DADH

The fibers which continue bone to ligament are

A.Sharpeys fibers
B. Tomes fibers
C.Ray fibers
D.All of the above

Ans: A. Sharpeys fibres

Ref: Orbans Oral Histology, 12/E, p. 172

Explanation: Sharpeys Fibres Collagen fibres are

embedded into cementum on one side of the periodontal
space and into alveolar bone on the other. These
embedded fibres are termed as Sharpeys fibres
Sharpeys fibres in the primary acellular cementum is
completely mineralized but those in the cellular
cementum and bone are partially mineralized Few
Sharpeys fibres pass uninterrupted through the bone of
the alveolar process and continue as principal fibres of
the adjacent periodontal ligament. They are termed as
Transalveolar fibres These fibres pass through bone only
when alveolar process consists of compact bone entirely
without Haversian systems The embedded Sharpeys
fibres calcify to a certain degree and they are associated
with non collagenous proteins like osteopontin and bone

Tooth eruption is due to

A.Osteoclastic activity
B. Proliferation of cells at crypt
C.Exfoliation of primary tooth
D.Eruptive forces

Ans: D. Eruptive forces Ref: Orbans Oral

Histology, 12/E, p. 288

Explanation: Tooth eruption is the axial or occlusal

movement of the tooth from its developmental
position within the jaw to its functional position in the
occlusal position. Eruptive force is responsible for the
eruption of tooth. Eruptive force is derived from bone
remodeling, root growth, vascular pressure, ligament
traction. There is a good deal of evidence that the
eruptive force resides in the dental follicle
periodontal ligament complex.

Disturbances during calcification of dentin causes

A.Cementicles
B. Dentin dysplasia
C.Interglobular dentin
D.None

Ans: C. Interglobular dentin Ref: Orbans Oral

Histology, 12/E, p. 93

Explanation: Interglobular Dentin Interglobular

dentin is the area of unmineralized or
hypomineralised dentin which persists within the
normally mineralized dentin Sometimes
mineralization of dentin begins in small globular
areas that fail to fuse resulting in the formation
of irregular areas of hypocalcified matrix called
Interglobular dentin It is found along the
incremental lines especially in the crown of teeth
in the Circumpulpal dentin Dentinal tubules
pass without deviation through interglobular
areas Peritubular dentin are absent from
dentinal tubules passing through interglobular
dentin as interglobular dentin remains
uncalcified

In dry ground sections a small amount of interglobular

dentin may be lost and a space results which appears
black in transmitted light. Hence it as also called
interglobular space or globular dentin. This layer shows a
high amount of sulphur It is frequently seen in vitamin D
deficiency or exposure to high level of fluoride during
Dentinogenesis. Cementicles Cementicles are round
lamellated cemental bodies that lie free in the periodontal
ligament space Found along the root and more common
in aged persons
Dentin Dysplasia Rootless teeth
Types 1. Radicular Both dentitions are affected Normal
eruption pattern Complete obliteration of pulp chambers
deciduous teeth Crescent shaped pulpal remnants
permanent teeth Show lava flowing around the boulders
2. Coronal Clinical appearance is normal for permanent
teeth Blue gray opalescent appearance for deciduous

Ankylosis is due to deposition of

A.Bone
B. Cementum
C.Bone and Cementum
D.Dentin

Ans: A. Bone Ref: Orbans Oral Histology,

12/E, p. 158

Explanation: Fusion of cementum and alveolar

bone with obliteration of periodontal ligament is
termed as Ankylosis It may develop after chronic
periapical inflammation, tooth replantation,
occlusal trauma, and around embedded teeth
Ankylosis results in resorption of root and its
gradual replacement by bone tissue As the
periodontal ligament is replaced by bone,
proprioception is lost It may be seen in case of
gingival recession and loss of attachment The
cementum become permeable to organic
substances, inorganic ions and bacteria Cemental
caries can develop

The layer present on tooth immediately after

eruption of teeth
A.Primary cuticle
B. Secondary cuticle
C.Operculum
D.Enamel cuticle

Ans: D. Enamel cuticle Ref: Orbans

Oral Histology, 12/E, p. 54

Explanation: Enamel Cuticle/Nasmyths

Membrane/Primary Cuticle A non mineralized
electron dense structure less membrane seen on the
crown of the tooth, adhering firmly to its surface It is
formed by an accumulation of basal lamina material
produced by the junctional epithelium of the
dentogingival junction It is mostly seen in newly
erupted teeth and is lost due to mastication It is
about 0.5 1.5 mm thick Enamel cuticle is made of
2 cuticles Primary cuticle Secondary cuticle
Primary Enamel Cuticle is the last product of the
enamel forming ameloblasts and it becomes
mineralized Secondary Enamel Cuticle: It covers the
primary cuticle and is a product of the reduced enamel
epithelium and is not mineralized. It is also known as

PDL around mandibular canine is thinned in old patients

due to A.Deposition of cementum
B. Deposition of cementum & bone
C.Deposition of bone only
D.Deposition of dentin

Ans: A. Deposition of cementum Ref: Orbans

Oral Histology, 12/E, p. 148

Explanation: Cementum is known to form

throughout life and thus it leads to the
decrease in the width of the periodontal
ligament space around the teeth.

Odontoblasts are derived from

A.Undifferentiated mesenchymal cells
B. Histocytes
C.Macrophages
D.Lymphocytes

Ans: A. Undifferentiated mesenchymal

cells Ref: Orbans Oral Histology, 12/E, p.
35

Explanation: Undifferentiated mesenchymal cells are

the primary cells in pulp which differentiate to
become odontoblasts, fibroblasts or macrophages
when need arises. Odontoblasts are present next to
predentin layer, derived from ectomesenchymal cells
and are known to produce dentin matrix

. Blood supply of PDL is through

A.Net like vessels near the cementum
B. Net like vessels near the bone
C.The vessels which do not
anastamose with capillaries in sulcus
area
D.The vessels which comes from the
Apical Foramen

Ans: B. Net like vessels near the bone Ref: Orbans

Oral Histology, 12/E, p. 175

Explanation: The arterioles and capillaries of the

microcirculation ramify in the periodontal ligament,
forming a rich network of arcades that is more
evident in the half of the PDL space adjacent to
bone than that adjacent to cementum

. Blood supply of PDL is through

A.Net like vessels near the cementum
B. Net like vessels near the bone
C.The vessels which do not
anastamose with capillaries in sulcus
area
D.The vessels which comes from the
Apical Foramen

Ans: B. Net like vessels near the bone

Ref: Orbans Oral Histology, 12/E, p.
175

Explanation: The arterioles and

capillaries of the microcirculation
ramify in the periodontal ligament,
forming a rich network of arcades that
is more evident in the half of the PDL
space adjacent to bone than that
adjacent to cementum

Main function of Pulp is

A.Dentin formation
B. Nutrition
C.Sensory
D.Enamel formation

Ans: A. Dentin formation Ref: Orbans

Oral Histology, 12/E, p. 126

Explanation: The primary function of pulp is to interact

with epithelial cells, which leads to differentiation of
dental lamina cells and thus induce differentiation of
odontoblast in order to form dentin.

. Where does the mandibular permanent tooth

bud lie in relation to deciduous tooth
A.Superiorly and Lingually
B. Superiorly and Buccally
C.Interiorly and Buccally
D.Inferiorly and Lingually

Ans: D. Inferiorly and Lingually Ref: Orbans

Oral Histology, 12/E, p. 294

Explanation: Mandibular permanent

tooth lies inferiorly and lingually in
relation to deciduous tooth.
Permanent mandibular incisors
usually do not move to the apical
position and thus erupts lingually to
the still functioning deciduous tooth.

Bifurcated roots are most common in

the following
A.Maxillary Canine
B. Mandibular Canine
C.Mandibular Incisor
D.Maxillary Incisor

Ans: B. Mandibular Canine Ref: Wheelers

Dental Anatomy, 8/E, p. 209

Explanation: Mandibular canine shows the cusp tip

in line with the center of the root, from mesial or
distal aspect, sometimes may become lingual. A
variation in the form of mandibular canine which is
not uncommon is bifurcated root.

If the pulp of a single rooted canal is triangular in

cross section with the base of the triangle located
facially and apex located lingually with the Mesial
arm longer than the distal, the tooth is most likely
A.Maxillary Central Incisor
B. Maxillary Lateral Incisor
C.Maxillary Canine
D.Mandibular Central Incisor

Ans: A. Mandibular Central Incisor Ref:

Wheelers Dental Anatomy, 8/E, p. 341

Explanation: Maxillary central incisor has the pulp of

a single rooted canal is triangular in cross section
with the base of the triangle located facially and
apex located lingually with the Mesial arm longer
than the distal. All other teeth in the given option
show oval or round or elliptical shape of root in cross
section.

Dystrophic calcification is seen most commonly in

which of the following oral tissues
A.Enamel
B. Pulp
C.Dentin
D.Periodontal ligament

Ans: B. Pulp Ref: Orbans Oral Histology,

12/E, p. 129

Explanation: Diffuse calcifications are classified as

dystrophic calcifications, surround blood vessels and
are
found most commonly in root canals. These are the
calcific deposits in the pulp tissue following the
collagenous bundles or blood vessels.
.

26. Non-Keratinized epithelium is found

over A.Attached gingiva
B. Free gingiva
C.Interdental papillae
D.Gingival sulcus

Ans: D. Gingival sulcus Ref: Orbans Oral

Histology, 12/E, p.

Explanation: Gingival sulcus is lined by

non keratinized stratified squamous
epithelium. It lacks epithelial ridges and
forms a smooth interface with the lamina
propria
240

Anatomic form of roots of teeth is determined by

A.Hertwigs sheath
B. Periodontal ligament
C.Hammock ligament
D.Dental lamina
.

Ans: A. Hertwigs sheath Ref: Orbans

Oral Histology, 12/E, p. 30

Explanation: The enamel organ plays an important role

in root development by forming Hertwigs epithelial root
sheath, which molds the shape of the root and initiates
radicular dentin formation. It consists of outer and inner
enamel epithelium

The last primary tooth to be replaced by a

permanent successor is
A.Maxillary canine
B. Mandibular canine
C.Maxillary 1st molar
D.Mandibular 2nd molar

Ans: A. Maxillary canine Ref: Wheelers,

8/E, p. 32

Explanation: Order of Eruption Deciduous

Dentition 1. Mandibular central incisor 2.
Mandibular lateral incisor 3. Maxillary
central incisor 4. Maxillary lateral incisor 5.
Mandibular first molar 6. Maxillary first
molar 7. Mandibular canine 8. Maxillary
canine 9. Mandibular second molar 10.
Maxillary second molar

Permanent Dentition 1. Mandibular first

molar 2. Maxillary first molar 3.
Mandibular central incisor 4.
Mandibular lateral incisor 5. Maxillary
central incisor 6. Maxillary lateral
incisor 7. Mandibular canine 8.
Mandibular first premolar 9. Maxillary
first premolar 10. Mandibular second
premolar 11. Maxillary second premolar
12. Maxillary canine 13. Mandibular
second molar 14. Maxillary second
molar 15. Mandibular third molar 16.
Maxillary third molar

The enamel has no capacity of self-repair because

A.It has only a small percent of organic content
B. Its formative cells are lost once it is completely
formed
C.It is essentially a keratin tissue and has no blood
vessels
D.It has no direct connection with th active cells of the
dental pulp.

Ans: B. Its formative cells are lost once it is

completely formed Ref: Orbans Oral
Histology, 12/E, pp. 1, 2

Explanation: The enamel present in the fully formed

crown has no viable cells, as the cells forming it the
ameloblasts degenerates, once enamel formation is
over. Therefore all the enamel is formed before
eruption. This is of clinical importance as enamel lost,
after tooth has erupted, due to wear and tear or due
to dental caries, cannot be formed again

Aging of pulp is evidenced by increase in

A.Increased cellular elements
B. Increased fibrous elements and
decrease in cellular elements
C.Non-calcified areas within pulp
D.Cellular elements

Ans: B. Increased fibrous elements and

decrease in cellular elements Ref:
Orbans Oral Histology, 12/E, p. 128

Explanation: In aging, pulp shows decreased number of

cells and increased fibrous accumulation. Cells decrease
in number and as well as size. Fibers accumulate in
more diffuse bundles throughout the pulp chamber. The
increase in collagen fibres is more apparent than actual,
being attributable to decrease in the size of pulp
chamber

The formation of the dental lamina is initiated

by A.Forebrain
B. Rathkes pouch
C.Neural crest cells
D.Odontoblasts

Ans: C. Neural crest cells Ref: Orbans

Oral Histology, 12/E, p. 24

Explanation: Development of toot results from

interaction of the epithelium derived from the
first arch and ectomesenchymal cells derived
from the neural crest cells. Certain areas of oral
ectoderm proliferate rapidly leading to the
formation of primary epithelial band that has
invaded the underlying ectomesenchyme along
each of the horse shoe shaped future dental
arches, which is called as dental lamina .

35. Non-keratinized epithelium is found over

A.Attached gingiva
B. Free gingiva
C.Interdental papilla
D.Gingival sulcus

Ans: D. Gingival sulcus Ref: Orbans

Oral Histology, 12/E, p. 240

Explanation: Gingival sulcus is lined by non

keratinized stratified squamous epithelium. It
lacks epithelial ridges and forms a smooth
interface with the lamina propria.