WorksheetsPERIO LEC 2
Total questions: 57
Worksheet time: 51mins
3 zones of oral mucosa
(a)
Covers palate
(a)
Covers tongue
(a)
Covers the rest of oral cavity
(a)
part of oral mucosa that covers alveolar bone and surrounds neck of teeth
(a)
forms the wall of the sulcus
(a)
a shallow crevice around tooth that is 2-3mm normal depth
(a)
bound to underlying bone from mucogingival junction to bottom of sulcus
(a)
Occupies embrasures
(a)
Separates Buccal from Lingual Papilla
(a)
Found n Anterior Teeth (Interdental Gingiva)
(a)
Keratinized
Stratum Corneum
Stratum Granulosum
Stratum Spinosum
Stratum Basale
Keratohyalin
Stratum Corneum
Stratum Granulosum
Stratum Spinosum
Stratum Basale
Prickle cells
(a)
single columnar/cuboidal (produce new
cells)
(a)
Lines the gingival sulcus
Sulcular Epithelium
Junctional Epithelium
Self- renewing with mitotic activity
Sulcular Epithelium
Junctional Epithelium
Reinforced by gingival fibers
(a)
Fluid in the gingival sulcus from gingival C.T ● Antimicrobial
(a)
Healthy Gingiva
Red
Has stipplings
Dry
Firm
Dense fibrous connective tissue attaching tooth to alveolar bone
(a)
PDL has (a) width
Maintain physiologic relation between
cementum and bone
(a)
Parts of Gingival Fibers Group except
Transeptal
Attached
Oblique
Circumferential
Parts of dentoalveolar fibers group
Oblique
Alveolar crest
Horizontal
Free gingival
Mineralized tissue covering of the root surface
(a)
More resistant to displacing forces than one
● Limited remodeling capabilities
(a)
Found in coronal 3rd of root
(a)
Found in 2/3 of root covering radicular and apex area
(a)
Sharpey’s fibers entering alveolar bone
(a)
Serves as protection to developing primary
teeth; support for permanent teeth; resorbs when teeth are lost
(a)
Outer surface of bone
(a)
Dense compacts bone
(a)
(Aging) Gingiva thins out ● softer
● dry
● loss of stippling
(a)
Aging Cementum
(a)
decreased fibroblast
● width decrease- unopposed
● width increase- excessive load
Epithelium
Pdl
Cementum
Alveolar Bone
Most common gingivitis
(a)
Pregnancy induced gingivitis
(a)
Nutritional gingivitis
(a)
medications induced gingivitis
(a)
(Papilla) filled embrasures, thin
Healthy
Diseased
(Margins) rolled (thickened) in profile
Healthy
Diseased
(Scalloping) flattened, exaggerated, reversed, clefted
Healthy
Diseased
(Texture) smooth and shiny (glazed) pebbled
Healthy
Diseased
Consistency - resilient, firm
Healthy
Diseased
Bleeding upon probing, spontaneous
(a)
within 4 days of plaque accumulation
● slightly elevated vascular permeability and
vasodilation
● gingival crevicular fluid (GCF) flows out of
sulcus
(a)
increased vascular permeability, vasodilation,
and GCF flow
● large numbers of neutrophils and lymphocytes
(a)
How many weeks does it take for collagen destruction to occur in CT
(a)
2-3 weeks after plaque formation
● increased inflammatory cells (plasma cells,
lymphocytes & neutrophils
● inflammatory cells in CT
● significant collagen depletion of epithelium
● epithelium pockets with large number of
neutrophils
(a)
Irreversible
(a)
Continued collagen breakdown in CT
● Osteoclastic resorption of alveolar bone
(a)
Give 1 secondary factor that could accelerate the process of periodontitis
(a)
Excessive cementoblasts deposition
● Concrescence
(a)
Mass of locations
acellular cementum in abnormal
● Forms when cementoblasts encounters blood clots
(a)
Trauma induces increased activity among fibroblasts leading to
(a)
Physiological migration of teeth towards the mesial
● Unbalanced bone remodeling
● Occlusal forces leads to unbalanced cementum
remodeling.
(a)
