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19 Cards in this Set
- Front
- Back
Oral (gingival) epithelium
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orthokeratinized or parakeratinized stratified squamous epithelium
resistant to abrasion and penetration of pathogens |
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Gingival connective tissue
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determines the phenotype of the overlying epithelium
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Sulcular epithelium
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non-keratinized or parakeratinized stratified squamous epithelium
amount of keratinization depends on amount of plaque control NO rete pegs |
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Junctional epithelium
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non-keratinized stratified squamous epithelium
NO rete pegs Forms biologic seal |
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free gingival groove
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where the dentogingival & dentoperiosteal gingival fibers change direction
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mucogingival junction
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border b/t the keratinized gingiva & non-keratinized alveolar mucosa
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Formation of the Junctional Epithelium (JE)
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REE attaches to the enamel surface via hemidesmosomes after crown completion
REE fuses to oral epithelium during eruption to form Eruption Cuff Oral Epithelium forms sulcular epithelium REE + Oral Epithelim forms junctional epithelium |
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Eruption Cuff
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Formed during Eruption by fusion of REE and oral epithelium
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Cytokeratin expressed in Gingival epithelium
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K1
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Cytokeratin expressed in Junctional epithelium
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K19
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Bullous Pemhigoid
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autoimmune dz
antibodies against BPAG-1 proteins that make up internal plates of hemidesmosomes in the BM Characterized by EP getting easily rubbed off due to lack of attachment to underlying CT Seen as blisters |
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periodontal probing
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measures the depth of the gingival sulcus
BUT Too many uncontrollable factors like Diameter of proble Inconstant pressure exerted State of inflammation of tissues |
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Transudate
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Gingival crevicular fluid of healthy gingiva
It's an ultrafiltrate of blood |
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Exudate
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Gingival crevicular fluid of inflammed gingiva
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Primary Junctional Epithelial Attachment
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Original REE attaches to enamel when crown formation completed
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Secondary Junctional Epithelial Attachment
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Proliferated junctional epithelium attaches to enamel surface replacing REE
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What structures does Junctional Epithelium use to seal off underlying structures from bacterial egress?
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Two basement membranes
External Basal Lamina lies against gingival CT Internal Basal Lamina lies against enamel surface via Hemidesmosomes |
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Where can inductive factor in CT be found to induce keratinization
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It is present extracellulary
This is because devitalized CT matrix can still induce keratinization |
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Alloderm
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Artificial CT matrix that doesn't require live cells
Induces keratinization without doing free gingival grafts |