The periodontal ligaments are considered part of the periodontium, as they are supporting tissue of a tooth. These ligaments are a specialized connective tissue that attach teeth from the cementum to the surrounding alveolar bone. They are about .2 millimeters in width, which decreases with age.
Since teeth are not embedded in bone directly, large compressive forces can occur on teeth without destruction of the bone. Instead, the tooth, pulling downward on the periodontal ligaments, create tension which is actually the stimulus for bone growth.
Another function of the periodontal ligaments is to serve as a method for sensation. There are receptors within the periodontal ligaments which sense differing amounts of tension. This helps the body discern the amount of force being placed on a tooth, during chewing for example, because enamel has no sensory receptors itself.
The periodontal ligament has fibers composed of Type I and Type III collagen. Compared to most other ligaments of the body, these are highly vascularized.
Individually having a diameter of 55 nanometers, fibers of the periodontal ligament are categorized by their orientation to the teeth. They are organized together along the tooth and serve different functions.
Transeptal fibers run between two adjacent teeth in the same arch. They attach from the cementum just apical to where the gums attach to one tooth and insert at the cementum of an adjacent tooth. Transeptal fibers are believed responsible for returning teeth to their original state after orthodontic therapy. Although technically part of the gingival ligament, it is frequently included in studies involving the periodontal ligament.
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