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CEMENTUM
February16
1
Oralhistologylab.
CONTENTS
 INTRODUCTION
 DEVELOPMENT
 TYPES OF CEMENTUM
 STRUCURE AND COMPOSITION
 ACELLULAR AND CELLULAR CEMENTUM
 CEMENTOENAMEL JUNCTION
 DENTINOCEMENTAL JUCNTION
 PATHOLOGY
 ANKYLOSIS
 CEMENTUM RESORPTION
February16
2
Oralhistologylab.
CEMENTUM
 CEMENTUM is defined as
calcified avascular
mesenchymal tissue that
forms the outer covering of
root.
 The cementum is the part of
the periodontium that
attaches the teeth to the
alveolar bone.
February16
3
Oralhistologylab.
February16
4
Oralhistologylab.
February16
5
Oralhistologylab.
February16
6
Oralhistologylab.
DEVELOPMENT OF CEMENTUM
 Cementoid is excreted by
cells called
cementoblasts within the
root of the tooth and is
thickest at the root apex.
 During the later steps
within the stage of
apposition, many of the
cementoblasts become
entrapped by the
cementum they produce,
becoming cementocytes.
February16
7
Oralhistologylab.
TYPES OF CEMENTUM:
1.ACELLULAR or PRIMARY
CEMENTUM.
2.CELLULAR or SECONDARY
CEMENTUM.
February16
8
Oralhistologylab.
February16
9
Oralhistologylab.
ACELLULAR
CEMENTUM
 It is the first formed cementum.
 It does not contain cells and
covers approx. cervical third or
half of the root.
 Formed before the tooth reaches
the occlusal plane.
 Thickness: 30-230 micrometers
 Sharpey’s fibers make up most
of the structure of acellular
cementum and play a principle
role in supporting the tooth.
 It is formed after the tooth
reaches the occlusal
plane, is more irregular
and contain cells called
cementocytes in lacunae.
 Cellular cementum is less
calcified than acellular
cementum.
 Sharpey’s fibres occupy
a smaller portion and
may be less calcified.
CELLULAR
CEMENTUM
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February16Oralhistologylab.
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Oralhistologylab.
CEMENTOENAMEL
JUNCTION
 The cementum joins the enamel to
form the cementoenamel junction
(CEJ), which is referred to as
the cervical line.
 Three possible types of transitional
interfaces may be present at the
CEJ.
 In about 60-65% of cases
cementum overlaps enamel, in
about 30% of cases edge to edge
butt joint exists and in about 5-10%
of cases cementum and enamel fail
to meet.
February16
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Oralhistologylab.
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15
Oralhistologylab.
Dentino-
cemental junction
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Oralhistologylab.
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