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Dental characterstics, Lecture notes of Medical Records

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Typology: Lecture notes

2022/2023

Uploaded on 07/07/2024

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[ ] MINERALIZATION- it’s the process by which minerals are deposited in
organic matrix
Its one of the important step in formation of hard tissue matrix
(Enamel, Dentin, Cementum,Bone)
●Although , tissue fluid is supersaturated with Ca & P Ions, spontaneous
precipitation of calcium phosphate does not take place BECAUSE:-
1 . Presence of substance inhabiting crystal formation
2.Unstable and Inadequate mass of crystals that dows not initiate
mineralisation
3.Furthermore, the formation of clusters of ions Requires the expenditure
of energy and an energy Barrier must be overcome for crystallization
which is not present in subsequent amount in tissue fluid
● Inorganic component of mineralized tissue Consist of mainly: calcium
hydroxyapatite
Ca10(P04)6OH)2
• Unit cell - least no. of Ca, phosphate and hydroxyl ions able to establish
a stable ionic relationship.
• Shape-hexagonal
• Unit cells stacked together to form a lattice .Repitition of lattice forms a
needle like or ribbon like structures
[ ] PROCESS OF MINERALISATION:
Occurs by aggregation of ions to form CRYSTAL . Process is termed as
nucleation
HOMOGENOUS NUCLEATION:
Local increase in the concentration of mineral ions
•formation pf sufficient crystals required for mineralisation
HETEROGENOUS NUCLEATION:
•Presence of nucleating subsrances
• Nucleators act as template
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[ ] MINERALIZATION- it’s the process by which minerals are deposited in organic matrix

  • Its one of the important step in formation of hard tissue matrix (Enamel, Dentin, Cementum,Bone) ●Although , tissue fluid is supersaturated with Ca & P Ions, spontaneous precipitation of calcium phosphate does not take place BECAUSE:-
  1. Presence of substance inhabiting crystal formation 2.Unstable and Inadequate mass of crystals that dows not initiate mineralisation 3.Furthermore, the formation of clusters of ions Requires the expenditure of energy and an energy Barrier must be overcome for crystallization which is not present in subsequent amount in tissue fluid ● Inorganic component of mineralized tissue Consist of mainly: calcium hydroxyapatite Ca10(P04)6OH)
  • Unit cell - least no. of Ca, phosphate and hydroxyl ions able to establish a stable ionic relationship.
  • Shape-hexagonal
  • Unit cells stacked together to form a lattice .Repitition of lattice forms a needle like or ribbon like structures [ ] PROCESS OF MINERALISATION: Occurs by aggregation of ions to form CRYSTAL. Process is termed as nucleation HOMOGENOUS NUCLEATION: Local increase in the concentration of mineral ions •formation pf sufficient crystals required for mineralisation HETEROGENOUS NUCLEATION: •Presence of nucleating subsrances
  • Nucleators act as template

•Increase mineralization even in absence of increase in concentration of ions THEORIES OF MINERALIZATION: 1.BOOSTER MECHANISM THEORY Or Robinson's phosphate(AIkaline Phosphatase) theory

  1. Nucleation theory (Seeding theoty)
  2. Matrix vesicle theory
    1. Robinson's phosphate (Alkaline Phosphatase) theory •Alkaline phosphatase is the enzyme which participates in the process of calcification.
  • This theory is based onthe booster mechanism. The evidence for this theoryis based on the observation that alkaline phosphatase was found always in areas of mineralization. This enzyme hydrolyses a broad range of organic phosphate containing substrates and increases the local inorganic phosphate concentration. This leads to supersaturation and precipitation of phosphatase ions from tissue fluid. Alkaline phosphatase also removes inhibitors of mineralization like pyrophosphates NOT ACCEPTABLE BECAUSE: Alkaline phosphatases seen in other tissues which do not calcify.
  1. Organic phosphate is not sufficient to produce inorganic phosphate to initiate calcification process.
    1. COLLAGEN SEEDLING / HETEROGENOUS NUCLEATION THEORY

The matrix vesicle states that amorphous calcium phosphate is formed within the secretory(matrix) vesicle of the hard tissue matrix seereting cells like osteoblast. The alkaline phosphatevpresent within these cells serve to increase the phosphate ion content within the cell and mitochondria releases calcium from its stores leading to formation of calcium phosphate within the secretory (matrix amorphous vesicle. These are then released in nucleatingsites within the collagen fiber. Thus, this theory incorporates the booster and the seeding mechanisms. Manyinhibitorsof mineralization are presentprobably to regulate the process. One such inhibitor is Enamel mineralization Matrix vesicles and Collagen are absent in enamel Enamel mineralization is thought to be achieved by crystal growth from already mineralized dentin i.e. mantle dentin with subsequent shape and size of crystal is determined by enamel protein of the matrix. Enamel proteins are of 2 types:- 1.90% amelogenins Proline, Histidine, Glutamine ⁃ helps to maintain space between crystals.

  1. 10% non-amelogenins Tuftelin, enamelin, amelin -helps in nucleation and growth of crystals