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By: Dr. Pamela Josefina T.
Fabie
Major Functions:
 They incise food and reduce food during mastication
 They help sustain themselves in the dental arches by
assisting in the development and protection of tissues
that support them
ex: physiologic mesial drifitng
Important Values
• Good teeth makes one more physically attractive
• Good diction is an asset and correct speech is made
possible by the normal development of teeth and
jaws
• Psychologically physical and mental concentration is
aided by clenching the tooth firmly during almost any
activity
Mesial and distal
aspects of the 6 anterior
teeth (both maxillary
and mndibular)
TRIANGLE
A. The longest uneven side toward occlusal or
incisal surface
a. labial and lingual aspects of all anterior
teeth
b. Buccal and lingual of all posterior teeth
TRAPEZOID
B. Shortest uneven side toward occlusal
a. Mesial and distal aspects of all
posterior teeth
A. The longest uneven side toward occlusal or
incisal surface
a. labial and lingual aspects of all anterior
teeth
b. Buccal and lingual of all posterior teeth
RHOMBOID
B. Shortest uneven side toward occlusal
a. Mesial and distal aspects of all
posterior teeth
 Covered with enamel
A. Incisal Ridge/ Edge
(Central And Lateral
Incisors)
o To punch and cut
food
B. Single cusps
(Canines /Cuspids)
o To tear and shear
food
o To support incisors
ans premolars
C. Two cusps
(Premolars/Bicuspids)
o To grind food
o To support canine
D. Three Cusps (Molars)
o To grind or triturate
food
 Covered with cementum
 The length and number of roots depend on the size
and function of teeth
 Single rooted – incisors, canines and mandibular
premolars
 Birooted – Maxillary 1st premolar, Mandibular molars
 Multirooted – Maxillary molars
 Positive contact relation mesially and distally of one
tooth with another while they are on their respective
position in the dental arch
IMPORTANCE:
a. It serves to keep food from packing between
teeth
b. It helps to stabilize the dental arches by the
combined anchorage of all teeth in either arch, if
in positive contact with each other
PCA can be observed in 2
Aspects:
1. Labial and Buccal
aspects
 Demonstrate the
relative positions of
the contacts cervico-
incisally and cervico-
occlusaly
2. Incisal and Occlusal
aspects
 Show the relative
positions of the contact
areas labio-lingually or
bucco-lingually
 Formed by the proximal surfaces in contact
 Triangularly-shaped spaces in between teeth and are
normally filled by the gingival tissues
 There is normally a distance of 1-1.5mm between
enamel and alveolar bone
Interproximal
spaces Interdental
papilla
 When 2 teeth in the same arch are in contact, their
curvatures adjacent to the contact areas spillway
spaces
PURPOSES:
1. Serve as spillways of food during mastication
2. It prevents food from being forced to the contact
area
Labial /
Buccal
Occlusal/ incisal
PHYSIOLOGIC IMPORTANCE:
1. Holds the gingiva under definite tension
2. Protect the gingival margins by deflecting food
material away from the margins during mastication
• EFFECTS OF TOO MUCH CURVATURE
Gingiva is protected too much and loses ‘tone’ under
the exaggerated contour, food material and debris will
be packed around the gingiva, stagnation of foreign
material leads to chronic inflammation of the gingiva
0.5mm – the normal curvature of the CEJ to the crest
of contour
• EFFECT OF ABSENCE OR MINIMAL CURVATURE
gingival tissue may be driven apically resulting to
gum recession and possible pathologic changes
 The curvature of the cervical
line of most teeth will be
approximately 1mm less
distally than mesially
 Normal attachment follows the
curvature of the CEJ if the
teeth are in normal alignment
and contact
PERIODONTAL LIGAMENT
CEMENTUM
ALVEOLAR PROCESS
PULP
GINGIVA
 A dense connective tissue attaching the tooth to the
alveolar bone
 Aka Periodontal fibers
 Thickness varies from .1 - .25mm
FUNCTIONS:
1) Formative
2) Supportive
3) Nutritive
4) Sensory
5) protective
BLOOD SUPPLY:
1. Branches of alveolar artery
2. Branches of interradicular artery
3. Gingival vessels that enter the
periodontal ligament in the crestal
region
NERVES:
Contains both sensory and autonomic
nerve endings
MOBILITY:
1st degree - less than 1mm
2nd degree - 1.1-2mm
3rd degree – more than 2mm
TRANSEPTAL – embedded into the cementum of the adjacent
tooth and extends interproximally over the alveolar crest
ALVEOLAR CRESTAL – extends obliquely from the
cementum beneath the junctional epithelium to the alveolar
crest
HORIZONTAL - extends at
a right angle from the long
axis of the tooth from
cementum to the alveolar
bone
Transeptal
fibers
OBLIQUE – largest group or principal p.f.; extends from
the cementum to the alveolar bone
INTERRADICULAR –
courses over the crest
of the interradicular
septum in the furcations
of multirooted teeth
Transeptal
fibers
APICAL – radiates from the apical cementum to the alveolar
bone at the base of the socket
 Mineralized connective tissue that covers the roots of
teeth
 MAIN FUNCTION: attach periodontal ligament to the
tooth
CLASSIFICATI
ON:
According to Location:
• Coronal cementum
• Radicular cementum
According to the
Presence or Absence of
Collagen fibril:
• Fibrillar cementum
• Afibrillar cementum
According to Cellularity:
• cellular cementum
-Covers the coronal half of the root; devoid of cell
• acellular cementum
-Covers the apical half of root and furcations of
multirooted teeth; with ‘cementocytes”
Cells:
 Cementoblasts
 Cementoclasts
 cementocytes
 Enamel Projections
 Hypercementosis
 Enamel pearls
 Cementicles
 Part of maxilla and mandible that forms and supports the
teeth
PARTS:
a. Alveolar bone Proper
 Consist of thin
lamella of bone
surrounding the root
b. Supporting Bone
 Surrounds the
alveolar bone proper
and provides
additional bone
support
BONE CELLS:
 Osteoblasts
 Osteoclasts
 Osteocytes
Alveolar
bone Proper
(lamina
Dura)
Supporting
bone
 Consists of vascular connective tissues within the rigid
dentinal tubules
FUNCTIONS:
a. Formative – forerunner
of dentin
b. Nutritive
c. Sensory
d. Defensive
PULP IS COMPOSED
of:
a. CELLS
• Firbroblasts
• Odontoblasts
• Defensive cells (histiocytes wandering
cells, undifferentiated mesenchymal
cells, polymorphonuclear
leukocytes, lymphocytes, plasma
cells, eosiniphils)
b. GROUND SUBSTANCE
o Protein associated with glycoproteins
o Acid mucopolysaccharides
c. FIBERS
 Collagen fibers
d. BLOOD VESSELS
 Either arteries or arterioles enter the pulp at its
apical termination and course
coronally, increasing and branching into
capillaries adjacent to the odontoblastic layer
e. NERVES
o Enter the pulp at its apical segment with the
afferent blood vessels either as accompanying
individual units or as intimately associated nerve
sheaths
o Majority of sensory receptors on the dental
nerves are free nerve endings
1. Decrease in cellular components
2. Dentinal sclerosis
3. Decrease In the number and quality of blood vessels
and nerves
4. Reduction on volume of the pulp owing to continued
dentin deposition and reparative dentin formation
5. Increase in the number and thickness of collagen
fibers
6. Increase of pulp stones and dystrophic
mineralizations
 Part of oral cavity that covers the
alveolar bone and surrounds the
cervical region of the teeth
REGIONS:
a. Marginal Gingiva (Unattached gingiva)
• Border of the gingiva that surrounds the
teeth in a collar fashion
• It forms the soft tissue wall of the gingival
sulcus which may be separated from the
tooth surface by a periodontal probe
b. Attached gingiva
• Border of the gingiva that
surrounds the teeth in a collar
fashion
• It forms the soft tissue wall of
the gingival sulcus which may
be separated from the tooth
surface by a periodontal probe
Physiology of Teeth and Its Supporting Structures

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Physiology of Teeth and Its Supporting Structures

  • 1. By: Dr. Pamela Josefina T. Fabie
  • 2.
  • 3. Major Functions:  They incise food and reduce food during mastication  They help sustain themselves in the dental arches by assisting in the development and protection of tissues that support them ex: physiologic mesial drifitng
  • 4. Important Values • Good teeth makes one more physically attractive • Good diction is an asset and correct speech is made possible by the normal development of teeth and jaws • Psychologically physical and mental concentration is aided by clenching the tooth firmly during almost any activity
  • 5.
  • 6.
  • 7. Mesial and distal aspects of the 6 anterior teeth (both maxillary and mndibular) TRIANGLE
  • 8. A. The longest uneven side toward occlusal or incisal surface a. labial and lingual aspects of all anterior teeth b. Buccal and lingual of all posterior teeth TRAPEZOID B. Shortest uneven side toward occlusal a. Mesial and distal aspects of all posterior teeth
  • 9. A. The longest uneven side toward occlusal or incisal surface a. labial and lingual aspects of all anterior teeth b. Buccal and lingual of all posterior teeth RHOMBOID B. Shortest uneven side toward occlusal a. Mesial and distal aspects of all posterior teeth
  • 10.
  • 11.  Covered with enamel A. Incisal Ridge/ Edge (Central And Lateral Incisors) o To punch and cut food B. Single cusps (Canines /Cuspids) o To tear and shear food o To support incisors ans premolars
  • 12. C. Two cusps (Premolars/Bicuspids) o To grind food o To support canine D. Three Cusps (Molars) o To grind or triturate food
  • 13.  Covered with cementum  The length and number of roots depend on the size and function of teeth  Single rooted – incisors, canines and mandibular premolars  Birooted – Maxillary 1st premolar, Mandibular molars  Multirooted – Maxillary molars
  • 14.
  • 15.  Positive contact relation mesially and distally of one tooth with another while they are on their respective position in the dental arch IMPORTANCE: a. It serves to keep food from packing between teeth b. It helps to stabilize the dental arches by the combined anchorage of all teeth in either arch, if in positive contact with each other
  • 16. PCA can be observed in 2 Aspects: 1. Labial and Buccal aspects  Demonstrate the relative positions of the contacts cervico- incisally and cervico- occlusaly 2. Incisal and Occlusal aspects  Show the relative positions of the contact areas labio-lingually or bucco-lingually
  • 17.
  • 18.  Formed by the proximal surfaces in contact  Triangularly-shaped spaces in between teeth and are normally filled by the gingival tissues  There is normally a distance of 1-1.5mm between enamel and alveolar bone Interproximal spaces Interdental papilla
  • 19.  When 2 teeth in the same arch are in contact, their curvatures adjacent to the contact areas spillway spaces PURPOSES: 1. Serve as spillways of food during mastication 2. It prevents food from being forced to the contact area
  • 21. PHYSIOLOGIC IMPORTANCE: 1. Holds the gingiva under definite tension 2. Protect the gingival margins by deflecting food material away from the margins during mastication
  • 22. • EFFECTS OF TOO MUCH CURVATURE Gingiva is protected too much and loses ‘tone’ under the exaggerated contour, food material and debris will be packed around the gingiva, stagnation of foreign material leads to chronic inflammation of the gingiva 0.5mm – the normal curvature of the CEJ to the crest of contour • EFFECT OF ABSENCE OR MINIMAL CURVATURE gingival tissue may be driven apically resulting to gum recession and possible pathologic changes
  • 23.  The curvature of the cervical line of most teeth will be approximately 1mm less distally than mesially  Normal attachment follows the curvature of the CEJ if the teeth are in normal alignment and contact
  • 25.  A dense connective tissue attaching the tooth to the alveolar bone  Aka Periodontal fibers  Thickness varies from .1 - .25mm FUNCTIONS: 1) Formative 2) Supportive 3) Nutritive 4) Sensory 5) protective
  • 26. BLOOD SUPPLY: 1. Branches of alveolar artery 2. Branches of interradicular artery 3. Gingival vessels that enter the periodontal ligament in the crestal region NERVES: Contains both sensory and autonomic nerve endings MOBILITY: 1st degree - less than 1mm 2nd degree - 1.1-2mm 3rd degree – more than 2mm
  • 27.
  • 28. TRANSEPTAL – embedded into the cementum of the adjacent tooth and extends interproximally over the alveolar crest ALVEOLAR CRESTAL – extends obliquely from the cementum beneath the junctional epithelium to the alveolar crest HORIZONTAL - extends at a right angle from the long axis of the tooth from cementum to the alveolar bone Transeptal fibers
  • 29. OBLIQUE – largest group or principal p.f.; extends from the cementum to the alveolar bone INTERRADICULAR – courses over the crest of the interradicular septum in the furcations of multirooted teeth Transeptal fibers APICAL – radiates from the apical cementum to the alveolar bone at the base of the socket
  • 30.  Mineralized connective tissue that covers the roots of teeth  MAIN FUNCTION: attach periodontal ligament to the tooth CLASSIFICATI ON: According to Location: • Coronal cementum • Radicular cementum According to the Presence or Absence of Collagen fibril: • Fibrillar cementum • Afibrillar cementum
  • 31. According to Cellularity: • cellular cementum -Covers the coronal half of the root; devoid of cell • acellular cementum -Covers the apical half of root and furcations of multirooted teeth; with ‘cementocytes” Cells:  Cementoblasts  Cementoclasts  cementocytes
  • 32.  Enamel Projections  Hypercementosis  Enamel pearls  Cementicles
  • 33.  Part of maxilla and mandible that forms and supports the teeth PARTS: a. Alveolar bone Proper  Consist of thin lamella of bone surrounding the root b. Supporting Bone  Surrounds the alveolar bone proper and provides additional bone support
  • 34. BONE CELLS:  Osteoblasts  Osteoclasts  Osteocytes Alveolar bone Proper (lamina Dura) Supporting bone
  • 35.  Consists of vascular connective tissues within the rigid dentinal tubules FUNCTIONS: a. Formative – forerunner of dentin b. Nutritive c. Sensory d. Defensive
  • 36. PULP IS COMPOSED of: a. CELLS • Firbroblasts • Odontoblasts • Defensive cells (histiocytes wandering cells, undifferentiated mesenchymal cells, polymorphonuclear leukocytes, lymphocytes, plasma cells, eosiniphils) b. GROUND SUBSTANCE o Protein associated with glycoproteins o Acid mucopolysaccharides
  • 37. c. FIBERS  Collagen fibers d. BLOOD VESSELS  Either arteries or arterioles enter the pulp at its apical termination and course coronally, increasing and branching into capillaries adjacent to the odontoblastic layer
  • 38. e. NERVES o Enter the pulp at its apical segment with the afferent blood vessels either as accompanying individual units or as intimately associated nerve sheaths o Majority of sensory receptors on the dental nerves are free nerve endings
  • 39. 1. Decrease in cellular components 2. Dentinal sclerosis 3. Decrease In the number and quality of blood vessels and nerves 4. Reduction on volume of the pulp owing to continued dentin deposition and reparative dentin formation 5. Increase in the number and thickness of collagen fibers 6. Increase of pulp stones and dystrophic mineralizations
  • 40.  Part of oral cavity that covers the alveolar bone and surrounds the cervical region of the teeth REGIONS: a. Marginal Gingiva (Unattached gingiva) • Border of the gingiva that surrounds the teeth in a collar fashion • It forms the soft tissue wall of the gingival sulcus which may be separated from the tooth surface by a periodontal probe
  • 41. b. Attached gingiva • Border of the gingiva that surrounds the teeth in a collar fashion • It forms the soft tissue wall of the gingival sulcus which may be separated from the tooth surface by a periodontal probe