Term
| functional unit of the tissue that surrounds and supports the tooth |
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Definition
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Term
| What structures make up the periodontium? (4) |
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Definition
gingiva
alveolar bone
periodontal ligament
cementum |
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Term
| Which structure attaches the root of the tooth to the alveolar bone? |
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Definition
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Term
| What is the periodontal ligament made of? |
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Definition
| fibrous connective tissue |
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Term
| Which fibrous structures connect the cementum to the alveolar bone? |
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Definition
| sharpey's fibers within the periodontal ligament |
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Term
| What tissues in the oral cavity are non-keratinized? (3) |
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Definition
alveolar mucosa
col
sulcular epithelium |
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Term
| What does keratinized tissue look like? |
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Definition
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Term
| What tissues in the oral cavity are keratinized? |
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Definition
attached gingiva
free gingiva |
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Term
| What type of bone is the alveolar bone? |
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Definition
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Term
| What two tissues make up the gingiva? |
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Definition
| stratified squamous covered by fibrous connective tissue |
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Term
| what is the name for the portion of alveolar bone that comes up between the teeth? |
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Definition
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Term
| What is the name for the layer of bone lining the tooth socket? |
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Definition
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Term
| What kind of tissue is cementum? |
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Definition
| calcified connective tissue |
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Term
| what portion of the tooth does cementum cover? |
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Definition
| from the CEJ to the apical foramen (tip of root apex) |
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Term
| What role does cementum play in root dental tubules? |
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Definition
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Term
| what are the 4 anatomic areas of gingiva? |
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Definition
free gingiva
attached gingiva
interdental papilla
gingival sulcus |
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Term
| what is the healthy mm distance from the CEJ for free gingiva |
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Definition
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Term
| What is the name for the free gingiva closest to the incisal/occlusal edge? |
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Definition
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Term
| what is the measurement for a health gingival sulcus from the gingival margin to the base of the sulcus? |
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Definition
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Term
| What is significant about the sulcular epithelium being non-keratinized? |
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Definition
| it is semi-permiable and can allow bacteria endotoxins to penetrate the underlying tissue |
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Term
| What is the minimum mm measurement for health y attached/alveolar gingiva? |
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Definition
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Term
| What type of tissue covers the attached gingiva and roof of the mouth? |
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Definition
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Term
| What is the division between attached gingiva and alveolar mucosa? |
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Definition
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Term
| what is the site where most periodontal infections begin? |
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Definition
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Term
| why is the col susceptible to infection?> |
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Definition
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Term
| what tissue type is the free gingiva? |
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Definition
| keratinized stratified squamous |
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Term
| What structure forms the base of the sulcus? |
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Definition
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Term
| what tissue makes up the junctional epithelium? |
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Definition
| non-keratinized stratified squamous |
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Term
| What tissue secretes sulcular fluid? |
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Definition
| connective tissues through epithelium |
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Term
| What increases the secretion of sulcular fluid? What is the purpose of this and what is in the sulcular fluid? |
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Definition
| self defense due to inflammation- brings endotoxins, enzymes, antibodies, etc. |
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Term
| What is the shape of the interdental papilla in the posterior teeth? |
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Definition
| wide, flat, saddle shaped |
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Term
| what is the shape of the interdental papilla in the anterior teeth? |
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Definition
| narrow, pointed, pyramidal |
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Term
| which portion of the oral cavity has the widest alveolar gingiva |
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Definition
| facial aspect of mandibular anteriors |
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Term
| where are there frenums in the mouth other than the lips and tongue? |
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Definition
| max and mand facial canine and premolar |
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Term
| what is the shape of the MGJ for the anteriors |
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Definition
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Term
| what is the shape of the MGJ for the posteriors |
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Definition
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Term
| what is swelling of the papilla due to medications called? |
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Definition
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Term
| What is the development of a horny layer of flattened epithelial cells containing keratin? |
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Definition
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Term
| what is it called when you have red gums |
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Definition
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Term
| What is it called when you have inflammation confined to the gingiva, no bone loss, bleeding, and plaque? |
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Definition
| gingival infection / gingivitis |
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Term
| Can you have apical migration of the JE from the CEJ with gingival infection? |
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Definition
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Term
| what structures are effected for periodontitis (3) |
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Definition
periodontal ligament
alveolar bone
cementum |
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Term
| what defines a periodontal pocket |
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Definition
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Term
| Based on your description of a lesion noted in the chart, what must the next operator be able to tell about the lesion? |
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Definition
1. picture what it looks like
2. be able to determine where in the oral cavity
3. determine if there have been any changes since the last office visit |
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Term
| What details about a lesions history should you discuss with the patient? (4) |
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Definition
1. did the patient know about it?
2. how long has the lesion been present?
3. Have they noted any changes in the lesion?
4. Have they experienced any symptoms (pain, soreness, bleeding, etc.) |
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Term
| What 4 physical characteristics should you be noting about a lesion? |
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Definition
1. size
2. color
3. resiliency & consistency
4. surface texture |
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Term
| What details should you include when describing a lesions size? |
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Definition
| width, depth, round, flat, elevated, depressed, cracked, lacy, etc. |
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Term
| What are some examples on lesion resiliency & consistency? |
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Definition
| firm, indurated, soft, spongy ,fixed, movable |
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Term
| What are some examples on lesion surface texture? |
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Definition
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Term
| Separate, not running together |
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Definition
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Term
| running together, blending |
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Definition
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Term
| elevated, papillary-type lesions having a narrow part(stem)which acts as a support and connector |
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Definition
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Term
| Attachment of a lesion by a broad base |
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Definition
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Term
| covered with or full of wart like growths |
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Definition
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Term
| small, nipple like elevation or projection |
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Definition
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Term
| red area of variable size and shape |
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Definition
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Term
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Definition
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Term
| bound or limited. Well defined to a limited space |
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Definition
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Term
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Definition
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Definition
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Term
| A loose membranous layer of exudate containing organisms ,necrotic cells and inflammatory cells produced during an inflammatory reaction on the surface of the tissue |
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Definition
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Term
| Any mass of tissue that projects outward from the normal surface level. |
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Definition
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Term
| Marked with points or dots differentiated from the surrounding surface by color, elevation or texture. |
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Definition
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Term
| Margins or tissue structures that merge together to form one unit. |
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Definition
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Term
| thinning of skin with loss of normal skin furrow. Shiny and translucent |
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Definition
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Term
| Circumscribed spot, not elevated above the surrounding level and distinguished by a different color. |
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Definition
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Term
| small (pinhead to 5mm) circumscribed, solid elevated area which may be rounded or flattened |
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Definition
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Term
| Small (2-5mm) circumscribed, elevated lesion having a thin surface covering and containing fluid(small blister) |
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Definition
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Term
| Large(5mm to several mm) vesicular-type lesion filled with fluid (large blister) A bullous lesion may develop individually or result from the union of several vesicles. |
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Definition
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Term
| Vesicular-type lesion containing purulent material rather that clean fluid. |
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Definition
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Term
| Defect or break in the epithelium to produce a depressed area. It may result from the rupture of a vesicle or a bulla, and usually has some degree of erythema at thee margin. |
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Definition
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Term
| Shallow defect that does not extend through the epithelium into underlying tissue |
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Definition
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Term
| Solid elevated lesion (5mm-2cm) wide |
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Definition
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Term
| Solid growth of varying size which arises from the mucosa and projects out. |
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Definition
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Term
| Bony elevation or prominence, usually found on the midline of the Hard palate & the lingual surface of the mandible. |
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Definition
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Term
| An abnormal thickening of the outer layers of skin and mucosa which appears white, grayish-white or brown |
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Definition
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Term
| White, keratotic patch-like lesions on the mucosa which cannot be rubbed off. |
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Definition
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Term
| An outer layer, covering, or scab, which may have formed from coagulation or drying of blood, serum, or pus, or a combination. A crust may form after a vesicle breaks. |
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Definition
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Term
| Form of macule of variable size and color which is due to hemorrhage beneath the skin. |
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Definition
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Term
| red-purple discoloration greater than .5 cm |
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Definition
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Term
| Slightly raised with a broad , flat top and a “pasted on” appearance |
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Definition
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Term
| Elevated area of superficial localized edema: irregularly shaped |
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Definition
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Definition
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Definition
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