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Oral Anatomy & Histology

Periodontium: Cementum, PDL, Alveolar Bone & Gingiva in One Article

NEET MDSINI-CET MDSINBDE

This high-yield revision note on Periodontium: Cementum, PDL, Alveolar Bone & Gingiva in One Article covers everything examiners typically test under Oral Anatomy & Histology — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.

ComponentKey Points
GingivaFree (marginal), attached (keratinized, stippled, tightly bound to bone), interdental papilla. Width of attached gingiva variable, least in mandibular premolar region
Periodontal ligament (PDL)Connects cementum to alveolar bone via Sharpey's fibers; principal fiber groups: alveolar crest, horizontal, oblique (main stress-bearing, most numerous), apical, interradicular
CementumAcellular (primary, coronal 2/3) vs cellular (secondary, apical 1/3 & furcation, can repair)
Alveolar boneCribriform plate (lamina dura radiographically) + cancellous bone + cortical plates; bundle bone where Sharpey's fibers insert
Mnemonic (PDL fiber groups apical→coronal): "APIC-HAO" - Apical, Interradicular, Crestal, Horizontal, Alveolar (oblique = most numerous & resists vertical masticatory forces, converts them to tension on bone).
HY: Oblique fibers are the MOST NUMEROUS PDL fiber group & bear the brunt of vertical occlusal forces by converting compression into tension - repeatedly asked. Lamina dura = radiographic image of cribriform plate; loss of lamina dura = sign of pathology (periapical infection, hyperparathyroidism).
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