Perio Exam 1

Front 1

Four Components of the Attachment Apparatus

Back 1

Gingiva

PDL

Cementum

Alveolar Bone

Front 2

Principal Fibers of the PDL (6)

Back 2

Transseptal

Alveolar Crest

Horizontal

Oblique

Apical

Interradicular

Front 3

Transseptal Fibers

Back 3

Over the bone.

Front 4

Alveolar Crest

Back 4

Down from the height of the cementum to the bone.

Front 5

Horizontal

Back 5

Right angles of the tooth.

Front 6

Oblique

Back 6

Oblique angles to the tooth.

Tension Fibers

Prevents displacement from occlusal forces.

Front 7

Interradicular

Back 7

Furcations of multirooted teeth.

Front 8

Functions of the PDL (3)

Back 8

Physical

Formative and Remodeling

Nutritional and Sensory

Front 9

Physical

Back 9

Attach teeth to bone

Shock absorption

Transmit forces from occlusion

Front 10

Formative and Remodeling

Back 10

Formation/Resorption of bone, PDL, and cementum

Injury repair

Front 11

Nutritional and Sensory

Back 11

Blood Vessels

Nerves (V3)

Lymphatic drainage

Front 12

Cementum

Back 12

Avasuclar root covering

Primarily anchors teeth via PDL

Acellular and Cellular

Continuously deposited

Front 13

Acellular Cementum

Back 13

First to form

Cervical 1/2 to 1/3

Significantly calcified

Front 14

Cellular Cementum

Back 14

Formed after tooth eruption

Thicker than acellular

Less calcified

Front 15

CEJ Patterns

Back 15

60% Overlap

30% Edge to Edge

10% Fail to meet

Front 16

Hypercementosis

Back 16

Apical 1/3 of root

Supraeruption

Paget's disease of the bone

PA lesion

Front 17

Systemic reasons for cementum resorption

Back 17

Calcium deficiency

Hypothyroidism

Paget's disease of the bone

Front 18

Ankylosis

Back 18

Fusion of Cementum and bone

Lose tooth in 4-5 years

Front 19

Alveolar Process

Back 19

Bone that supports the tooth sockets

Front 20

Basilar Bone

Back 20

Apical to the alveolus.

Bone loss stops here

Front 21

Fenestration

Back 21

Root visible through a "window"

Front 22

Dehiscence

Back 22

Loss of gingiva and bone exposing root from CEJ.

Front 23

Connective Tissue of the Gingiva

Back 23

Lamina Propria

Front 24

Papillary layer

Back 24

Subjacent to epithelium

Front 25

Reticular Layer

Back 25

Continuous with Periosteum of the bone

Front 26

Gingival Fiber Groups (3)

Back 26

Gingivodental

Circular

Transseptal

Front 27

Gingivodental

Back 27

Tooth to marginal gingiva

Front 28

Circular

Back 28

Circle the tooth in the marginal/interdental gingiva

Front 29

Transseptal

Back 29

ALSO IN PDL

Connects cementum of approximating teeth.

Front 30

Cells in the Marginal Gingiva

Back 30

Fibroblasts

Mast Cells

Macrophages/Histiocytes

Plasma Cells/Lymphcytes

Neutrophils

Front 31

Blood Supply (3)

Back 31

Septa arterioles

Supraperiosteal Arterioles

Vessels of the PDL

Front 32

Lympatics

Back 32

Submaxillary group of Nodes

Front 33

Nervous Fibers

Back 33

PDL Fibers

Labial Nerves

Buccal Nerves

Palatal Nerves

Front 34

Color

Back 34

Healthy - Coral Pink

Disease - Red, Blue, Greyish White

Affected by the vascularity

Front 35

Tissue Size

Back 35

Diseased - Enlarged, puffy, bulky, edematous

Caused by bulk of cellular/intercellular elements

Front 36

Tissue Contour

Back 36

Mainly of the MARGINAL gingiva

Depends on the teeth shape and alignment

Front 37

Shape

Back 37

Mainly the papillary shape

Favorable - Knife Edge

Spacing - Flat or blunted

Front 38

Surface Texture

Back 38

Stippling is not always present, and a lack of it does not indicate a lack of health.

Glassy, ulcerated, and sloughing tissues are abnormal.

Front 39

Active Eruption

Back 39

Movement of teeth in an occlusal direction

Front 40

Passive eruption

Back 40

Tooth exposure by apical resorption of gingiva.

Front 41

Anatomic Crown

Back 41

Covered by enamel

Front 42

Anatomic Root

Back 42

Covered by cementum

Front 43

Clinical crown

Back 43

Above the gingiva

Front 44

Clinical Root

Back 44

Covered by Periodontium

Front 45

Periodontium

Back 45

Tissues that surround and support the teeth.

Gingiva

PDL

Cementum

Alveolar Bone

Front 46

Components of Gingiva (3)

Back 46

Marginal (unattached)

Attached

Interdental

Front 47

Margina (unattached) Gingiva

Back 47

Separates from the tooth with gentle probing.

2-3 mm

Front 48

Attached Gingiva

Back 48

Bound to the periosteal bone.

Stops at the MGJ

Front 49

Interdental Gingiva

Back 49

Occupies the embrasures.

Col or Pyramidal

Front 50

Free Gingival Groove

Back 50

Apical extent of the marginal gingiva

Front 51

Mucogingival Junction

Back 51

Separates the attached gingiva from the alveolar mucosa.

Front 52

Gingiva Histology

Back 52

Connective tissue core, with Stratified Squamous epithelial covering.

Principle cell of epithelium is the keratinocyte.

Front 53

Melanocytes

Back 53

Produce melanin pigment

Front 54

Langerhans

Back 54

Immune response

Front 55

Merckel Cells

Back 55

Tactile sensation

Front 56

Oral Epithelium

Back 56

Parakeratinized, covers the outer surface of the gingiva.

Front 57

Sulcular epithelium

Back 57

Lines the sulcus from the junctional epithelium to the crest of the margina gingiva.

Non-keratinized, but will keratinize if bacteria are eliminated

Front 58

Junctional Epithelium

Back 58

Collar that attaches to tooth via hemidesmosomes.

Non-keratinzed, 1mm, biological seal

Front 59

Gingival/Sulcular fluid

Back 59

EXUDATE from connective tissue that has:

Antibodies

Plasma protein

Which help prevent infection and clean the sulcus.