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BONE
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Definitio
n
Osteogenes
is
Compositio
n
Gross structure of
bone
microscopic structure of
bone
Osseous
topography
Fenestrations & dehiscence
Remodeling ( bone
turnover )
Blood supply, lymphatic drainage of the
bone
Bone changes associated with the
orthodontic forces
References
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BONE:
Bone is a mineralized connective tissue that
performs the function of support, protection and
locomotion
ALVEOLAR PROCESS :
It is defined as the parts of the maxilla and
mandible that form and support the sockets of
the teeth.
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OSTEOGENESIS :
The process of bone formation is
called osteogenesis.
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ENDOCHONDRAL BONE FORMATION :
In this type, the bone formation of a
cartilagenous model which is subsequently
replaced by bone.
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INTRA-MEMBRANOUS BONE FORMATION :
In this type of ossification, the formation
of bone is not preceded by the formation of a
cartilagenous model, Instead bone is laid down
directly in a fibrous membrane.
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At the site of bone formation,
mesenchymal cells become
aggregated.
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These osteoblasts secrete a gelatinous
matrix called osteoid around the
collagen fibres.
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COMPOSITION : BONE
67% 33%
Inorganic Organic
Hydroxyapetite
crystals Non Collagen
collagenous
calcium type I
proteins
phosphates
Osteocalcin
hydroxyl
Osteonectin
carbonate
Phosphoprote
sodium ins
magnesium proteoglycans
fluorine Sioloprotein
Bone 12
morphologic
protein
GROSS STRUCTURE OF BONE ;
Alveolar Supporting
bone proper alveolar
bone
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ALVEOLAR BONE PROPER :
SPONGY BONE:
It is the bone which fills the space between the outer &
inner plates &the alveolar bone proper.
Consists of heavy trabeculae with bone marrow spaces.
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THE INTERDENTAL SEPTUM :
Consists of cancellous bone bordered by the socket
walls of approximating teeth & the facial & lingual
cortical plates.
If roots are too close together, an
irregular window can appear in
the bone adjacent roots.
PERIOSTEUM :
The outside of all compact bone is covered by a thin
connective tissue membrane called the periosteum.
ENDOSTEUM :
The internal surface of compact bone as well as the
entire surface of the cancellous bone are covered by a
single layer of bone cells called the endosteum.
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MICROSCOPIC STRUCTURE OF
BONE ;
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OSTEON :
It is the structural & metabolic unit of the lamellar
bone.
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LAMELLAE :
Made up of osteocytes found within empty spaces called
lacunae.
Mainly 3 types:
CIRCUMFERENTIAL LAMELLAE :
They are bony lamellae that surround the entire bone,
forming its outer surface.
CONCENTRIC LAMELLAE :
They form the bulk of the bone & osteon.
INTERSTITIAL LAMELLAE :
They are lamellae that found between adjacent
concentric lamellae. they fill the space between the
concentric lamellae.
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BONE MARROW :
RED BONE MARROW :
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CELLS :
OSTEOBLASTS ;
These are bone forming cells
Origin: pluripotent stem cells
These are mononucleated cells
that synthesize collagenous & non
- collagenous bone matrix proteins.
It exhibits a high level of alkaline
phosphatase on their outer plasma
membrane.
When active……. They are plump,
cuboidal in shape.
When non-active……. They
becomes slight flattened.
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OSTEOCYTES ;
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OSTEOCLASTS ;
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OSSEOUS TOPOGRAPHY :
Isolated areas in which the root is denuded of bone & the root
surface is covered only by periosteum & overlying gingiva are
termed fenestrations.
When the denuded areas extends through the marginal bone then
defect is called a dehiscence.
Etiology… unknown
Predisposing factors… prominent root contours, malposition, labial
protrusion of the root combined with a thin bony plate.
Seen more often on facial bone than on lingual bone
More common on anteriorly than posteriorly
Occurs bilaterally 26
BONE TURNOVER (REMODELLING) :
The process by which the overall size & shape of bones
is established is referred to as bone remodeling.
Alveolar bone is a east stable of the periodontal tissues
because its structure is in a constant state of flux.
Influencing
factors
local systemic
Functional requirements Parathyroid hormone
on the tooth
Calcitonin
Age related changes in
Vitamin D3
the bone cells
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Manifested in 3 areas :
Adjacent to the periodontal ligament.
In relation to the periosteum of the facial & lingual
plates.
Endosteum surface of the marrow spaces.
Sequences of resorptive
events ;
Attachment of osteoclasts to the mineralized surface
of bone.
Creation of a sealed acidic microenvironment through
the action of the proton pump, which demineralizes
bone &exposes the organic matrix.
Degradation of the exposed matrix by the action of
released enzymes such as acid phosphatase &
cathespin B.
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Endocytosis at the ruffled border of inorganic &
organic bone degradation products.
Translocation of degradation products in transport
vesicles & extra cellular release along the membrane
opposite the ruffled border. (transcytosis)
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VASCULAR SUPPLY :
Derived from blood vessels branching off of the
superior or inferior alveolar arteries.
LMPHATIC DRAINAGE ;
Smallest lymph vessel ……. Lymph capillaries.
All third molars ……. Jugulodigastric lymph
nodes.
Mandibular incisors ……. Sub mental lymph
nodes.
Rest ……. Sub mandibular lymph nodes.
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BONE CHANGES ASSOCIATED WITH THE
ORTHODONTIC FORCES :
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REFERENCES: