D1 Periodontics 2008 Healthy Gingiva

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LINE THE ORAL CAVITY AND IS MADE OF STRATIFIED SQUAMOUS EPITHELIUM W/ CONNETIVE TISSUES

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ORAL MUCOSA

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STRATIFIED SQUAMOUS EPITHELIUM OF THE ORAL MUCOSA

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1. KERATINIZED (ORTHO OR PARAKERATINIZED
2. NON- KERATINIZED

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COMPONENTS OF THE ORAL MUCOSA

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1. CONNECTIVE TISSUE PAPILLA
2. RETE PAPILLA
3. LAMINA PROPRIA
4. SUBMUCOSA

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A STRATIFIED SQUAMOUS EPITHELIUM SUPERIFICIAL CELL CONTAIN KERATIN FILAMENT, NUCLEUS ABSENT AND INCOMPLETELY DISINTEGRATED

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KERATINIZED

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A STRATIFIED SQUAMOUS EPITHELIUM SUPERIFICAL CELL HAVE NUCLEUS PRESENT

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NON-KERATINIZED

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TYPES OF ORAL MUCOSA IN THE ORAL CAVITY

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1. MSTICATORY MUCOSA
2. SPECIALIZED MUCOSA
3. LINING MUCOSA

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AN ORAL MUCOSA THAT CONTAIN GINGIVA AND PALATE

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MASTICATORY MUCOSA

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AN ORAL MUCOSA THAT CONTAIN THE TONGUE

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SPECIALIZED MUCOSA

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AN ORAL MUCOSA THAT CONTAIN VESTIBULE, FLOOR OF THE MOUTH AND OTHER AREA

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LINING MUCOSA

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AN AREA WHERE ENAMEL ENDS AND CEMENTUM STARTS

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CEMENTOENAMEL JUNCTION (CEJ)

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CLINICAL IMPORTANCE OF CEMENTOENAMEL JUNCTION

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1. ANATOMIAL LANDMARK FOR DETERMING DESTRUCTIVE PERIODONTAL DISEASE
2. DETECTED IF, PERIODONTITIS IS EITHER PRESENT OR HAD OCCURED PREVIOUSLY
3. CAN NOT BE DETECTED DURING HEALTHY OR IN GINGIVAL DISEASE

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SUPPORTING STRUCTURES OF THE TEETH OR PERIODONTIUM

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1. GINGIVA
2. CEMETUM
3. PERIODONTAL LIGAMENT
4. ALVEOLAR BONE(SUPPORTING BONE)
5. ALVEOLAR MUCOSA

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A FUNCTIONAL SYSTEM OF TISSUES THAT SURROUNDS THE TEETH AND ATTACHES THEM TO JAWBONE

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PERIODONTIUM

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A PERIODONTIUM STRUCTURE THAT HAVE FIBROUS CT AND COVERED BY KERATINIZED EPITHELIA OR PARAKERATINIZED

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GINGIVA

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A PERIODONTIUM STRUCTURE THAT SURROUND THE TOOTH AND CONTIGUOUS W/ ITS PERIODONTAL LIGAMENT AND MUCOSA OF THE MOUTH

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GINGIVA

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BORDER OF THE GINGIVA IN THE ORAL CAVITY

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FROM THE GINGIVAL MARGIN TO THE MUCOGINGIVAL JUNCTION

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A PERIODONTIUM STRUCTURE THAT IS NON-KERATINIZED

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ALVEOLAR MUCOSA

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MUCOGINGIVAL JUNCTION ARE PRESENT HERE

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1. MAXILLARY OF BUCCAL SURFACE
2. MANDIBULAR OF LINGUAL SURFACE

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MUCOGINGIVAL JUNCTION ARE ABSENT HERE

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MAXILLARY OF PALATAL SURFACE

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ANATOMIAL DIVISION OF GINGIVAL

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1. MARGIN GINGIVAL (FREE)
2. ATTACHED GINGIVAL
3. INTERDENTAL GINGIVAL

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A GINGIVAL THAT CONTAIN A FACIAL AND LINGUAL INTERDENTAL PAPILLA

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INTERDENTAL GINGIVAL

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CHARACTERISTIS OF MARGINAL GINGIVAL

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1. EXTENT FROM TERMINAL EDGE OF GINGIVA TO THE FREE GINGIVAL GROOVE
2. UNATTACHED TO TOOTH
3. WIDTH ~1.00 MM
4. NOT STIPPLED, SMOOTH
5. KERATINIZED OR PARKERATINIZED

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CHARACTERISTICS OF ATTACHED GINGIVAL

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1. EXTEND FROM FREE GINGIVAL GROOVE TO MUCOGINGIVAL JUNCTION
2. FIRMLY BOUND TO THE ALVEOLAR BONE AND CEMENTUM OF THE TOOTH
3. STIPPLED
4 WIDTH~ 1.00-9.00 MM
5. KERATINIZED OR PARAKERATINIZED

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A GINGIVA THAT FILLED AREAS B/W TWO ADJACENT TEETH AND IS APICAL TO THE CONTACT AREA

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INTERDENTAL GINGIVA

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PART OF INTERDENTAL GINGIVA THAT OCCUPIED INTERDENTAL SPACE, BENEATH EMBRASURE

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INTERDENTAL PAPILLA

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A INTERDENTAL GINGIVA STRUCTURE THAT INCLUDE PART OF MARGINAL AND ATTACHED GINGIVA AND SHOW A CONCAVITY OR COL B/W TEETH

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INTERDENTAL PAPILLA

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A INTERDENTAL GINGIVA STRUCTURE WHICH CENTRAL PORTION IS STIPPLED AND MARGINAL BORDER ARE SMOOTH

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INTEDENTAL PAPILLA

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SHAPE OF INTERDENTAL PAPILLA

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1. ANTERIOR - PYRAMID
2. POSTERIOR- FORM COL

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CLINICAL METHOD TO DETERMINE THE WIDTH OF GINGIVA AND TO LOCATE MUCOGINGIVAL JUNCTION

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PERIODONTAL PROBE

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LOCATION WHERE THE WIDTH OF GINGIVAL CAN BE MEASURE

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1. LINGUAL OF MANDIBULAR TEETH
2. LABIAL SIDE OF MAXILLARY AND MANDIBULAR TEETH

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A SHALLOW FISSURE B/W MARGINAL GINGIVAL AND ENAMEL (CEMENTUM)

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GINGIVAL SULCUS OR CREVICE

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3 ANATOMICAL GINGIVAL EPITHELIUM

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1. ORAL EPITHELIUM
2. SULCULAR EPITHELIUM
3. JUNCTIONAL EPITHELIUM

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A GINGIVAL EPITHELIUM WHICH FACES ORAL CAVITY AND COVERED MARGINAL, INTERDENTAL, AND ATTACHED GINGIVAL

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ORAL EPITHELIUM

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A GINGIVAL EPITHELIUM WHICH LINE INTRAORAL SURFACE AND IS KERTATINIZED

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ORAL EPITHELIUM

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A GINGIVAL EPITHELIUM WHICH HAVE RETE PEG PRESENT

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1, ORAL EPITHELIUM
2. SULCULAR EPITHELIUM

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A GINGIVAL EPITHELIUM WHICH FORM THE LATERAL WALL OF GINGIVAL SULCUS AND EXTEND FROM THE BASE OF THE SULCUS TO THE CREST OF THE GINGIVAL MARGIN

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SULCULAR EPITHELIUM

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A GINGIVAL EPITHELIUM WHICH IS THIN AND SERVE AS EPITHELIUM OF GINGIVAL SULCUS

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SULCULAR EPITHELIUM

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A GINGIVAL EPITHELIUM WHICH IS NON- KERATINIZED

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1. SULCULAR EPITHELIUM
2. JUNCTIONAL EPITHELIUM

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A GINGIVAL EPITHELIUM WHICH IS ATTACHED TO TOOTH SURFACE AT THE BASE OF CREVICE AND FORM THE BASE OF THE CREVICE (SULCUS)

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JUNCTIONAL EPITHELIUM

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A GINGIVAL EPITHELIUM WHICH CONTAIN NO RETE PEG AND ENDS AT THE CEJ

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JUNCTIONAL EPITHELIUM

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APPROXIMAL LENGTH OF JUNCTIONAL EPITHELIUM

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0.25-1.3 MM

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JUNCTIONAL EPITHELIUM IS VERY THIN ABOUT 10-20 CELL LAYERS AND ALSO KNOWN AS

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EPITHELIAL ATTACHMENT

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BORDERS OF THE GINGIVAL SULCUS

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1. TOOTH ENAMEL
2. ORAL SULCULAR EPITHELIUM
3. JUNCTIONAL EPITHELIUM

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A FLUID THAT ORIGINATE IN THE GINGIVAL CT AND ESCAPE THROUGH THE SULCUS, LITTLE IS PRESENT IN HEALTHY GINGIVAL

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GINGIVAL CREVICULAR FLUID

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FIBERS OF THE GINGIVAL CONNECTIVE TISSUE (CT)

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1. DENTOGINGIVAL
2. CIRCULAR
3. TRANSSEPTAL
4. DENTO PERIOSTEAL

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A GINGIVAL CT FIBER WHICH EXTEND FROM CEMENTUM TO THE MARGINAL AND ATTACHED GINGIVA

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DENTOGINGIVAL FIBER

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A GINGIVAL CT FIBER WHICH ENCIRCLES THE TOOTH

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CIRCULAR GINGIVAL FIBER

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A GINGIVAL CT FIBER WHICH EXTEND FROM THE CEMENTUM, AND RUN APICALLY OVER BONE CREST TO THE ATTACHED GINGIVAL

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DENTOPERIOSTEAL GINGIVAL FIBER

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A GINGIVAL CT FIBER WHICH EXTEND FROM CEMENTUM OF ONE TOOTH TO AN ADJACENT TOOTH

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TRANSSEPTAL GINGIVAL FIBER

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A DISTANCE B/W APICAL END OF THE JUNCTIONAL EPITHELIUM TO ALVEOLAR BONE AND IS CONSTANT DURING DISEASE

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AVERAGE: 1.07

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A CLINICAL FEATURE OF HEALTHY GINGIVAL THAT IS CORAL PINK OR PIGMENT

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COLOR

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A CLINICAL FEATURE OF HEALTHY GINGIVAL WHICH IS SCALLOPED,AND FLAT

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CONTOUR

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A CLINICAL FEATURE OF HEALTHY GINGIVAL WHICH IS STIPPLED

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SURFACE TEXTURE

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A CLINICAL FEATURE OF HEALTHY GINGIVAL WHICH CAN BE KNIFE EDGE OR ROUND (OR ROLL) (SHAPED)

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SHAPE

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A CLINICAL FEATURE OF HEALTHY GINGIVAL WHICH FILLS INTERDENTAL SPACE AND SEEM AT MARGINAL GINGIVAL

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SHAPE

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A CLINICAL FEATURE OF HEALTHY GINGIVAL WHICH CAN BE FIRM AND RESILIENT

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CONSISTENCY

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A SURFACE TEXTURE AT THIS GINGIVAL IS STIPPLED AND MAYBE ABSENT IN SOME GINGIVAL

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ATTACHED GINGIVA

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A SURFACE TEXTURE AT THIS GINGIVA IS NOT STIPPLED

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MARGINAL GINGIVA (FREE GINGIVAL MARGIN)

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POSITION OF THE GINGIVAL MARGIN IN ADULT

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AT OR SLIGHTLY ABOVE THE CEJ

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A GINGIVAL THAT DOES NOT BLEED UPON GENTLE PROBING

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HEALTHY GINGIVAL

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A GINGIVAL STRUCTURE COMPOSED OF INVESTING AND SUPPORTING STRUCTURE

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PERIODONTIUM

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CLINICAL FEATURE OF HEALTHY GINGIVAL

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1. COLOR
2. CONTOUR
3. CONSISTENCY
4. SURFACE TEXTURE
5. POSITION
6. SHAPE
7. BLEEDING ON PROBE

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TEETH W/ A BROADEST ZONE OF KERATINIZED TISSUES

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POSTERIOR MANDIBULAR LINGUAL

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TEETH PRESENT W/ NARROWEST ZONE OF KERATINIZED TISSUES

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1. BUCCAL MANDIDULAR
2. BUCCAL PREMOLAR MAXILLARY