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PERIODONTAL
LIGAMENT
(PDL)
DEFINITION
PDL is a connective tissue
structure that surrounds
the root and connects it
with the bone.
STRUCTURE
The periodontal ligament
space has the shape of an
hourglass and is narrowest
at the mid root level.
The width of PDL is
approximately 0.25+ 50
percent.
CELLULAR
COMPOSITION
Cells of PDL are categorized as:
1. Synthetic cells
• a. Osteoblast
• b. Fibroblast
• c. Cementoblasts
2. Resorpative cells
• a. Osteoclasts
• b. Cementoclasts
• c. Fibroblasts
3. Progenitor cells
4. Epithelial rest of malassez
5. Connective tissue cells (mast cells and macrophages)
SYNTHETIC CELLS
1. Osteoblasts: covers the periodontal surface of the
alveolar bone.
They are responsible for the formation of alveolar bone.
2. Fibroblasts: the most prominent connective tissue cells
(65%).
The main function of the fibroblasts is the production of
various types of fibers (collagen fibers, Reticulin fibers,
Oxytalan fibers and Elastin fibers). Fibroblasts are also
instrumental in the synthesis of connective tissue matrix.
3. Cementoblasts: are seen lining the cementum and are
responsible for cementum deposition.
1. Osteoblasts
2. Fibroblasts
3. Cementoblasts
RESORPATIVE CELLS
1. Osteoclasts: these are the cells that resorb the bone and
tend to be large and multinucleated.
2. Fibroblasts: they synthesize collagen and also possess
the capacity to resorb and degrade the old callogen fibers.
3. Cementoclasts: cementum is not remodeled in the
fashion of alveolar bone and periodontal ligament but that it
undergoes continual deposition during life. However
resorption of cementum occurs in certain circumstances by
cementoclasts.
1. Osteoclasts
2. Fibroblasts
3. Cementoclasts
PROGENITOR CELLS
They differentiate into functional type of connective tissue
cells.
EPITHELIAL REST OF
MALASSEZ
They are found close to cementum.
When certain pathologic conditions are present, cells of
epithelial rest can undergo rapid proliferation and can
produce a variety of cysts and tumors of the jaws.
CONNECTIVE TISSUE
CELLS
Mast cells: they play a role in inflammatory reaction.
Macrophages: they are capable of phagocytosis.
Mast cells
Macrophages
EXTRACELLULAR
COMPONENTS
1. Fibers
•a. Collagen
•b. Oxytalan
2. Ground substances
•a. Proteoglycans
•b. Glycoproteins
1. Fibers
2. Ground
substances
 Periodontal fibers: the most important elements of the periodontal ligament are
the principal fibers. They are collagenous in nature and are arranged in bundles
following a wavy course.
 The terminal portion of these principal fibers that insert into the cementum and
bone are termed Sharpey’s fibers.
THE PRINCIPAL
FIBERS OF THE PDL
The principal fibers of the PDL are arranged in five groups:
1) Alveolar crest fibers: they extend obliquely from the
cementum just beneath the junctional epithelium to the
alveolar crest.
 Function: retain tooth in socket and resist lateral movement.
2) Horizontal group: extends from cementum to the alveolar
bone at right angle to the long axis of the tooth.
3) Oblique group: they are the largest group extending coronally
in an oblique direction from the cementum to the bone.
 Function: they resist axial directed forces.
4) Apical group: they radiate from the cementum of root apex to
the bone.
 Function: it prevents tooth tipping, resists luxation, and
protects blood, lymph and nerve supply of the tooth.
5) Inter-radicular fibers: Extends from cementum of bifurcation
areas, splaying from apical into furcal bone.
 Function: it resists luxation and also tipping and torquing.
Alveolar crest fibers
Horizontal group
Oblique group
Apical group:
Inter-radicular fibers
THE PRINCIPAL
FIBERS OF THE PDL
Alveolar crest fibers
Horizontal group
Oblique group
Apical group:
Inter-radicular fibers
GROUND
SUBSTANCE
The ground substance is made up of two major groups of
substances:
• Glycosaminoglycans: such as hyaluronic acid,
proteoglycans.
• Glycoproteins: such as fibronectin and laminin
It also has high water content (70%).
Glycosaminoglycans
Glycoproteins
DEVELOPMENT OF
PRINCIPAL FIBERS
OF PDL
It will be as follows:
1. Small, fine brush like fibrils are detected
arising from the root cementum and
projecting into the PDL space.
2. Small fibers are seen on the surface of
the bone but only in thin, small numbers.
3. The number and thickness of fibers
originating from the bone increase and
elongate. They radiate towards the loose
connective tissue in the mid portion of the
periodontal ligament.
4. The fibers originating from the
cementum also increase in length and
thickness and fuses with the fibers
originating from the alveolar bone in the
periodontal ligament space.
5. Following tooth eruption, the principal
fibers become organized in bundles and
run continuously from bone to cementum.
STRUCTURES
PRESENT IN THE
CONNECTIVE TISSUE
 1. Blood vessels: periodontal ligament is supplied by
branches derived from three sources dental, inter-
radicular and Interdental arteries.
 2. Lymphatics: lymphatic vessels follow the path of blood
vessels in the periodontal ligament.
 3. Nerve intervention: periodontal ligament is mainly
supplied by dental branches of the alveolar nerve. The
periodontal ligament has mechanoreceptors providing
sense of touch, pressure, pain and proprioception during
mastication.
 4. Cementicles: calcified masses adherent to or detached
from the root surface.
FUNCTIONS OF THE
PDL
1. Physical function
 A. Provide soft tissue “casing’' to protect the vessels and
nerves from injury by mechanical forces.
 B. Transmission of occlusal forces to the bone.
 C. Attaches the teeth to the bone.
 D. Maintains the gingival tissues in their proper
relationship to the teeth.
 E. (Shock absorption) Resists the impact of occlusal
forces
1. Physical function
2. Formative and Remodeling
function
3. Nutritive functions
4. Sensory function
FUNCTIONS OF THE
PDL
2. Formative and Remodeling function
 Cells of the periodontal ligament have the capacity to control
the synthesis and resorption of the cementum, ligament and
alveolar bone. Periodontal ligament undergoes constant
remodeling; old cells and fibers are broken down and
replaced by new ones.
3. Nutritive functions
 Since PDL has a rich vascular supply, it provides nutrition to
the cementum, bone, and gingiva.
4. Sensory functions
 The PDL is supplied with sensory nerve fibers which
transmit sensation of touch, pressure and pain to higher
centers.
1. Physical function
2. Formative and Remodeling
function
3. Nutritive functions
4. Sensory function
CLINICAL
CONSIDERATION
 The width of PDL space varies with age, location of tooth,
degree of stress to which the tooth was subjected.
 In compliance with the physiologic mesial migration of
the teeth the PDL is thinner on the mesial root surface
than on the distal surface.
 A tooth in hyperfunction may have a wider PDL space and
a tooth in hypofunction may have a narrow PDL space.
 The width of PDL space is about 0.25mm in normal
functions. It is widest at the cervical and apical portions
of the root and narrowest at the middle.
 The most interesting features of the PDL are its
adaptability to rapidly changing applied force and its
capacity to maintain its width at constant dimensions
throughout its lifetime.
HANK YOU

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PERIODONTAL LIGAMENT (PDL)

  • 2. DEFINITION PDL is a connective tissue structure that surrounds the root and connects it with the bone.
  • 3. STRUCTURE The periodontal ligament space has the shape of an hourglass and is narrowest at the mid root level. The width of PDL is approximately 0.25+ 50 percent.
  • 4. CELLULAR COMPOSITION Cells of PDL are categorized as: 1. Synthetic cells • a. Osteoblast • b. Fibroblast • c. Cementoblasts 2. Resorpative cells • a. Osteoclasts • b. Cementoclasts • c. Fibroblasts 3. Progenitor cells 4. Epithelial rest of malassez 5. Connective tissue cells (mast cells and macrophages)
  • 5. SYNTHETIC CELLS 1. Osteoblasts: covers the periodontal surface of the alveolar bone. They are responsible for the formation of alveolar bone. 2. Fibroblasts: the most prominent connective tissue cells (65%). The main function of the fibroblasts is the production of various types of fibers (collagen fibers, Reticulin fibers, Oxytalan fibers and Elastin fibers). Fibroblasts are also instrumental in the synthesis of connective tissue matrix. 3. Cementoblasts: are seen lining the cementum and are responsible for cementum deposition. 1. Osteoblasts 2. Fibroblasts 3. Cementoblasts
  • 6. RESORPATIVE CELLS 1. Osteoclasts: these are the cells that resorb the bone and tend to be large and multinucleated. 2. Fibroblasts: they synthesize collagen and also possess the capacity to resorb and degrade the old callogen fibers. 3. Cementoclasts: cementum is not remodeled in the fashion of alveolar bone and periodontal ligament but that it undergoes continual deposition during life. However resorption of cementum occurs in certain circumstances by cementoclasts. 1. Osteoclasts 2. Fibroblasts 3. Cementoclasts
  • 7. PROGENITOR CELLS They differentiate into functional type of connective tissue cells.
  • 8. EPITHELIAL REST OF MALASSEZ They are found close to cementum. When certain pathologic conditions are present, cells of epithelial rest can undergo rapid proliferation and can produce a variety of cysts and tumors of the jaws.
  • 9. CONNECTIVE TISSUE CELLS Mast cells: they play a role in inflammatory reaction. Macrophages: they are capable of phagocytosis. Mast cells Macrophages
  • 10. EXTRACELLULAR COMPONENTS 1. Fibers •a. Collagen •b. Oxytalan 2. Ground substances •a. Proteoglycans •b. Glycoproteins 1. Fibers 2. Ground substances
  • 11.  Periodontal fibers: the most important elements of the periodontal ligament are the principal fibers. They are collagenous in nature and are arranged in bundles following a wavy course.  The terminal portion of these principal fibers that insert into the cementum and bone are termed Sharpey’s fibers.
  • 12. THE PRINCIPAL FIBERS OF THE PDL The principal fibers of the PDL are arranged in five groups: 1) Alveolar crest fibers: they extend obliquely from the cementum just beneath the junctional epithelium to the alveolar crest.  Function: retain tooth in socket and resist lateral movement. 2) Horizontal group: extends from cementum to the alveolar bone at right angle to the long axis of the tooth. 3) Oblique group: they are the largest group extending coronally in an oblique direction from the cementum to the bone.  Function: they resist axial directed forces. 4) Apical group: they radiate from the cementum of root apex to the bone.  Function: it prevents tooth tipping, resists luxation, and protects blood, lymph and nerve supply of the tooth. 5) Inter-radicular fibers: Extends from cementum of bifurcation areas, splaying from apical into furcal bone.  Function: it resists luxation and also tipping and torquing. Alveolar crest fibers Horizontal group Oblique group Apical group: Inter-radicular fibers
  • 13. THE PRINCIPAL FIBERS OF THE PDL Alveolar crest fibers Horizontal group Oblique group Apical group: Inter-radicular fibers
  • 14. GROUND SUBSTANCE The ground substance is made up of two major groups of substances: • Glycosaminoglycans: such as hyaluronic acid, proteoglycans. • Glycoproteins: such as fibronectin and laminin It also has high water content (70%). Glycosaminoglycans Glycoproteins
  • 15. DEVELOPMENT OF PRINCIPAL FIBERS OF PDL It will be as follows: 1. Small, fine brush like fibrils are detected arising from the root cementum and projecting into the PDL space. 2. Small fibers are seen on the surface of the bone but only in thin, small numbers. 3. The number and thickness of fibers originating from the bone increase and elongate. They radiate towards the loose connective tissue in the mid portion of the periodontal ligament. 4. The fibers originating from the cementum also increase in length and thickness and fuses with the fibers originating from the alveolar bone in the periodontal ligament space. 5. Following tooth eruption, the principal fibers become organized in bundles and run continuously from bone to cementum.
  • 16. STRUCTURES PRESENT IN THE CONNECTIVE TISSUE  1. Blood vessels: periodontal ligament is supplied by branches derived from three sources dental, inter- radicular and Interdental arteries.  2. Lymphatics: lymphatic vessels follow the path of blood vessels in the periodontal ligament.  3. Nerve intervention: periodontal ligament is mainly supplied by dental branches of the alveolar nerve. The periodontal ligament has mechanoreceptors providing sense of touch, pressure, pain and proprioception during mastication.  4. Cementicles: calcified masses adherent to or detached from the root surface.
  • 17. FUNCTIONS OF THE PDL 1. Physical function  A. Provide soft tissue “casing’' to protect the vessels and nerves from injury by mechanical forces.  B. Transmission of occlusal forces to the bone.  C. Attaches the teeth to the bone.  D. Maintains the gingival tissues in their proper relationship to the teeth.  E. (Shock absorption) Resists the impact of occlusal forces 1. Physical function 2. Formative and Remodeling function 3. Nutritive functions 4. Sensory function
  • 18. FUNCTIONS OF THE PDL 2. Formative and Remodeling function  Cells of the periodontal ligament have the capacity to control the synthesis and resorption of the cementum, ligament and alveolar bone. Periodontal ligament undergoes constant remodeling; old cells and fibers are broken down and replaced by new ones. 3. Nutritive functions  Since PDL has a rich vascular supply, it provides nutrition to the cementum, bone, and gingiva. 4. Sensory functions  The PDL is supplied with sensory nerve fibers which transmit sensation of touch, pressure and pain to higher centers. 1. Physical function 2. Formative and Remodeling function 3. Nutritive functions 4. Sensory function
  • 19. CLINICAL CONSIDERATION  The width of PDL space varies with age, location of tooth, degree of stress to which the tooth was subjected.  In compliance with the physiologic mesial migration of the teeth the PDL is thinner on the mesial root surface than on the distal surface.  A tooth in hyperfunction may have a wider PDL space and a tooth in hypofunction may have a narrow PDL space.  The width of PDL space is about 0.25mm in normal functions. It is widest at the cervical and apical portions of the root and narrowest at the middle.  The most interesting features of the PDL are its adaptability to rapidly changing applied force and its capacity to maintain its width at constant dimensions throughout its lifetime.