You are on page 1of 50

 Cementum is than dentin

 It is dull and than enamel

 Cementum is to a variety of
materials
Chemical composition
• 50-55% of weight organic material and water.
− Collagen fibrils
I
− Protein polysaccharides (proteoglycans)
• 45-50% inorganic material.
− Hydroxylapatite (calcium & phosphate)
− Various trace
Bone elements, (Fluor, copper, zinc etc.)
sialoproteins
Osteopontin
− the highest fluoride concentration of all tooth
CAP
tissue
• It takes place in two phases:

• There are 3 cell types responsible for the


cementogenesis:

• All of these cells are differentiated


ectomesenchymal cells.
Dentin formation

HERS -Break

Dentin contacts dental follicle

cementoblast / collagen fibrils - reach dentin

Sheath cells migrate away / incorporate into dentin


Dental follicle
HERS
ellular ntrinsic iber ementum
cellular xtrinsic iber ementum
Similar to osteoblast

Sharpey fiber – thick


Extrinsic sharpey fibers
Intrinsic fiber – encircle them
Intrinsic fibers – few
random
Gla proteins - osteocalcin / Osteonectin –
for mineralization
Calcium / phosphate – tissue fluids – hydroxyappatite
– unmineralized
- newly formed
- seen on the surface
- lined by cementoblasts
cementoid

Cementodentinal junction

Cementoblasts
Cementoblasts
Two types of cementum are recognized depending on the
presence or absence of cells, and they are therefore
known as:
• acellular cementum
• acellular afibrilar cementum (over enamel)
• acellular fibrilar (extrinsic fiber) cementum
and
• cellular fibrilar (intrinsic fiber) cementum
Both forms are deposited in layers and the deposition
probably continues throughout life.
Dentin CC Dentin

AC
Acellular cementum

Acellular C.

Dentin
Acellular Afibrilar cementum

Enamel

Dentin
Afibrilar cementum

cementum
Cementocytes
Dentin

Cellular
cementum

Cementodentinal
junction

Cellular cementum
Cementocytes
Lacunae and canaliculi
S.no features osteocytes cementocytes

1 lacunae ovoid Ovoid / tubular

2 Canaliculi More complex less complicated


Radiating Face PDL

3 IHC -ve +ve


Fibromodulin
lumican
Cervical to apical third Apical third
Single rooted teeth Furcation
Multi-rooted
teeth
Early - 1® cementum Repair - 2®
cementum
Absent present

Absent present
Absent Present

Absent Present
Extrinsic – PDL Intrinsic -
fibroblast cementoblast
Anchorage Adaptation,
repair
Slow Rapid
Closer Far apart
Absent Present
Derived from HERS Derived from
dental follicle
Not expressed Expressed
Structures of cementum

 Incremental lines of Salter


 Cementodentinal junction
 Intermediate cementum
 Cementoenamel junction
 Sharpey's fibers
 Cementicles
Incremental lines of Salter

Annulus (or anulus), being the Latin for "ring", is a


term used to describe various ring-shaped objects
Incremental lines of Salter

Dentin
Cementodentinal junction
The dentin surface upon Permanent teeth
which cementum is
deposited is relatively
smooth in permanent
teeth.
The cementodentinal
junction in deciduous
teeth, however, is
sometimes scalloped.

Deciduous teeth
Cementodentinal junction
Cementodentinal
junction
Cementoenamel junction
The relation between, cementum and enamel at the
cervical region of teeth is variable.
In approximately 30% of all teeth, cementum meets the
cervical end of enamel in a relatively sharp line.
30% - cementum + enamel meets

10% - enamel and cementum do not meet of the

teeth

60% - cementum overlaps enamel


Anchorage

to bind the tooth to


alveolar bone.

Adaptation
Adaptation

Repair
Hyperplasia
Localized hypercementosis Hypertrophy

Generalized hypercementosis
Age changes of cementum
Root resorption and
forming Reparatory
cementum
Bone resorbs

Hyperplasia of cementum

Anatomic repair

Functional repair

You might also like