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PERIODONTOLOGY
PERIODONTOLOGY CHAPTER 1
104
Dentistry
Undergraduate 1
05/30/2014

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Term
ATTACHMENT APPARATUS
Definition
•CONSISTS OF:
-PERIODONTAL LIGAMENT
-CEMENTUM
-ALVEOLAR BONE
Term
BIOLOGIC WIDTH
Definition
•THE COMBINED LENGTH OF THE DENTOGINGIVAL UNIT
•INCLUDES THE LENGTH OF THE JE (0.97mm) AND THE GINGIVAL CONNECTIVE TISSUE ATTACHMENT (1.07mm)
•THEREFORE, A MARGIN OF A RESTORATION SHOULD NOT BE CLOSER THAN 3mm TO THE ALVEOLAR BONE CREST
Term
COL
Definition
•LESS PRONOUNCED IN THE ANTERIOR TEETH
•NON-KERATINIZED
•SUSCEPTIBLE TO DISEASE
Term
CONNECTIVE TISSUE ATTACHMENT
Definition
•AKA: PERIODONTAL LIGAMENT
•PRIMARY COMPONENT = COLLAGEN FIBERS
Term
DENTOGINGIVAL UNIT
Definition
•COMPOSED OF THE GINGIVAL CONNECTIVE TISSUE AND THE JUNCTIONAL EPITHELIUM
Term
GINGIVA
Definition
•MUCOSA THAT IS ATTACHED TO THE TEETH AND THE ALVEOLAR PROCESS
•CONSISTS OF ATTACHED AND FREE (MARGINAL)
Term
GINGIVAL CREVICE
Definition
•THE SPACE BETWEEN THE TOOTH AND THE GINGIVA
•LINED BY NONKERATINIZED STRATIFIED SQUAMOUS EPITHELIUM
•IN HEALTH, IT IS CALLED A SULCUS
•ONCE INFLAMED, IT IS CALLED A POCKET
Term
ORAL EPITHELIUM
Definition
•EPITHELIUM COVERING THE ORAL MUCOUS MEMBRANES
•PROTECTS THE UNDERLYING STRUCTURES AND ACTS AS A MECHANICAL BARRIER
•PARAKERATINIZED OR KERATINIZED
Term
JUNCTIONAL EPITHELIUM
Definition
•BAND OF EPITHELIAL CELLS THAT SURROUNDS THE TOOTH AND CREATES A "SEAL"
•THIN, NON-KERATINIZED, SEMIPERMIABLE
•NEUTROPHILS ARE PRESENT IN SMALL NUMBERS
Term
PERIODONTIUM
Definition
•CONSISTS OF:
-GINGIVA
-PERIODONTAL LIGAMENT
-CEMENTUM
-ALVEOLAR BONE
Term
SULCULAR EPITHELIUM
Definition
•SIMILAR TO THE ORAL EPITHELIUM EXCEPT THAT IT IS LESS KERATINIZED
•RELATIVELY IMPERMEABLE (RESISTANT) TO FLUIDS AND CELLS
Term
ORAL MUCOSA
Definition
CONSISTS OF:
-MASTICATORY MUCOSA
-LINING MUCOSA
-SPECIALIZED MUCOSA
Term
MASTICATORY MUCOSA CONSISTS OF:
Definition
•GINGIVA
•HARD PALATE
Term
LINING MUCOSA CONSISTS OF:
Definition
•ALVEOLAR MUCOSA
•FLOOR OF THE MOUTH
Term
SPECIALIZED MUCOSA CONSISTS OF:
Definition
•DORSUM OF THE TONGUE
Term
WHAT ARE THE 3 PARTS OF THE GINGIVA?
Definition
•FREE (MARGINAL)
•ATTACHED
•INTERDENTAL PAPILLA
Term
FREE GINGIVA
Definition
•AKA: MARGINAL GINGIVA
•SURROUNDS THE NECK OF THE TOOTH
Term
GINGIVAL CREVICULAR FLUID
Definition
•FLUID FROM BLOOD VESSELS
•CONTAINS MINERALS & OTHER SUBSTANCES
•RESEMBLES SERUM
•FLOW INCREASES WITH INFLAMMATION
Term
FREE GINGIVAL GROOVE
Definition
•SEPARATES FREE FROM ATTACHED GINGIVA
•ONLY PRESENT IN 30-40% OF ADULTS
Term
ATTACHED GINGIVA
Definition
•NOT MOVEABLE
•FIRMLY ATTACHED TO BONE AND CEMENTUM BY CONNECTIVE TISSUE FIBERS
•STIPPLING ONLY PRESENT IN ~40% OF ADULTS
Term
THE TOTAL WIDTH OF THE GINGIVA IS THE ______________ + THE ______________
Definition
•FREE GINGIVA + ATTACHED GINGIVA
Term
INTERDENTAL GINGIVA
Definition
•IS AN EXTENSION OF FREE GINGIVA
•ANTERIOR: PYRAMIDAL
•POSTERIOR: FLAT
Term
ALVEOLAR MUCOSA
Definition
•NOT PART OF THE PERIODONTIUM
•THIN, RED, SMOOTH
•NON-KERATINIZED
•MOVEABLE
Term
FRENUM ATTACHMENTS
Definition
•FOLDS OF ALVEOLAR MUCOSA
•NOT MUSCLE
•USUALLY 7 IN NUMBER
Term
FILIFORM PAPILLAE
Definition
•SLENDER AND MOST ABUNDANT
•NO TASTE BUDS
•RESPOND TO HEAT AND MECHANICAL STIMULI
Term
FUNGIFORM PAPILLAE
Definition
•BROAD AND FLAT
•MAINLY AT THE EDGES
•HAVE TASTE BUDS
Term
CIRCUMVALLATE PAPILLAE
Definition
•POSTERIOR THIRD OF TONGUE
•EACH ONE SURROUNDED BY A CIRCULAR GROOVE
•HAVE TASTE BUDS ON THE SIDES
Term
WHAT 3 TYPES OF PAPILLAE DOES THE MUCOSA ON THE DORSUM OF THE TONGUE CONTAIN?
Definition
•FILIFORM
•FUNGIFORM
•CIRCUMVALLATE
Term
GINGIVA IS COVERED BY __________________ WITH ______________ UNDERLYING IT
Definition
•STRATIFIED SQUAMOUS EPITHELIUM
WITH
•CONNECTIVE TISSUE (LAMINA PROPRIA)
Term
WHAT ARE THE 3 DIFFERENT FORMS OF GINGIVAL EPITHELIUM?
Definition
•ORAL (OUTER) EPITHELIUM)
•SULCULAR EPITHELIUM
JUNCTIONAL EPITHELIUM
Term
STRATIFIED SQUAMOUS EPITHELIUM
Definition
•AVASCULAR
•NO NERVES
Term
CONNECTIVE TISSUE
Definition
•AKA: LAMINA PROPRIA
•VASCULAR
•WITH NERVES
Term
WHAT ARE THE LAYERS OF STRATIFIED SQUAMOUS EPITHELIUM?
Definition
•BASAL
•PRICKLE
•GRANULAR
•KERATINIZED
Term
BASAL CELL LAYER
Definition
•AKA: STRATUM GERMINATIVUM OR STRATUM BASALE
•DEEPEST LAYER NEXT TO THE LAMINA PROPRIA
Term
PRICKLE CELL LAYER
Definition
•AKA: SPINOUS CELL LAYER OR STRATUM SPINOSUM
Term
GRANULAR CELL LAYER
Definition
AKA: STRATUM GRANULOSUM
Term
KERATINIZED CELL LAYER
Definition
•AKA: STRATUM CORNEUM
•SUPERFICIAL CELL LAYER
•OUTERMOST LAYER (SERVES AS A BARRIER MEMBRANE)
•PROTECTS THE UNDERLYING PERIO TISSUES FROM MICROBIAL INVASION
Term
KERATINIZATION
Definition
•PROCESS BY WHICH EPITHELIAL CELLS DIFFERENTIATE, OR MATURE
Term
TURNOVER TIME
Definition
•TIME IT TAKES TO REPLACE CELLS
Term
WHAT IS THE TURNOVER TIME OF JUNCTIONAL EPITHELIUM?
Definition
•1-6 DAYS
Term
WHAT IS THE TURNOVER TIME OF THE GINGIVA?
Definition
•10-12 DAYS
Term
WHAT IS THE TURNOVER TIME OF THE PALATE, TONGUE, AND CHEEKS?
Definition
•5-6 DAYS
Term
WHAT ARE THE 3 GRADES OF MATURATION?
Definition
•ORTHOKERATINIZED
•NONKERATINIZED
•PARAKERATINIZED
Term
ORTHOKERATINIZED
Definition
•SKIN AND MASTICATORY MUCOSA (HARD PALATE AND GINGIVA
Term
NONKERAINIZED
Definition
•ALVEOLAR MUCOSA
•SULCULAR AND JUNCTIONAL EPITHELIUM
Term
PARAKERATINIZED
Definition
•VARIATION OF KERATINIZATION
•SHRUNKEN NUCLEI ARE RETAINED IN MANY OF THE CELLS
•IT IS NOT USUAL FOR MASTICATORY MUCOSA (GINGIVA) TO BE PARAKERATINIZED
Term
WHAT ARE THE CELLS OF THE ORAL EPITHELIUM?
Definition
•KERATINOCYTES
•MELANOCYTES
•LANGERHANS CELLS
•MERKEL CELLS
•INFLAMMATORY CELLS
Term
CONNECTIVE TISSUE PAPILLAE ARE SEPARATED FROM EACH OTHER BY _______________ OR _______________ PRESENT IN THE EPITHELIUM
Definition
•RETE PEGS OR EPITHELIAL RIDGES
Term
WHAT ARE THE 2 LAYERS OF LAMINA PROPRIA?
Definition
•PAPILLARY AND RETICULAR LAYERS
Term
WHAT ARE THE 3 CONTENTS OF LAMINA PROPRIA?
Definition
•COLLAGEN FIBERS (60%)
•GROUND SUBSTANCE
•CELLS
Term
WHAT TYPES OF COLLAGEN FIBERS ARE FOUND IN LAMINA PROPRIA?
Definition
•TYPE I (95%)
•TYPE III (5%)
Term
WHAT GROUND SUBSTANCE IS FOUND IN LAMINA PROPRIA?
Definition
•PROTEOGLYCANS (PROTEIN)
•CELLS (5%)
•VESSELS AND NERVES (35%)
Term
WHAT IS THE MAJOR CELL TYPE FOUND IN LAMINA PROPRIA?
Definition
•FIBROBLASTS
Term
MAST CELLS
Definition
•RELEASE SUBSTANCES (HISTAMINE) IN RESPONSE TO INFLAMMATION
Term
PMNs
Definition
•POLYMORPHONUCLEAR LEUKOCYTS
•FIRST TO ARRIVE AT THE SITE OF INFLAMMATION
•ENGULFS THE BACTERIA
Term
MACROPHAGE
Definition
•PHAGOCYTOSIS OF BACTERIA
Term
LYMPHOCYTES / PLASMA CELLS
Definition
•INVOLVED IN THE IMMUNE RESPONSE TO BACTERIA (ANTIGEN OR FOREIGN MATERIAL)
Term
SHARPEY'S FIBERS
Definition
•EMBEDDED ON ONE END IN THE CEMENTUM
Term
GINGIVAL FIBER BUNDLES ARE CALLED:
Definition
•GINGIVAL FIBERS
•SUPRACRESTAL FIBER APPARATUS
•GINGIVAL CONNECTIVE TISSUE ATTACHMENT
Term
CIRCULAR FIBERS
Definition
•ENCIRCLE THE TOOTH WITHIN THE FREE GINGIVA
•SUPPORT THE FREE GINGIVA
Term
DENTOGINGIVAL FIBERS
Definition
•FROM THE CEMENTUM AT THE BASE OF THE GINGIVAL SULCUS, CORONALLY INTO THE FREE GINGIVA
•SUPPORTS THE GINGIVA
Term
DENTOPERIOSTEAL FIBERS
Definition
•FROM THE CEMENTUM APICALLY OVER THE ALVEOLAR CREST INTO THE PERIOSTEUM
•ANCHORS TOOTH TO BONE
Term
ALVEOLOGINGIVAL FIBERS
Definition
•EXTEND FROM THE PERIOSTEUM OF THE ALVEOLAR CRESTAL BONE, CORONALLY INTO THE CONNECTIVE TISSUE
•ATTACHES GINGIVA TO ALVEOLAR BONE
Term
TRANSSEPTAL FIBERS
Definition
•FROM THE CEMENTUM OF ONE TOOTH, INTERPROXIMAL, TO THE CEMENTUM OF THE ADJACENT TOOTH
•KEEPS TEETH ALIGNED AND PROTECTS INTERPROXIMAL BONE
Term
WHAT ARE THE TYPES OF GINGIVAL FIBERS?
Definition
•CIRCULAR
•DENTOGINGIVAL
•DENTOPERIOSTEAL
•ALVEOLOGINGIVAL
•TRANSSEPTAL
Term
DENSELY PACKED COLLAGEN
Definition
•COMPOSED OF HEAVY, TIGHTLY PACKED FIBERS
•FUNCTION IS THE RESIST TENSION
Term
LOOSELY PACKED COLLAGEN FIBERS
Definition
•COMPOSED OF THIN AND DELICATE COLLAGEN FIBERS
•NO MECHANICAL PROTECTIVE FUNCTION
Term
EPITHELIAL CELLS ARE HELD TOGETHER BY ________________
Definition
•DESMOSOMES (INTRACELLULAR BRIDGES)
Term
BASAL LAMINA CONSISTS OF:
Definition
•LAMINA LUCIDA
•LAMINA DENSA
Term
DESMOSOMES
Definition
•CELL TO CELL JUNCTIONS
•CAUSE ADJACENT KERATINOCYTES TO ADHERE TIGHTLY TOGETHER
Term
TIGHT JUNCTIONS
Definition
•FORMED BY SEVERAL PROTEINS IN WHICH 2 MEMBRANES FORM A SEAL
Term
GAP JUNCTIONS
Definition
•JUNCTIONS BETWEEN MEMBRANES OF CELLS THAT ALLOW CELLULAR COMMUNICATION
Term
HEMIDESMOSOME
Definition
•HALF OF A DESMOSOME
•JOINS THE EPITHELIUM TO THE BASEMENT MEMBRANE
Term
THE PERIODONTAL LIGAMENT JOINS THE ___________ TO THE ___________
Definition
•CEMENTUM TO THE BONY SOCKET WALL
Term
WHAT ARE THE MAIN CELLS FOUND IN THE PERIODONTAL LIGAMENT?
Definition
•FIBROBLASTS (MAKE COLLAGEN)
•CEMENTOBLASTS
•OSTEOBLASTS
Term
HOW WIDE IS THE PERIODONTAL LIGAMENT SPACE
Definition
•0.25mm WIDE
Term
PERIODONTAL LIGAMENT FIBERS
Definition
•AKA: SHARPEY'S FIBERS
•EMBEDDED INTO CEMENTUM AND BONE
Term
WHAT ARE THE TYPES OF SHARPEY'S FIBERS?
Definition
•ALVEOLAR CREST
•HORIZONTAL
•OBLIQUE
•APICAL
•INTERRADICULAR
Term
ALVEOLAR CREST FIBERS
Definition
•FROM CEMENTUM TO ALVEOLAR CREST
•RESISTS LATERAL MOVEMENT/KEEPS TOOTH IN SOCKET
•FIRST FIBERS FORMED
Term
HORIZONTAL FIBERS
Definition
•CEMENTUM TO BONE (AT RIGHT ANGLES)
•OPPOSES LATERAL FORCES
•SECOND FIBERS FORMED
Term
OBLIQUE FIBERS
Definition
•FOUND AT MIDDLE 3RD OF ROOT
•FROM CEMENTUM, CORONALLY AND DIAGONALLY, TO BONE
•ABSORBS OCCLUSAL FORCES
•MOST ABUNDANT (PRINCIPLE ATTACHMENT)
Term
APICAL FIBERS
Definition
•ORIGINATES FROM CEMENTUM OF APEX, SPREADING APICALLY AND LATERALLY INTO BONE
•RESISTS TIPPING
•ONE OF THE LAST FIBERS TO FORM
Term
INTERRADICULAR FIBERS
Definition
•IN FURCATION AREA
•RESISTS FORCES OF LUXATION AND TIPPING
•LOST WHEN BONE IS DESTROYED
Term
WHAT ARE THE FUNCTIONS OF THE PDL?
Definition
•SUSPENSORY (SUPPORTIVE)
•SHOCK ABSORBER (SUPPORTIVE)
•REMODELING
•BLOOD SUPPLY
•TACTILE PRESSURE (SENSORY)
•PROPRIOCEPTIVE (SENSORY)
Term
WHAT IS THE CEMENTUM COMPOSED OF?
Definition
•COLLAGEN
•GROUND SUBSTANCE CELLS
•CALCIUM PHOSPHATE IN THE FORM OF HYDROXYAPATITE
Term
THE FUNCTIONS OF CEMENTUM IS TO:
Definition
•ATTACH PRINCIPAL FIBERS TO THE ROOT SURFACE
•ANCHOR TEETH
•PROVIDE A SEAL FOR DENTINAL TUBULES
Term
FEATURES OF CEMENTUM:
Definition
•RESORBS, BUT DOES NOT ROUTINELY REMODEL
•NEVER COMPLETELY CALCIFIED
•SOFT AND PERMEABLE
•AVASCULAR, NO NERVES
Term
ACELLULAR CEMENTUM
Definition
•BEFORE TOOTH ERUPTION
•CONTAINS NO CELLS
•CORONAL 2/3
•THINNEST AT THE CEJ
Term
CELLULAR CEMENTUM
Definition
•APICAL 1/3
•FORMED FASTER THAN ACELLULAR CEMENTUM
Term
WHAT PERCENTAGE OF PEOPLE'S CEMENTUM OVERLAPS THEIR ENAMEL?
Definition
•60-65%
Term
ALVEOLAR PROCESS
Definition
•SIMILAR TO OTHER BONE
•SUPPORT SYSTEM FOR TEETH
•LINES THE SOCKET OF THE TEETH
Term
WHAT ARE THE TWO PARTS TO THE ALVEOLAR PROCESS?
Definition
•ALVEOLAR BONE PROPER
•SUPPORTING BONE
Term
ALVEOLAR BONE PROPER
Definition
•CRIBIFORM PLATE
•BUNDLE BONE
•LAMINA DURA
Term
SUPPORTING BONE
Definition
•COMPACT CORTICAL PLATES
•SPONGY OR CANCELLOUS TRABECULAR BONE
Term
THE INTERDENTAL SEPTUM OR INTERPROXIMAL BONE CONSISTS OF:
Definition
•THE CRIBIFORM PLATE OF TWO ADJACENT TEETH
•SOME CANCELLOUS BONE
Term
ALVEOLAR CREST
Definition
•PARALLELS ADJACENT CEJs
•IS 1.5-2mm APICAL TO THE CEJ
•ITS CONTOUR FOLLOWS THE CONTOUR OF THE CEJ
Term
THE SHAPE OF THE ALVEOLAR BONE CREST IS INFLUENCED BY THE:
Definition
•WIDTH OF THE INTERDENTAL SPACE
•STAGE OF ERUPTION
•POSITION OF THE TEETH IN THE ARCH
•SHAPE OF THE CEJ
Term
FENESTRATION
Definition
•LOSS OF RADICULAR BONE BUT NOT INCLUDING THE MARGINAL BONE
•LOOKS LIKE A WINDOW / HOLE IN THE BONE
Term
DEHISCENCE
Definition
•LOSS OF RADICULAR BONE INCLUDING MARGINAL BONE
Term
WHAT 3 DIFFERENT BLOOD VESSEL SOURCES SUPPLY BLOOD TO THE PERIODONTIUM?
Definition
•SUPRAPERIOSTEAL BLOOD VESSELS
•PERIODONTAL LIGAMENT BLOOD VESSELS
•ALVEOLAR BONE VESSELS
Term
CEMENTUM ____________ IN THICKNESS THROUGHOUT LIFE
Definition
•INCREASES
Term
CELLS WITHIN THE PDL _____________ IN NUMBER THROUGHOUT LIFE
Definition
•DECREASE
Term
THE NUMBER OF ELASTIC FIBERS ___________ THROUGHOUT LIFE
Definition
•INCREASE
Term
WHAT HAPPENS TO THE PROXIMAL SURFACE CONTACTS OF TEETH THROUGHOUT LIFE?
Definition
•THEY WEAR DOWN
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