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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:
HERS -Break
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
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
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
teeth
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