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The periodontium in Health Histology
Perio. Chapter 2
171
Dentistry
Post-Graduate
01/11/2013

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Term
what is a cell
Definition
the smallest structural unit of living matter function independently.
Term
when cells group together what do they form?
Definition
tissues
Term
what is Extracellular Matrix?
Definition
gel-like substance and fiber
Term
what are Flat cells arranged in layers?
Definition
stratified squamous epithelium
Term
What type of tissue is Enamel?
Definition
Epithelial tissue
Term
What are the 3 compositional parts of epithelial tissue?
Definition
Abundance of cells
Basal lamina
underlying connective tissue
Term
what is the abundance of cells in the epithelial tissue?
Definition
closely packed epithelial cells that rest on connective tissue
Term
What is the Basal lamina?
Definition
thin mat of extracellular matrix
Term
what does the basal lamina separate?
Definition
the epithelial cellular sheets from the connective tissue
Term
what does the underlying connective tissue do?
Definition
provides nourishment to the cells
Term
are there blood vessels in the epithelial tissue?
Definition
No
Term
What is the process that makes the surface epithelial cells tough and resistant?
Definition
Keratinization
Term
Do Keratinized epithelial cells have a nuclei?
Definition
NO
Term
what parts of the body are most heavily keratinized?
Definition
the palms of hands and soles of feet
Term
Do NonKeratinized epithelial cells have a nuclei?
Definition
YES
Term
what is the mechanical action of nonkeratinized epithelial cells?
Definition
to cushion mechanical stress and wear
Term
what type of cells are softer and more flexible, Keratinized or NonKeratinized?
Definition
NonKeratinized
Term
Where is nonkeratinized epithelial cells found?
Definition
in the mucosal lining of cheeks
Term
What is the purpose of a epithelial cell junction?
Definition
to bind cells together for a stronger structural unit
Term
What epithelium will have the most number of cell junctions?
Definition
the ones who withstand sever mechanical stresses
Term
what connects two adjacent epithelial cells?
Definition
Desmosomes
Term
what connects epithelial cells to basal lamina?
Definition
Hemidesmosomes
Term
what two types of cell junctions are found in the gingival epithelium?
Definition
Desomosomes and Hemidesmosomes
Term
What tissue fills spaces between tissues and body organs?
Definition
Connective tissue
Term
how are the cells arranged in connective tissue?
Definition
sparsely distributed in matrix
Term
what is the main component in matrix?
Definition
gel like substance with a network of strong fibers.
Term
what builds extracellular matrix?
Definition
Fibroblasts
Term
What type of tissue are the dental tissues, cementum, dentin and pulp?
Definition
Connective tissue
Term
name seven examples of types of connective tissue found in the body..?
Definition
Loose connective tissue
Cartilage
Bone
Bone Marrow
Tonsils
Lymph nodes
Fat
Term
what are the two shapes epithelial connective tissue boundary can take on?
Definition
Boundary can be smooth or wavy
Term
What is, deep extensions of epithelium that reach down into connective tissue?
Definition
Wavy, uneven boundary
Term
what are the finger like connective tissue extensions reach up to epithelium?
Definition
Rete pegs (ridges)
Term
What are the mounds of tissue that separate the Tete Pegs?
Definition
Connective tissue papillae
Term
What do the wavy boundaries help with?
Definition
help increase surface area and allows for more nourishment opportunity
Term
what does a wavy boundary do to the junctions?
Definition
allows stronger junctions where the skin can resist mechanical forces.
Term
What type of epithelium is the gingiva?
Definition
Stratified squamous epithelium
Term
when does gingival epithelium function best?
Definition
in a wet environment of oral cavity
Term
What are the 3 anatomical areas of the gingival epithelium?
Definition
Oral epithelium
Sulcular Epithelium
Junctional Epithelium (JE)
Term
where is JE located?
Definition
forms the base of the sulcus, at just above the CEJ
Term
where is sulcular epithelium located?
Definition
Epithelial lining of gingival sulcus
Term
where is the oral epithelium?
Definition
covers outer surface of free gingiva and attached gingiva
Term
is the oral epithelium wavy or smooth?
Definition
Wavy
Term
Oral Epithelium Keratinized or nonkeratinized?
Definition
Keratinized
Term
Sulcular epithelium wavy or smooth?
Definition
smooth
Term
Sulcular epithelium keratinized or nonkeratinized?
Definition
nonkeratinized
Term
What tissue extends from crest of gingival margin to mucogingival junction?
Definition
oral epithelium
Term
What tissue extends from crest of gingival margin to coronal edge of junctional epithelium?
Definition
Sulcular epithelium
Term
Which oral epithelium is a thin, nonkeratinized, smooth connective tissue?
Definition
Sulcular epithelium and/or Junctional Epithelium
Term
What does the JE do?
Definition
joins the gingiva to tooth
Term
how many cells thick is the JE in the coronal zone?
Definition
15-30 cells thick
Term
how many cells thick is the JE in the apical zone?
Definition
4-5 cells
Term
What is the easiest point of entry for bacteria to invade connective tissue?
Definition
the Junctional Epithelium
Term
What 2 gingival epithelium are very similar?
Definition
Sulcular and JE
Term
what is the cell renewal time for JE?
Definition
1-6 days
Term
what is the cell renewal for gingiva?
Definition
10-12 days
Term
What is the cell renewal time for the palate, tongue and cheek?
Definition
5-6 days
Term
Is the JE many or few layers?
Definition
many layers of closely packed epithelial cells
Term
Is the JE keratinized or nonkeratinized?
Definition
nonkeratinized
Term
what holds the adjacent epithelial cells together in the JE?
Definition
desmosomes
Term
when/where is an epithelial seal formed?
Definition
where an erupting tooth penetrates the epithelium
Term
what are the components of junctional epithelium?
Definition
internal basal lamina
external basal lamina
Term
what is the thin layer of extracellular matrix that lies between the tooth & epithelial cells of the JE?
Definition
Internal basal lamina
Term
what is the thin layer of extracellular matrix that lies between the epithelial cells of JE and gingival connective tissue?
Definition
external basal lamina
Term
What is the Dental pellicle?
Definition
membrane that lies between tooth and internal basal lamina.
Term
What is another name for the dental pellicle?
Definition
Dental cuticle
Term
when does the dental pellicle form?
Definition
during late stages of tooth eruption
Term
what is a very important attachment that can determine health or disease?
Definition
the junctional epithelium attachment to tooth
Term
What provides the attachment for the JE to the tooth surface?
Definition
hemidesmosomes and the internal lamina dura
Term
can the cells of the JE move along the tooth?
Definition
yes
Term
what does the attachment of the JE to the tooth provide?
Definition
a seal at the base of the gingival sulcus or periodontal pocket.
Term
If stimulated by bacteria what might happen to the JE?
Definition
it can migrate apically
Term
what holds the attachment to underlying gingival connective tissue?
Definition
hemidesmosomes and external basal lamina
Term
what type of interface (attachment) does healthy JE have with Connective tissue?
Definition
has a smooth tissue interface (attachment)
Term
What does the attachment between the underlying gingival connective tissue provide?
Definition
A protective barrier between plaque biofilm and connective tissue of underlying gingiva.
Term
What is the function of gingival connective tissue?
Definition
provide firmness and resiliency to gingiva & attaches gingiva to the cementum and alveolar bone
Term
what are the cells found in gingival connective tissue?
Definition
Fibroblasts, neutrophils, macrophages, lymphocytes
Term
What is the extracellular matrix of the gingival connective tissue mostly made of?
Definition
Protein fibers (collagen)- 55%-65%
gel like matrix -30%-35%
Term
What are the rope like collagen fiber bundles located coronal to alveolar crest?
Definition
gingival fibers
Term
what are a few other names for the gingival fibers? (4)
Definition
1. gingival fiber bundles
2. Supragingival fiber bundles
3. Supracrestal connective tissue fibers
4. Gingival connective tissue attachement
Term
What type of fiber ='s strength?
Definition
Collagen
Term
where are these fiber bundles?
Definition
embedded in extracellular matrix
Term
The fiber bundles strengthen what?
Definition
the JE attachment to the tooth
Term
What is the Denotogingival Unit?
Definition
provides structural support to gingival tissues
Term
what two things make up the Dentogingival Unit?
Definition
Junctional Epithelium + Gingival Fibers = Dentogingival Unit
Term
what is the function of the fiber bundles?
Definition
support free gingiva firmly against the tooth
Term
what reinforces attachment of JE to tooth?
Definition
Fiber Bundles
Term
what mechanical function do the fiber bundles do?
Definition
provide free gingiva firmness to withstand chewing forces
Term
what 3 things do fiber bundles connect?
Definition
gingiva to cementum of root and bone
Term
What do the fiber bundles do to the teeth in the arch?
Definition
they connect adjacent teeth to each other
Term
What are the 9 Gingival Fiber Groups?
Definition
1. Alveologingival
2. Circular
3. Dentogingival
4. Periostogingival
5. Intergingival
6. Intercircular
7. Interpapillary
8. Transgingival
9. Transseptal
Term
Which gingival fiber group, extend from periosteum of alveolar crest into gingival connective tissue?
Definition
Alveologingival
Term
which fiber bundle group, encircles the tooth in a ring-like manner coronal to alveolar crest & is not attached to the cementum of the tooth?
Definition
Circular
Term
What fiber bundles attach gingiva to bone?
Definition
Alveologingival
Term
what fiber bundles connect adjacent teeth to each other?
Definition
Circular
Term
What fiber bundle group, is embedded in cementum near CEJ, fan out into gingival connective tissue?
Definition
Dentogingival
Term
What fiber bundle group, extend laterally from periosteum of alveolar bone?
Definition
Periostogingival
Term
what Fibers act to attach gingiva to teeth?
Definition
Dentogingival
Term
what fibers attach gingiva to bone?
Definition
Periostogingival
Term
what fiber bundle group, extend in a mesiodistal direction along entire dental arch and around last molars in arch?
Definition
Intergingival
Term
What fiber bundle group, encircle several teeth?
Definition
Intercircular
Term
what Fiber bundles like adjacent teeth into dental arch unit?
Definition
Intergingival
Term
what fiber groups like adjacent teeth into a dental arch unit?
Definition
Intercircular
Term
What fiber bundle group, located in papillae coronal to transseptal fiber bundles?
Definition
Interpapillary
Term
What fiber bundle group, extend from cementum near the CEJ and run horizontally between adjacent teeth?
Definition
Transgingival
Term
What Fiber groups connect oral and vestibular interdental papillae of posterior teeth?
Definition
Interpapillary
Term
what fiber bundles link adjacent teeth into a dental arch unit?
Definition
Transgingival
Term
What fiber bundle group, pass from cementum of one tooth over the crest of alveolar bone to cementum of adjacent tooth?
Definition
Transseptal
Term
what Fiber bundles connect adjacent teeth to one another and secure alignment of teeth in arch?
Definition
Transseptal
Term
What is the Biologic Width?
Definition
The portion of tooth surface covered by JE and Connective tissue, including supracrestal fiber bundles.
Term
what is the length of the junctional epithelium (biologic width)?
Definition
about 1mm
Term
how big is the vertical space taken up by gingival fiber groups?
Definition
about 1mm in length
Term
what is the total Biologic width?
Definition
=2.0mm
Term
what can result if restorative procedures are done to the biologic width?
Definition
results in inflammation, can be chronic inflammation even in a area reasonably free of plaque biofilm.
Term
what is the significance of a biologic width?
Definition
when designing dental restorations and crowns
(margin of dental material must never be placed where it invades the biologic width, this can cause bone loss)
Term
What is the Periodontal Ligament?
Definition
this sheet of fibrous connective tissue joining the cementum with bony socket wall.
Term
PDL connects what?
Definition
the tooth and bony wall of tooth socket.
Term
what are the 4 components of the PDL?
Definition
cells
extracellular matrix
blood vessels
nerve supply
Term
what type of cells are in the PDL?
Definition
All building cells:
1. Fibroblasts- make collagen and collagenase
2. Cementoblasts- make cementum
3. Osteoblasts- make bone
Term
In a healthy mouth what/where does the PDL occupy?
Definition
surrounds entire tooth root and fills space between root and bony tooth socket
Term
what determines the thickness of the PDL?
Definition
varies by age and function
Term
what should the PDL look like on a radiograph?
Definition
should be an even radiolucency around the root
Term
what attaches tooth to bony socket, suspending the tooth so it does not grind on bone during chewing?
Definition
The PDL
Term
what does the PDL transmits?
Definition
Tactile pressure and pain sensations
Term
Does the PDL have a blood supply?
Definition
Yes, it is supplied with blood vessels that provide nutrients to cementum and bone.
Term
what does the PDL contain that can continue to produce more of itself throughout the life of the tooth?
Definition
Cementoblasts producing cementum
Term
What does the PDL contain that can resorb the bone and cementum?
Definition
Osteoclasts
Term
what do the Periodontal Ligament Fibers do?
Definition
they connect the anatomical toot to the alveolar bone?
Term
How many periodontal ligament fibers are there? and what are they?
Definition
There are 5:
1. Alveolar crest
2. horizontal
3. Oblique
4. Apical
5. Interradicular
Term
PDL Fiber, that extends from cervical cementum downward in diagonal direction to alveolar crest?
Definition
Alveolar Crest fiber group
Term
PDL fiber, located apical to alveolar crest fibers, extend from cementum to bone at RT angles to long axis of root.
Definition
Horizontal fiber group
Term
PDL fiber, located apical to horizontal group, extend from cementum to the bone running diagonally?
Definition
Oblique fiber group.
Term
what fiber group resists horizontal tooth movements?
Definition
Alveolar crest fiber group
Term
what is the largest group of PDL fiber bundles?
Definition
Oblique fiber group
Term
What fiber group resists horizontal pressure against crown of tooth?
Definition
Horizontal fiber group
Term
what fiber group resists vertical pressures that threaten to push the root into socket?
Definition
Oblique fiber group
Term
PDL fiber, extend from apex of tooth to bone?
Definition
Apical fiber group
Term
PDL fiber, extends from cementum in furcation area of tooth to interradicular septum of alveolar bone?
Definition
Interradicular fiber group
Term
what fiber group secures tooth in its socket and resists forces that might lift the tooth from its socket?
Definition
Apical fiber group
Term
what fiber group is only on multirooted teeth, it stabilizes the tooth in socket?
Definition
Interradicular Fiber Group
Term
Do PDL Fibers regenerate?
Definition
NO
Term
what are sharpey's fibers?
Definition
the ends of PDL fibers that are embedded in cementum and alveolar bone.
Term
When does the attachment of sharpey's fiber bundles occur?
Definition
when cementum and bone are forming
Term
How does the sharpey's fibers get into the cementum and alveolar bone?
Definition
as cementum and bone form the tissue hardens around ends of sharpey's fibers surrounding them with cementum or bone.
Term
What is Cementum?
Definition
calcified layer of connective tissue that covers anatomical root of tooth
Term
What seals and covers open dentinal tubules?
Definition
cementum
Term
what is the function of cementum?
Definition
-protect dentin
-attaches periodontal fibers to tooth
- helps compensate for loos of tooth tissue
Term
What are the components of Cementum?
Definition
Organic matrix
mineralized portion
no blood vessels
no nerves
Term
what is in the organic matrix of cementum?
Definition
Densely packed collagen fibers held together with gel matrix.
Term
what are the 2 types of cementum?
Definition
Acellular and cellular
Term
when is Acellular cementum formed?
Definition
before tooth eruption
Term
Does Acellular cementum contain cells?
Definition
NO
Term
where is Acellular cementum located?
Definition
coronal two thirds
Term
where is acellular cementum the thinnest?
Definition
at the CEJ
Term
does the body make more acellular cementum throughout the life of the tooth?
Definition
NO
Term
When is cellular cementum formed?
Definition
formed after tooth eruption
Term
what is contained within mineralized tissue of cellular cementum?
Definition
Contains cementocytes
Term
where is cellular cementum located?
Definition
Apical one third
Term
when is cellular cementum made?
Definition
deposited at intervals throughout the life of the tooth.
Term
what is it called when the cementum overlaps the enamel? at what % is it called this?
Definition
Overlap, 60%
Term
what is it called when the cementum meets the enamel? at what % is it called this?
Definition
Meet, 30%
Term
what is it called when there is a small gap between the cementum and the enamel? at what % is it called this?
Definition
Gap, 10%
Term
What is alveolar Bone?
Definition
bone of upper or lower jaw that surrounds and supports the roots of teeth.
Term
what is alveolar bone made of?
Definition
mineralized connective tissue made by osteoblasts
Term
why is alveolar bone ridged?
Definition
because of deposit of calcium salts in extracellular matrix
Term
does the alveolar bone have a blood supply and nerves?
Definition
yes it has blood vessels and nerves
Term
when does the bone change?
Definition
it is constantly undergoing periods of formation and resorption.
Term
what are the 2 cell components of alveolar Bone?
Definition
osteoblasts and osteoclasts
Term
what is a osteoblasts?
Definition
a cell that initiates mineralization of bone
Term
what is a osteoclasts?
Definition
it removes mineralized material and organic matrix (break down)
Term
what are the other 3 components of alveolar bone?
Definition
1. extracellular matrix
2. blood and lymph vessels
3. Nerves
Term
what is in the extracellular matrix in alveolar bone?
Definition
-collagen fibers and gel like matrix that makes it strong
-Mineralized portion by depositing mineral salt hydroxyapatite.
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