- Th os e of de nt in ar e ar ra ng ed ha ph az ar dly

"' Ce m en ta l fib er s in te rm in gl e wi th th e de
nti na l
fib er s -

Ai ds in at ta ch m en t of cementum to th e de nti n

,. so m et im es de nt in e is separated from ce me t
by a zo ne - '" -

Ap pe ar s hyaline - hyaline layer

.J
Pr ed om ina nt ely se en in the apical tw o thi rds of
m ol ar s an d pr em ola rs

La ye r re pr es en ts· ar ea s wh er e cells of he rtw ig' s

ep ith eli al sh ea th
-b ec om e tra pp ed in ra pid ly deposited dentin o
ce m en tu m matrix
 ·C E l
I
-1

- Re lat ion be tw ee n ce me ntu m an d en am el at

-
I

ce rv ica l re gio n is va ria ble .

- 30 % ce me nt um me ets the ce rvi ca l en d of ename
in a sh ar p lin e. (EDGE TO EDGE)

10 % en am el an d cementum do no t ee
_ oc cu rs wh en ename ep· he fu m in cerv·
po rti on is de lay ed in its se a "atio fro de
 6-0°/o ce m en tu m overlap,s th e cerv·ical en d of
en am el fo r a sh or t dis ta nc e {OVERLAP
JU NC TI ON .)
Detd-ln

-11-==-COmontum
A nc ho ra ge - fu rn ish a me diu m fo r att ac hm
en t
of co lla ge n fib er s th at bi nd to ot h to alv eo lar bone

Adaptation - tis su e th at ma ke s fun cti on al

ad ap ta tio n of te et h possibl_e

_ da m ag e to ro ot ca n be re pa ire d by
de po si tio n of ne w ce m en tu m
 Ab no rm al th ick en in g of ce..,.~

M ay be di ffu se or circumscr:

- M ay af fe ct - •
- All te et h of de nt itio n
- Si ng le to ot h
_ on ly pa rt of on e te et h
 - ·-

O ve rg ro wt h im pr ov es th e fu nc tio na l qu ali tie s

of
ce m en tu m - ce m en tu m hy pe rtr op hy
-\

O ve rg ro wt h oc cu rs in no nf un cti on al tee th
or
Is no t co rre la te d wi th inc re as ed fu nc tio n .
I

\
I

- hy pe rp las ia
i
I
 rt ro p h y - s p u r o r p ro n g lik e
., L o c a li z e d h y p e
e xt e n si o n o f cementum

th a t e x p o s e d to g re a t st re ss
- fo u n d in te e th

r a fo r a tt a ch in g fi b e r
- p ro v id e la rg e s u rf a c e a re

Mi• •'' jf . . . . .
 ~o ca liz ed hy pe rc em en to sis sometimes obse
rved
an ar ea in wh ich en am el dr op s developed on
de nt in e

Hy pe rp la st ic ce m en tu m co ve rin g enamel drop

s
is irr eg ul ar an d co nt ai ns round bodies

>;a Su ch kn ob lik e pr oj ec tio n - excementoses

Hy pe rp la si a of ce m en tu m charact~rized by
re du ct io n in nu m be r of sharpey's fibers
 Ceme ntum

fl:cemen101i1

Alve alor bon•

• 19:515
r (Fro G
s a-21 . EX#',,h"~"ose
1921
-- Ce m en tu m is le ss su sc ep tib le to re so rp tio n
th an bo ne -· ., l

~ Sh ow sm al l, lo ca lis ed ar ea s of re so rp tio n

Ca us e of th is no t know, bu t may be as so cia ted

w ith m ic ro tra um a

Re so rp tio n is ca rri ed ou t by mu ltin uc lea r

od on to cl as ts
\

frg. 13.27 Cementa( loss resorption~

May• co nt in ue in to th e ro ot de nt ine

Re so rp tio n de fic ie nc ie s ma y be fill ed by

de po si tio n of m in er al ise d tis su e -

Li ne se pa ra tin g th e re pa ir tis su e fro m normal

un de rly in g de nt al tis su es -: re ve rs al lin e

'

f
~· R ep ai r tis su e re se m bl es ce llu la r cemen
tum

-s im ila r ul tra st ru ct ur e to ce m en to bl as t

-
- lin es re se m bl in g in cr em en ta l lin es

_ zo ne of un ca lc ifi ed re pa ir tis su e homologo

us
to pr ec em en tu m
D iff er en ce s b/ w re pa ir tis su e an d ce m en
tu m

- w id th is gr ea te r th an th at fo r pr ec em en
tu m

- de gr ee of m in er al is at io n is leSs

_ cr ys ta ls ar e sm al le r

- ca lc ifi o gl ob ul es are pr es en t su gg es tin

g th at
. 1· at1·on is no t proceeding evenly
m1nera 1s
 •

CL1N
\

R oo t fra ct ur es may, on so m e oc ca sio ns , re

pa ir
by th e fo rm at io n of ce m en ta l ca llu s

- do es no t us ua lly re m od el . to th e or ig in al
di m en si on s of te et h
C EM EN TI C LE S -

- S m al l, gl ob ul ar m as se s of ce m en tu m

- Fo un d in ap pr ox im at el y 35% of human
roots

- N ot al w ay s at ta ch ed to the_cementum
su rface

- B ut m ay be lo ca te d fre e in th e pe rio do
nt al
lig am en t
 - M ay re su lt from microtrauma

ot
- Co m m on in th e apical and middle third of ro
an d in ro ot fu rc at io n areas

.:-- Fte e
cemenucles

.'I
I '
' ~.
, free cementides m the penodontal
Rg 1332 Appe ranee 0 Ii . -

I '
 •

\
. Ce m en tu m co nt in ue s to be deposited slowly
througlhout life

Th ic kn es s inc re aS ing ab ou t thre0fold betwee

n
th e ag es of 16 an d 70

:e Ce m en tu m m ay be fo rm ed at th e ro ot apex in
m uc h gr ea te r am ou nt s
- as a re su lt of co m pe ns at or y tooth eruption
in
re sp on se to at tri tio n at th e occlusal surface
'
· - -;-; ll.J ~.--
•
> I ,
- 4
- - • •
1 .,_,.
• • • -
-
-~ _·• V .-,
"---~ --
-
•
, 1 , \
"'.ll

H is to ry o f ch ro n ic pe r. ia pi ca l in
fla m m at io n

- ce m e n tu m fo rm a ti o n m ay be
su bs ta nt ia l,
g iv in g ri se to lo ca l hypercemE
intosis
'

W h e re th e ro o t ca n a l ex its a t th
e apex o f th e to ot

- c e m e n tu m is d e p o si te d n o t
on ly ov er apex b u t
a ls o fo r a s h o rt d is ta n ce fr o m th
e anatomical
apex
- re s u lt s in n a rr o w in g o f ca n
a l a t th is po in t, the
a p ic a l c o n s tr ic ti o n

- re p re s e n tj u n c ti ·o n o f p u lp '
a n d p e ri o d o n ta l
ti s s u e
T e xt b o o k o f o ra l an at om y, hi st
ol og y and
e m b ry o lo g y: B .K :B .B er ko vi tz G
. R. Holland
B .J .M o xh a m

C o lo r a tl a s a n d te xt o f or al anat
om y histolog
a n d e m b ry o lo g y ; se co nd edition
B .K .B .B e rk o vi tz G.R.Holland B•• M
oxha
 a te 's O ra l H is to lo g y de pm en t,
ve lo
Te n G
fu n ct io n : fi ft h an d se ve nt h ed iti on
s tr u c tu re , a n d

an d : tw el ft h
O rb a n 's O ra l h is to lo