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The Periodontium in Health Clinical Anatomy
Perio. Chapter 1
85
Dentistry
Graduate
01/25/2013

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Term
What are the tissues of the periodomtium?
Definition
1.gingiva
2.cememtum
3.PDL
4.alveolar bone
Term
What is the periodontium?
Definition
functional unit of tissues that surround the teeth and attaches teeth to bone
Term
What does the gingiva do?
Definition
-provides a tissue seal around the cervical portion of the tooth
-holds tissue against tooth during mastication
Term
What are the layers of the gingiva?
Definition
-thin outer layer of epilthelium
-underlying cor of connective tissue
Term
What does stippling indicate?
Definition
attached gingiva, it attaches to underlying bone through stippling
Term
What is the free gingival groove?
Definition
linear depression that separates free and attached gingiva
Term
What is the muccogingival junction?
Definition
boundary where attached gingiva(pink) meets alveolar mucosa(red)
Term
If free gingiva located coronal or apical to the CEJ?
Definition
coronal
Term
How does free gingiva fit around the tooth in health?
Definition
snugly
Term
What does free gingiva form in the sulcus?
Definition
the soft tissue wall of the sulcus
Term
What is the coronal portion of the free gingiva?
Definition
the gingival margin
Term
Where is the attached gingival widest and narrowest?
Definition
widest-incisor and molar regions
narrowest- in premolar regions
Term
What is the color and texture of the attached gingiva?
Definition
color-pale or coral pink
texture-stippled
Term
when do we see Melanin in the gingival coloring?
Definition
Found in darker skinned people, its healthy just darker.
Term
What is the Mechanical function of the attached gingiva?
Definition
allows gingival tissue to withstand mechanical forces form chewing, speaking, and toothbrushing.
Term
What is the preventative function of the attached gingiva?
Definition
prevents the free gingiva from being pulled away from tooth when tension is applied to alveolar mucosa.
Term
what is the interdental gingiva?
Definition
the part of the gingiva that fills the area between 2 adjacent teeth apical to the contact area.
Term
what is the appearance of the anterior interdental gingiva?
Definition
Pyrimidal
Term
what is the appearance of posterior interdental gingiva?
Definition
flat appearance
Term
what is the main mechanical function of the interdental gingiva?
Definition
to prevent food from becoming packed between teeth during mastication.
Term
What type of tissue is the COL?
Definition
non-keratinized tissue, susceptible to disease.
Term
Where is the COL located?
Definition
concavity located directly apical to contact.
where facial and lingual papilla meet
Absent at edentulous or open contact areas
Term
What is the gingival sulcus?
Definition
space between free gingiva and tooth surface.
Term
what is a clinically normal sulcus?
Definition
0.5 to 3mm
Term
what forms the base of the sulcus?
Definition
formed by the junctional epithelium
Term
what function does the periodontal ligament serve?
Definition
suspends and maintains tooth in socket.
Term
what is the periodontal ligament?
Definition
layer of soft connective tissue that covers the root of the tooth
Term
what does the PDL attach?
Definition
the root of the tooth to the alveolar bone.
Term
what is the PDL comprised of?
Definition
composed of fiber bundles
Term
where are the PDL fibers located?
Definition
they are embedded in cementum of root and alveolar bone.
Term
what are the 5 functions of the PDL?
Definition
supportive
sensory
nutritive
formative
resorptive
Term
what does the supportive function the the PDL do?
Definition
suspends and maintains tooth in socket, (shock absorbs)
Term
what does the sensory function of the PDL do?
Definition
provides pressure and pain sensory feeling to the tooth. (pressure is not pain)
Term
what does the nutritive function of the PDL do?
Definition
provides nutrients to cementum and bone
Term
what is the formative function of the PDL do?
Definition
builds and maintains cementum and alveolar bone
Term
what does the Resorptive function of the PDL do?
Definition
remodels alveolar bone in response to pressure
Term
what is cementum?
Definition
thin layer of hard, mineralized tissue that covers surface of anatomical root.
Term
what color is cementum?
Definition
light yellow
Term
where is cementum located?
Definition
over the dentin on the root of the tooth, to protect dentin.
Term
what is bone like but more resistant to resorption than bone?
Definition
Cementum
Term
Does cementum have its own blood supply?
Definition
no it is not Avascular
Term
Can cementum be deposited continuously?
Definition
Yes
Term
What are the 3 Cementum feeling classes?
Definition
Overlap
Butt
Exposed dentin
Term
what % is show with Overlap cementum?
Definition
60%-65%
Term
what % is shown in Butt Cementum class?
Definition
30%
Term
what % is shown with an exposed dentin cementum class?
Definition
5%-10%
Term
what forms the bony socket that houses the roots of teeth?
Definition
the Alveolar Bone (alveolar process)
Term
what does the existence of alveolar bone depend on?
Definition
the presence of teeth
Term
extractions can lead to what in the bone?
Definition
resorption
Term
What is the alveolar bone proper called Radiographically?
Definition
Lamina Dura
Term
What kind of bone is Cortical Bone?
Definition
Compact
Term
What kind of bone is cancellous trabecular bone.
Definition
Spongy bone
Term
what is the periosteum?
Definition
layer of soft connective tissue covering outer surface of bone
Term
what allows blood vessels to connect structures in the alveolar bone proper?
Definition
Porous
Term
what is the alveolus?
Definition
the bony socket that houses the root of the tooth
Term
what is embedded in the alveolar bone proper?
Definition
the ends of the periodontal ligament fibers
Term
what is the layer of compact bone that forms the hard outside wall of jaws of facial and lingual?
Definition
cortical bone
Term
what surrounds alveolar bone proper and gives support to socket.
Definition
cortical bone
Term
where is the cortical bone thinnest?
Definition
in incisor, canine, premolar area
Term
where is the cortical bone the thickest?
Definition
in molar area
Term
does the cortical bone shoe up on radiographs?
Definition
No
Term
where is a healthy alveolar crest located?
Definition
1-2mm apical to the CEJ
Term
what is Spongy, lattice- like bone filler between cortical bone and alveolar bone proper?
Definition
Cancellous Bone
Term
where is cancellous Bone?
Definition
oriented around tooth to form support for alveolar bone proper
Term
where is cancellous Bone?
Definition
oriented around tooth to form support for alveolar bone proper
Term
What is Alveoli?
Definition
tooth socket
Term
what consists of collagenous tissue and an inner layer of elastic fibers?
Definition
Periosteum
Term
what nerve supplies the periodontium?
Definition
Trigeminal Nerve (V)
Term
where are the nerve receptor that branch from the Trigeminal Nerve?
Definition
gingiva
alveolar bone
periodontal ligament
Term
what is the function of these nerve receptors?
Definition
to convey pain, touch, and pressure
Term
what does the periodontal ligament nerve provide?
Definition
sensory information about tooth movement and position.
Term
What are the Nerve supplies in the Gingiva of the Maxillary arch?
Definition
Superior Alveolar Nerves (anterior, middle and posterior branches)
Infraorbital Nerve
Greater Palatine Nerve
Nasopalatine Nerve
Term
What are the Nerve supplies in the Gingiva of the Mandibular arch?
Definition
Mental Nerve
Buccal Nerve
Sublingual branch of the lingual nerve
Term
when thinking of placement of anesthesia what nerve should be focused on in the Maxillary arch?
Definition
Superior Alveolar Nerves
(Anterior, Middle, and Posterior Branches)
Term
when thinking of placement of anesthesia what nerve should be focused on in the Mandibular arch?
Definition
Inferior Alveolar Nerve
Term
what accounts for the change in color of the gingiva seen in health and disease?
Definition
Blood Supply
Term
What does the blood supply do?
Definition
Transports oxygen and nutrients to tissue cells
Term
what does the blood supply do in the detoxification process?
Definition
Removes carbon dioxide and other waste products
Term
What is the Lymphatic System?
Definition
network of lymph nodes connected by lymphatic vessels
Term
What plays an important role in the body's defense against infections?
Definition
the lymphatic system (lymph nodes)
Term
what is the function of the lymphatic system? (eliminate?)
Definition
to eliminate:
Bacteria
Fungi
Viruses
unwanted substances
Term
what lymph nodes drain most of the periodontal tissue?
Definition
Submandibular
Term
What lymph nodes drain the palatal gingiva?
Definition
Deep cervical
Term
what lymph nodes drain the gingiva in area of mandibular incisors?
Definition
submental
Term
What lymph nodes drain the gingiva in 3rd molar region?
Definition
Jugulodigastric
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