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Some rests become calcified in the periodontal ligament (cementicles). ERM plays a role in cementum repair and regeneration. [ 1 ] The stem cells in ERM can undergo an epithelial – mesenchymal transition and differentiate into diverse types of cells of mesodermal and ectodermal origin like bone, fat, cartilage and neuron-like cells.
The periodontal ligament depends on stimulation provided by function to preserve its structure. Within physiologic limits the PDL can accommodate increased function by increasing its width. Forces that exceed the adaptive capacity of the periodontium produce injury called trauma from occlusion. When occlusal forces are reduced the PDL atrophies ...
These three types form from a mass of epithelial cells known as the epithelial cuff between the tooth and the mouth. [36] Much about gingival formation is not fully understood, but it is known that hemidesmosomes form between the gingival epithelium and the tooth and are responsible for the primary epithelial attachment. [36]
The formative role of the dental follicle starts when the crown of the tooth is fully developed and just before tooth eruption into the oral cavity. [2]Although tooth eruption mechanisms have yet to be understood entirely, generally it can be agreed that many factors, together, affect the tooth eruption process which is why it is very difficult to differentiate the causes and effects. [3]
Odontogenic infections can be severe if not treated and are associated with mortality rate of 10 to 40%. [4] Furthermore, about 70% of odontogenic infections occur as periapical inflammation, i.e. acute periapical periodontitis or a periapical abscess. [3] The next most common form of odontogenic infection is the periodontal abscess. [3]
The supporting tissues are known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament. A periodontist is a dentist that specializes in the prevention, diagnosis and treatment of periodontal disease and in the placement of dental implants. [1]
Substances released by the body's immune system as a result of the connective tissue breakdown, such as cytokines and growth factors, contribute to the mobilization and proliferation of epithelial cells in the area. b. Bone resorption caused by metabolism of acidic substances produced by cysts contributes to cyst growth.
This tissue covers the root of the tooth within the bone. Each ligament has a width of 0.15–0.38mm, but this size decreases over time. [33] The functions of the periodontal ligaments include attachment of the tooth to the bone, support for the tooth, formation and resorption of bone during tooth movement, sensation, and eruption. [29]