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87 Cards in this Set

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Periodontium

Attachment apparatus supporting tissues of teeth. Made up of gingiva, PDL, cementum, and alveolar bone.

Gingiva

Tissue that covers the cervical portion of the teeth and the alveolar processes of the jaw

PDL Periodontal ligament

Fibers that surround the root of the tooth. These fibers attach to the bone of the socket on one side and to the cementum of the root on the other side.

Cementum

Thin layer of mineralized layer that covers the root of the tooth

Bone that surrounds the roots of the teeth. It forms the bony sockets that support and protect the roots of the teeth.

Alveolar bone

The coronal boundary of the gingiva.

Gingival margin

Dark red, smooth shiny surface. Apical boundary of the gingiva.

Alveolar mucosa

Shallow linear depression that separates the free and attached gingiva.

Free gingival groove

Clinically visible boundary where the pink attached gingiva meets the red, shiny alveolar mucosa.

Mucogingival junction

Unattached portion of the gingiva that surrounds the tooth in the region of the CEJ

Free gingiva

Part of the gingiva that is tightly connected to the cementum on the cervical third of the root and to the periosteum of the alveolar bone.

Attached gingiva

Dimpled appearance similar to the skin of an orange peel

Stippling

Portion of the gingiva that fills the interdental erasure between two adjacent teeth apical to the contact area.

Interdental gingiva

Tip of the interdental gingiva that fills embrasure space.

Papillae

Valleylike depression in the portion of the interdental gingiva that lies directly below the contact area.

Col

Space between the free gingiva and the tooth surface

Gingival sulcus

Fluid that seeps from the underlying connective tissue into the sulcular space.

Gingival crevicular or sulcular fluid

Bone of the upper or lower jaw that surrounds the roots of the teeth.

Alveolar process / alveolar bone

A cavity in the alveolar bone that houses the root of the tooth. The bony tooth socket.

Alveolus

Layer of compact bone that forms the hard, outside wall of the mandible and maxilla on the facial and lingual aspects. Surrounds the alveolar bone proper to provide support.

Cortical bone

The most coronal portion of the alveolar process.

Alveolar crest

Latticelike bone that fills the interior portion of the alveolar process.

Cancelous, trabecular, or spongy bone

layer of connective soft tissue covering the outer surface of bone; consists of an outer layer of collagenous tissue and an inner layer of fine elastic fibers.

Periosteum

Having a nerve supply means they are...

Innervated

Nerve supply to the Periodontium is done by what cranial nerve?

5th - trigeminal nerve

Complex system of blood vessels that supplies blood to the periodontal tissues

Anastomoses

Network of lymph nodes connected by lymphatic vessels that plays an important role in the body's defense against infection.

Lymphatic system

Small bean-shaped structures that located on either side of the head, neck, armpits, and groin.

Lymph nodes

Study of the microscopic structures of tissues.

Histology

Tissue that fills the spaces between the tissues and organs in the body. Supports and binds other tissues.

Connective tissue

The boundary where the epithelial and connective tissues meet. Can be wavy or smooth.

Epithelial-connective tissue interface

Extensions of the epithelium that reach down into the connective tissue in a wavy boundary of the epithelial-connective tissue interface.

Epithelial ridges

Fingerlike extensions of connective tissue that extend up into the epithelium of an epithelial-connective tissue interface that is wavy.

Connective tissue papillae

Cellular structures that mechanically attach a cell and its cytoskeleton to its neighboring cell or to the basal lamina.

Cell junctions

Specialized cell junction that connects two neighboring epithelial cells and their cytoskeletons together.

Desmosome

Specialized cell junction that connects the epithelial cells to the basal lamina.

Hemidesmosome

Specialized stratified squamous epithelium that functions well in the wet environment of the oral cavity. Broken down further based on three anatomical areas.

Gingival epithelium

Gingival epithelium that faces the oral cavity.

Oral epithelium

Gingival epithelium that faces the tooth surface without being in contact with the the tooth surface.

Sulcular epithelium

Group of interconnected cells that perform similar function within an organism. Consists of cells and an extracellular matrix.

Tissue

Gingival Epithelium that attaches the gingiva to the tooth.

Junctional epithelium

Being partially Keratinized.

Parakeratinized

Tough, fibrous structural protein that occurs in the outer layer of the skin and the oral epithelium.

Keratin

Fluid that flows through the permeable sulcular epithelium from the underlying gingival connective tissues.

Gingival crevicular fluid

A thin mat of extracellular matrix between the epithelial cells of the junctional epithelium and the tooth surface.

Internal basal lamina

Thin mat of extracellular matrix between the epithelial cells of the junctional epithelium and the gingival connective tissue.

External basal lamina

Network of ropelike collagen fiber bundles in the gingival connective tissue located coronal to the crest of the alveolar bone.

Supragingival fiber bundles

Protein fibers that form a dense network of strong, ropelike cables that secure and hold the gingival connective tissues together.

Collagen fibers

Acts to provide structural support to the gingival tissue. Made up of the junctional epithelium and the gingival fibers.

Dentogingival unit

Dense membrane composed of fibrous connective tissue that closely wraps the outer surface of the alveolar bone.

Periosteum

Smallest structural unit of living matter capable of functioning independently.

Cells

Thin sheet of fibrous connective tissue that surrounds the roots of the teeth and joins the root cementum with the socket wall.

PDL - Peridontal ligament

Specialized connective tissue that surrounds the root and connects it with the alveolar bone. Largest component of the PDL.

Fiber bundles of the PDL

The ends of the PDL that insert into the cementum and into the alveolar bone.

Sharpey's fibers

Mineralized layer of connective tissue that covers the root of the tooth.

Cementum

What does OMG stand for and relate to?

The relationship of cementum to enamel at CEJ. OMG stands for overlap (60%), meet (30%), and gap (10%).

Part of the maxilla and mandible that form and support the sockets of the teeth.

Alveolar process / alveolar bone

The sequence of events that occur during the development of a disease or abnormal condition.

Pathogenesis

Bacterial infection that is confined to the gingiva. Tissue damage is reversible.

Gingivitis

Bacterial infection of all parts of the periodontium. Tissue damage is irreversible.

Periodontitis

Gingivitis that lasts for a short period of time. Often characterized by fluid in the gingival connective tissue that result in swollen gingiva.

Acute gingivitis

Mesh like material that surrounds the cells. Gel like material that fills the space between the cells.

Extracellular matrix

Gingivitis that lasts for months or years. Causes excess collagen fibers that leads to enlarged and fibrotic gingiva.

Chronic gingivitis

Tissue damage that can return to normal.

Reversible

Movement of the junctional epithelium apical to its normal location.

Apical migration of the junctional epithelium

The body's reaction to injury or invasion of disease-producing organisms.

Inflammation

The resorption of alveolar bone as a result of periodontitis.

Alveolar bone loss

The most common pattern of bone loss. Fairly even reduction in the height of the alveolar bone.

Horizontal bone loss

Less common pattern of bone loss. Resorption progresses more rapidly in the bone next to the root surface.

Vertical bone loss

Defects in the alveolar bone.

Osseous defects

Bone resorption occuring in an uneven, oblique direction. May have one, two, or three walls.

Infrabony defects

Bowl-shaped defect in the interdental alveolar bone loss, with bone loss nearly equal on the roots of two adjacent teeth.

Osseous crater

Tissue that makes up the outer surface of the body (skin) and lines the body cavities such as the mouth, stomach, and intestines.

Epithelial tissue

Occurs on a multirooted tooth when periodontal infection invades the area between and around the roots, resulting in a loss of alveolar bone between the roots of teeth.

Furcation involvement

The destruction of the fibers and bone that support the teeth. Leads too...

Attachment loss

Loss of gingiva being connected

An area of tissue destruction.

Disease site

Type of epithelium that is composed of flat cells arranged in several layers. Makes up the skin and mucosa of the oral cavity.

Stratified squamous elithelium

Thin mat that underlies the epithelium. Hemidesmosomes attach to it.

Basal lamina

Process by which epithelial cells on the surface of the skin become stronger and waterproof.

Keratinization

Epithelial cells that have no nuclei and form a tough, resistant layer on the surface of the skin.

Keratinized

Epithelial cells that contain nuclei and act as a cushion against mechanical stress and wear. Tend to be softer and more flexible.

Nonkeratinized

A site that is stable, with the attachment level of the junctional epithelium remaining the same over time.

Inactive disease site

A disease site that shows continued apical migration of the junctional epithelium over time.

Active disease site

Deepening of the gingival sulcus as a result of swelling or enlargement of the gingival tissue.

Gingival pocket

A pathologic deepening of the gingival sulcus.

Periodontal pocket

What type of pocket occurs when there is horizontal bone loss?

Suprabony pockets

What type of gingival pocket occurs when there is vertical bone loss?

Infrabony pockets