Professional Documents
Culture Documents
Periodontal Ligament
Periodontal Ligament
INTRODUCTION
Periodontal ligament is an integral part of
periodontium.
The
periodontium
is
an
attachment
STRUCTURE
The periodontal ligament has the shape of an
HOUR GLASS and is narrowest at the
midroot level.
CELLULAR COMPOSITION
The cells of periodontal ligament are categorized as:
1. Synthetic Cells
a)
Osteoblasts
b)
Fibroblasts
c)
Cementoblasts
2. Resorptive Cells
a)
Osteoclasts
b)
Cementoclasts
c)
Fibroblasts
3. Progenitor Cells
4. Epithelial Cell rests of malassez
5. Connective Tissue cells
a)
Mast cells
b)
Macrophages
SYNTHETIC CELLS
The characteristic of synthetic cells are:
Should be actively synthesizing ribosomes.
Increase
in
the
complement
rough
OSTEOBLASTS
The osteoblasts covers the periodontal surface of
alveolar bone. Alveolar bone constitute a modified
endosteum and not a periosteum. A periosteum
comprises at least two distinct layers:
1. Inner CELLULAR LAYER
2. Outer FIBROUS LAYER
A cellular, but not an outer fibrous layer is present
on the periodontal surface of alveolar bone.
8
Function:
Osteoblasts help in the synthesis of alveolar bone.
FIBROBLASTS
Fibroblasts are the most common cells in
periodontal ligament. They constitute about 65% of
total population.
They appear as ovoid or elongated cells with
pseudopodia like process.
They consist of subtypes with distinct phenotypes and
found to synthesize higher quantities of chondroitin
sulphate and lesser quantities of heparin sulphate and
hyaluronic acid.
10
FUNCTION:
PRODUCTION OF VARIOUS TYPES OF FIBERS
& IS ALSO INSTRUMENTAL IN THE
SYNTHESIS OF CONNECTIVE TISSUE MATRIX.
11
CEMENTOBLASTS
Cementoblasts synthesize collagen and
protein polysaccharides, which make up the
organic matrix of cementum.
After some cementum has been laid down, its
mineralization begins with the help of
calcium and phosphate ions.
Sharpeys fibers
15
RESORPTIVE CELLS
Resorb bone.
OSTEOCLASTS
17
FIBROBLASTS
Fibroblasts are capable of both synthesis and
resorption.
They exhibit lysosomes, which contain collagen
fragments undergoing digestion.
The presence of collagen resorbing fibroblasts in a
normal functioning periodontal ligament indicates
resorption of fibers occurring during remodeling of
periodontal ligament.
18
CEMENTOCLASTS
These are
cementum.
found
on
the
surface
of
19
PROGENITOR CELLS
Progenitor
cells are the
undifferentiated
mesenchymal cells, which have the capacity to
undergo mitotic division and replace the
differentiated cells dying at the end of their life
span.
These cells are located in perivascular region and
have
a small close faced nucleus and little
cytoplasm.
When cell division occurs, one of the daughter cells
differentiate into functional type of connective tissue
cells. The other remaining cells retain their capacity
to divide.
20
22
MAST CELLS
Mast cells are small round or oval. These cells are
characterized by numerous cytoplasm, which mask
its small, indistinct nucleus.
The diameter of mast cells is about 12 to 15 microns.
The granules contain heparin and histamine. The
release of histamine into the extracellular
compartment causes proliferation of the
endothelial and mesenchymal cells.
Degranulate in response to antigen- antibody
23
formation on their surface.
24
MACROPHAGES
Macrophages are derived from blood monocytes
and are present near the blood vessels.
These cells have a horse-shoe shaped or kidney
shaped nucleus with peripheral chromatin and
cytoplasm contain phagocytosed material.
Macrophages help in phagocytosing dead cells and
secreting growth factor, which help to regulate the
proliferation of adjacent fibroblasts.
25
26
EXTRACELLULAR
SUBSTANCE
Extra cellular
following:
substance
comprises
the
1. Fibers
a) Collagen
b) Oxytalan
2. Ground Substance
a) Proteoglycans
b) Glycoproteins
27
PERIODONTAL FIBERS
The most important element of periodontal ligament
has principal fibers, the principal fibers are
collagenous in nature and a arranged in bundles and
follow a wavy course.
Collagen is a high molecular weight protein.
Collagen macromolecules are rod like and are
arranged in form of fibrils. Fibrils are packed side by
side to form fibers.
Vitamin C help in formation and repair of collagen.
28
29
31
3. HORIZONTAL GROUP
Horizontal fibers extend at right angles to long axis of tooth
from the cementum to alveolar bone.
4.
OBLIQUE GROUP
Oblique fibers, the largest group in periodontal ligament,
extend from cementum in a coronal direction obliquely to bone.
They bear the brunt of vertical masticatory stresses and
transfer them into tension on the alveolar bone.
5.
APICAL GROUP
The apical fibers radiate in a rather irregular manner from the
cementum to bone at apical region of the socket. They do not
occur on incompletely formed roots.
33
INTER-RADICULAR FIBERS
The interradicular fibers fan out from the
cementum to the tooth in furcation areas of
multirooted teeth.
The remodeling of fibers take place in
intermediate plexus. This allows adjustments
in the ligament, which accommodate small
movements of tooth.
34
OXYTALAN FIBERS
These are immature elastic fibers restricted to
walls of blood vessels and are oriented in an
axial direction.
The function is to support the bloods vessels
in the periodontal ligament.
35
2.
37
NERVE SUPPLY
Nerves found in ligament pass through foramina in
alveolar bone.
The nerves are the branches of second and third
division of fifth cranial nerve (trigeminal nerve)
and follow same path as blood vessels.
These nerve fibers provide sense of touch, pressure,
pain and proprioception during mastication.
38
CEMENTICLES
Cementicles are small calcified bodies present in the
periodontal ligament.
They may form into large calcified bodies and fuse within
cementum or remain free.
These are found in old age.
The degenerated epithelial cells form a nidus for
calcification.
39
FUNCTIONS
1. PHYSICAL FUNCTION
A) Provision of soft tissue casing in order to
protect
the vessels and nerves from
injury due to mechanical forces.
B) Transmission of occlusal forces to bone.
Depending on type of force applied, axial
force when applied causes stretching of
oblique fibers of periodontal ligament.
40
43
A. TENSIONAL THEORY
According to it, principal fibers play a major
role in supporting tooth and transmitting forces
to bone.
When forces are applied to tooth, principal
fibers unfold and straighten and then transmit
the forces to alveolar bone, causing elastic
deformation of socket.
44
45
VISCOELASTIC THEORY
According to it, the fluid movement largely controls
the displacement of the tooth, with fibers playing a
secondary role.
When forces are transmitted to the tooth, the
extracellular fluid is pushed from periodontal
ligament into marrow spaces through the cribriform
plate.
After depletion of tissue fluids, the bundle fibers
absorb the shock and tighten.
This leads to blood vessel stenosis arterial lack
pressure ballooning of vessels tissue
replenishes with fluids.
46
47
3. NUTRITIONAL FUNCTION
Blood vessels of periodontal ligament provide
nutrition to the cells of periodontium, because they
contain various anabolites and other substances,
which are required by cells of ligament.
Compression of blood vessels (due to heavy forces
applied on tooth) leads to necrosis of cells.
Blood vessels also remove catabolites.
48
4. SENSORY FUNCTION
The nerve bundles found in periodontal ligament, divide
into single myelinated nerve, which later on lose their
myelin sheath and end in one of the four types of nerve
termination:
1. Free endings, carry pain sensations.
2. Ruffini like mechanoreceptors located in the apical
area.
3. Meisseners corpuscles are also mechanoreceptors
located primarily in mid-root region.
4. Spindle like pressure endings, located mainly in apex.
Pain sensation is transmitted by small diameter nerves,
temperature by intermediate type; pressure by large
49
myelinated fibers.
HOMEOSTATIC MECHANISM
The resorption
procedures.
and
synthesis
are
controlled
CLINICAL CONSIDERATIONS
The primary role of periodontal ligament is to support
the tooth in the bony socket.
The width of periodontal ligament varies from 0.15 to
0.38mm.
The
average
width
is:
0.21mm at 11 to 16 years of age.
0.18mm at 32 to 50 years of age.
0.15mm at 51 to 67 years of age.
So, the width of periodontal ligament decreases as
age advances.
52
53
drift of
and age.
tooth is
It varies
related to
from 0.05
55
THANK YOU