M
Cementum hasA the highest fluoride
N
content of all
Y the mineralized tissues.
D
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Organic
S
portion consists primarily of
type I collagen & protein polysaccharides
(proteoglycans).
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 M
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Cellular componentsMof cementum
A

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 CEMENTOBLASTS
Soon after Hertwig’s sheath breaks up,
undifferentiated mesenchymal cells from adjacent
connective tissue differentiate into cementoblasts.
M
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.C
A
Synthesize collagen & M protein polysaccharides
which make up the organic A
matrix of cementum.
N
Y
D
Have numerous Tmitochondria,
U a well-formed golgi
apparatus, & large
S amounts of granular endoplasmic
reticulum.

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Studynama’s BDS Community is one of India’s Largest Community of Dental Students. About
19,232 Indian Dental Course students are members of this community and share FREE study
material, cases, projects, exam papers etc. to enable each other to do well in their semester exams.

Links to Popular Study Material for BDS (Dental) students:

 Orthodontic Fixed Appliances - BDS Lecture Notes PDF Download
 Amalgam Restoration - BDS Lecture Notes PDF Download
 COMPLEX NON-SKELETAL PROBLEMS IN PREADOLESCENT CHILDREN - BDS Lecture Notes
 Anatomy of Scalp - BDS Lecture Notes PDF Download
 Cerebrospinal Fluid (CSF) - BDS Lecture Notes PDF Download
 Cementum - BDS Lecture Notes PDF Download
 Recent Advances in Instrumentation Techniques - BDS Lecture Notes PDF Download
 Ameloblastoma - BDS Lecture Notes PDF Download
 Prevention of Odontogenic Infection - Principles of Management - BDS Lecture Notes
 Therapeutic Dentistry Histology of Teeth Dental Charting - BDS Lecture Notes PDF Download
 Maxillofacial Trauma and Management - BDS Lecture Notes PDF
 Technical Endodontics - BDS Lecture Notes PDF Download
And 698 more free downloads for Dental Students.
Other Popular Links for Law Study Material:
 BDS Lecture Notes, eBooks, Guides, Projects and Case Papers FREE PDF Download
 BDS Lecture Notes, eBooks, Guides & Handouts FREE PDF Download
 BDS University Previous Year Exam Question Papers & Solutions FREE PDF Download
 M
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ULTRASTRUCTURE OF CEMENTOCYTE
NEAR CEMENTUM SURFACE.

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ULTRASTRUCTURE OF CEMENTOCY
DEEP IN CEMENTUM
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 CEMENTOID TISSUE
The uncalcified matrix is called cementoid.
M
O
Mineralization
of cementoid is a .highly
C ordered event &
not the random precipitation
M
A
of ions into an organic
matrix. A
N
Y
D
Fibers are embeddedU in the cementum & serve to
T
attach the toothSto surrounding bone. Their embedded
portions are known as Sharpey’s fibers.

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Studynama’s BDS Community is one of India’s Largest Community of Dental Students. About
19,232 Indian Dental Course students are members of this community and share FREE study
material, cases, projects, exam papers etc. to enable each other to do well in their semester exams.

Links to Popular Study Material for BDS (Dental) students:

 Orthodontic Fixed Appliances - BDS Lecture Notes PDF Download
 Amalgam Restoration - BDS Lecture Notes PDF Download
 COMPLEX NON-SKELETAL PROBLEMS IN PREADOLESCENT CHILDREN - BDS Lecture Notes
 Anatomy of Scalp - BDS Lecture Notes PDF Download
 Cerebrospinal Fluid (CSF) - BDS Lecture Notes PDF Download
 Cementum - BDS Lecture Notes PDF Download
 Recent Advances in Instrumentation Techniques - BDS Lecture Notes PDF Download
 Ameloblastoma - BDS Lecture Notes PDF Download
 Prevention of Odontogenic Infection - Principles of Management - BDS Lecture Notes
 Therapeutic Dentistry Histology of Teeth Dental Charting - BDS Lecture Notes PDF Download
 Maxillofacial Trauma and Management - BDS Lecture Notes PDF
 Technical Endodontics - BDS Lecture Notes PDF Download
And 698 more free downloads for Dental Students.
Other Popular Links for Law Study Material:
 BDS Lecture Notes, eBooks, Guides, Projects and Case Papers FREE PDF Download
 BDS Lecture Notes, eBooks, Guides & Handouts FREE PDF Download
 BDS University Previous Year Exam Question Papers & Solutions FREE PDF Download
 M
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Schroeder’s classification
Acellular afibrillar cementum
- Contains neither cells nor extrinsic or intrinsic collagen
fibers, except for mineralized ground M substance. Coronal
O
cementum.(1-15um) .C
 Acellular extrinsic fiber cementum A
M
- Composed almost entirely of A densely packed bundles of
Sharpey’s fibers. CervicalYthird
N of roots. (30-230um)
 Cellular mixed stratifiedD cementum
U
T
- Composed of extrinsic
S & intrinsic fibers & may contain
cells. Co-product of cementoblasts & fibroblasts. Apical
third of roots, apices & furcation areas. (100-1000um)

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Cellular intrinsic fiber cementum
- Contains cells but no extrinsic collagen fibers.
Formed by cementoblasts. O It Mfills resorption
lacunae. .C
A
M
A
 Intermediate cementum N
Y
- Poorly defined zone
D near the cementodentinal
U
junction. Contains
S
T cellular remnants of Hertwig’s
sheath embedded in calcified ground substance.

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 Cementum can be differentiated into: acellular & cellular
cementum.
 Acellular cementum does not have spiderlike cementocytes
incorporated into it. M
O
.C
 Acellular cementum is found at the A coronal half whereas the
cellular cementum is found at the M
apical half.
A
N
Y
 Cementum is thinnest D
at the cementoenamel junction &
thickest toward the apex.
U
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 Cementocytes are either degenerating or are marginally active cells.

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Acellular cementum

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CELLULAR CEMENTUM

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INCREMENTAL LINES
Are highly mineralized areas with
less collagen and Mmore ground
O
substance than other
.C portions of the
A
cementum. M
A
N
Y
The thickness
D of cementum does not
U
enhanceS
Tfunctional efficiency by increasing

the strength of attachment of the

individual fibers.
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CEMENTODENTINAL JUNCTION
Smooth in permanent teeth.
M
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Scalloped in deciduous teeth..C
A
M
Dentin is separated fromNA
cementum by a zone known
as the intermediateDcementum
Y layer.
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This layer is predominantly seen in apical two-thirds of
roots of molars & premolars.

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CEMENTOENAMEL JUNCTION
In 60% of the teeth, cementum overlaps
the cervical end of enamel
M
for a short
distance. C
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In 30% of all teeth,
A cementum meets the
N
cervical endY of enamel in a relatively
D
sharp line.U
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In10% of the teeth, enamel & cementum

do not meet.
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RELATION OF CEMENTUM TO ENAMEL
AT THE CEMENTOENAMEL JUNCTION
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CLINICAL CONSIDERATIONS
Cementum is more resistant to resorption
than is bone, & it is for this
M
reason that
orthodontic tooth movement
C
O is made possible.
.
A
M
Itis because bone is richly
A vascularized, whereas
N
cementum is avascular.
Y
D
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Cementum resorption can occur after trauma
S

or excessive occlusal forces.

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In most cases of repair, there is a tendency to re-establish
the former outline of the root surface by cementum.
This is called anatomic repair.
M
O
However, if only a thin layer of cementum
.C is deposited on
A
the surface of a deep resorption,
M
the root outline is not
reconstructed, & a bay like A recess remains.
N
Y
D
In such areas the periodontal
U space is restored to its
T
normal width by S formation of a bony projection, so that
a proper functional relationship will result. the outline of
the alveolar bone in these cases follows that of the root
surface. This is called functional repair.
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 HYPERCEMENTOSIS
 Is an abnormal thickening of cementum.

 May be diffuse or circumscribed.

M
O
 May .C
affect all teeth of the dentition, be confined to a single tooth, or
A
even affect only parts of one tooth.
M
A
 If N
the overgrowth improves Y the functional qualities of the
cementum, it is termed cementum
D hypertrophy.
U
T
S
 Ifthe overgrowth occurs in non-functional teeth or if it is not
correlated with increased function, its termed hyperplasia.

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Extensive hyperplasia of cementum is occasionally
associated with chronic periapical inflammation.
M
O
Hyperplasia of cementum in non-functioning
.C teeth is
A
characterized by a reduction in the number of
M
Sharpey’s fibers embeddedAin the root.
N
Y
D
Spur or prong like Uextension of cementum is found in
T
teeth that are exposed
S to great stress.

Knob like projections are designated as excementoses.

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ATTACHED CEMENTICLES ON SURFACE
OF CEMENTUM

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THANK YOUAM
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