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Physical Characteristics
  1-Color
Light yellow
Lighter in color than dentin
  2- Thickness
Acellular cementum (20-50 m)
Cellular cementum (150-200 m)

 3- Permeability
 Permeable from dentin and PDL sides.
Cellular C is more permeable than acellular C.
Chemical Composition
45-50 % Inorganic                50-55% Organic
   substances                      substances

                    Collagen
Hydroxyapatite
   crystals               protein

                               Polysaccharides

                                    Trace elements

Cementum contains the greatest amount of
fluoride in all mineralized tissues
Cementum Structure



 C       D                        D
                         C



Acellular cementum   Cellular cementum
Cementocytes
Epithelial
rest of
Malassez




Cementoid
layer


 Acellular cementum   Cellular cementum
Acellular Cementum
        Thickness is 20-50 µ.
        It is clear and structureless
        Covers the coronal half of
         the root.
        Incremental lines of Salter
         are parallel to the surface.
        Sharpey’s fibers space can
         be seen in it .
Alternating layers of
a cellular and
cellular cementum
could be seen.
Cellular Cementum
                            Lacunae of cementocytes
PDL side




                                Cementocytes

              Dentin side
Incremental lines of Salter


                              Cementocytes
Cementocyte And Osteocyte
  Dentin side
                           Osteocyte
                  Lacuna




Canaliculi

             PDL side
Cementocyte And Osteocyte

 Dentin side


                             Osteocyte
Lacuna




                Canaliculi



      Periodontal
    ligament side
Cellular Cementum
                                 Viable
  Dentin side                  superficial
                              cementocytes




Degenerated
deep layer’s
cementocytes
                                PDL side
Incremental Lines Of Salter




In acellular C          In cellular C

They are hypermineralized area with less
collagen fibers and more ground substance
Cemento Dentinal Junction



              C
   D




Smooth in permanent teeth   Scalloped in deciduous teeth
Cemento Enamel Junction




                  10% cementum and enamel
                    don’t meet because of           60%
 30% cementum
                                                cementum
meets the enamel delayed separation of epith
                                                overlaps E
 in a sharp line root sheath of Hertwig (area
                 of dentin not covered by C).    (afibrillar
                                                cementum)
Afibrillar Cementum




Before tooth eruption,   The connective tissue of
  the enamel at the      the dental sac lay down
cervical area lose its      cementum on the
    REE covering.            exposed enamel
Types Of Cementum
• 1- Acellular cementum.

• 2- Cellular cementum.

• 3- Afibirllar cementum.
Functions Of Cementum
1- Acts as a medium for
   attachment of collagen
   fibers of PDL
   (Sharpey’s fibers).




2- The continuous           Cementoid T
   formation of cementum
   keeps the attachment
   apparatus intact.

                                   Cementoblast
3- Cementum
  deposition epically
  compensate for the
  attrition.




4- It is a major
   reparative tissue
( as in case of fracture
   or resorption of
   root)
Cementogenesis
• 1- Matrix formation         • 2- Mineralization
                                and Maturation




   Collagen        Ground        Hydroxy apatite
  fiber type I    substance         crystals
1- Matrix formation
   • Cementum is
     formed during root        Cementoblasts
     formation

                                               D
                               HER




Future C E J   Epith. Diaph.
Cementoblast is a protein forming and secreting cell.

                                  Collagen fibers +
                                 ground substance.
   D
                         Large nucleus with dispersed
                         chromatin threads.
   Cementoblast




                            RER
                            Golgi apparatus
                            Mitochondria
                           Secretory granules
                           Alkaline phosphatase
Maturation occur layer
by layer for the
collagen fibers
                         Cementum




                                    Cementoblasts
               Cementoid layer
Age Changes Of The Cementum

1- Hypercementosis.

Localised

                                              D
                                    D




May affect one tooth or all teeth   Hypercementosis
Types Of Hypercementosis




Hypercementosis       Hypercementosis
  hypertrophy           hyperplasia



 Increase number of   Decrease number of
   Sharpey’s fibers    Sharpey’s fibers
2- Permeability



                        From
   From dentin      periodontal
       side       side, but remain
    remains at          at the
    apical area      superficial
      ONLY        recently formed
                       layers
9 cementum

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9 cementum

  • 1.
  • 2.
  • 3. Physical Characteristics 1-Color Light yellow Lighter in color than dentin 2- Thickness Acellular cementum (20-50 m) Cellular cementum (150-200 m) 3- Permeability Permeable from dentin and PDL sides. Cellular C is more permeable than acellular C.
  • 4. Chemical Composition 45-50 % Inorganic 50-55% Organic substances substances Collagen Hydroxyapatite crystals protein Polysaccharides Trace elements Cementum contains the greatest amount of fluoride in all mineralized tissues
  • 5. Cementum Structure C D D C Acellular cementum Cellular cementum
  • 7. Acellular Cementum Thickness is 20-50 µ. It is clear and structureless Covers the coronal half of the root. Incremental lines of Salter are parallel to the surface. Sharpey’s fibers space can be seen in it .
  • 8. Alternating layers of a cellular and cellular cementum could be seen.
  • 9. Cellular Cementum Lacunae of cementocytes PDL side Cementocytes Dentin side
  • 10. Incremental lines of Salter Cementocytes
  • 11. Cementocyte And Osteocyte Dentin side Osteocyte Lacuna Canaliculi PDL side
  • 12. Cementocyte And Osteocyte Dentin side Osteocyte Lacuna Canaliculi Periodontal ligament side
  • 13. Cellular Cementum Viable Dentin side superficial cementocytes Degenerated deep layer’s cementocytes PDL side
  • 14. Incremental Lines Of Salter In acellular C In cellular C They are hypermineralized area with less collagen fibers and more ground substance
  • 15. Cemento Dentinal Junction C D Smooth in permanent teeth Scalloped in deciduous teeth
  • 16. Cemento Enamel Junction 10% cementum and enamel don’t meet because of 60% 30% cementum cementum meets the enamel delayed separation of epith overlaps E in a sharp line root sheath of Hertwig (area of dentin not covered by C). (afibrillar cementum)
  • 17. Afibrillar Cementum Before tooth eruption, The connective tissue of the enamel at the the dental sac lay down cervical area lose its cementum on the REE covering. exposed enamel
  • 18. Types Of Cementum • 1- Acellular cementum. • 2- Cellular cementum. • 3- Afibirllar cementum.
  • 19. Functions Of Cementum 1- Acts as a medium for attachment of collagen fibers of PDL (Sharpey’s fibers). 2- The continuous Cementoid T formation of cementum keeps the attachment apparatus intact. Cementoblast
  • 20. 3- Cementum deposition epically compensate for the attrition. 4- It is a major reparative tissue ( as in case of fracture or resorption of root)
  • 21. Cementogenesis • 1- Matrix formation • 2- Mineralization and Maturation Collagen Ground Hydroxy apatite fiber type I substance crystals
  • 22. 1- Matrix formation • Cementum is formed during root Cementoblasts formation D HER Future C E J Epith. Diaph.
  • 23. Cementoblast is a protein forming and secreting cell. Collagen fibers + ground substance. D Large nucleus with dispersed chromatin threads. Cementoblast RER Golgi apparatus Mitochondria Secretory granules Alkaline phosphatase
  • 24. Maturation occur layer by layer for the collagen fibers Cementum Cementoblasts Cementoid layer
  • 25. Age Changes Of The Cementum 1- Hypercementosis. Localised D D May affect one tooth or all teeth Hypercementosis
  • 26. Types Of Hypercementosis Hypercementosis Hypercementosis hypertrophy hyperplasia Increase number of Decrease number of Sharpey’s fibers Sharpey’s fibers
  • 27. 2- Permeability From From dentin periodontal side side, but remain remains at at the apical area superficial ONLY recently formed layers