Chapter 2 Perio
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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show | Periodontium
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show | Gingiva,Periodontal Ligament,Cementum,Alveolar bone
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show | Gingiva
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show | Gingiva
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show | Free gingiva
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slight depression on the gingiva corresponding to the depth of the sulcus | show 🗑
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show | Papillae
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proximal surfaces created below the contact area of teeth (aka.interdental gingiva) | show 🗑
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show | Col
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show | Basal Lamina
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show | Rete pegs
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makes up the surface tissue of the oral cavity | show 🗑
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Keratinocytes, Langerhans cells, Merkel cells and melanocytes also included in the | show 🗑
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show | Keratinization
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show | Langerhan cells
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__________contain nerve endings and are associated with tactile sensitivity. | show 🗑
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show | Melanin
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extends from the free gingival groove to the mucogingival junction; It is attached to the bone by collagen fibers | show 🗑
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Thin nonkeratinized or parakeritinizedFrom outer epithelium to gingival sulcusJunctional epithelium (forms the gingival wall of the sulcus); no rete pegs, permeable, gingival crevicular fluidHealthy; 1-3mm deep | show 🗑
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__________ is believed to perform several functions: cleansing the sulcus, improving the epithelial cells adherence to the tooth surface, anti-microbial and immune properties. | show 🗑
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show | Junctional epithelium
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2 layers:Collagen fibrils & Fibroblasts | show 🗑
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form fiber bundles which make up 60% of the lamina propria | show 🗑
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undifferentiated mesenchymal cells, mast cells, macrophages, blood vessels, nerves are the other elements in CT | show 🗑
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Gingival ligament=fiber bundles | show 🗑
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Five principal fiber groups: | show 🗑
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maintain relationship between teeth | show 🗑
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support free gingiva | show 🗑
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show | dentoperiosteal
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attach gingiva to bone | show 🗑
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show | Dentogingival
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show | Periodontal Ligament
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Functions of Periodontal Lig. | show 🗑
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show | fibrous bundles
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Attach tooth to bone, transmit occlusal forces to bone, resist occlusal forces, protect the vessels and nerves from injury | show 🗑
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attached to the cementum as brush-like fibers | show 🗑
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Movement throughout lifeWear of proximal and occlusal tooth surfaces1 cm in a lifetime | show 🗑
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Cover root surface, calcified, formed by cementoblastsAnchors teeth, maintains occlusal relationship, seals dentinal tubulesContains Sharpey’s fibersNo vascular or nerve connections so there is transmission of pain sensations5 types | show 🗑
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show | Alveolar Process
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show | 1. Alveolar bone2. Compact bone3. Trabecular & cancellous bone
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show | Periodontium Alveoli
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Cortical plates of the jawDepends on alignment of teethFollows contour of the rootHeight and thickness determined by alignment & angulation | show 🗑
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show | Cancellous Bone
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resorbed area; occurs in pt’s with labailly inclined roots | show 🗑
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show | Fenestrations
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show | maxilla
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Inferior alveolar arteries | show 🗑
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show | sensory
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show | ColorTextureSizeShapeConsistencySulcus Depth
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show | Aging and the Healthy Periodontium
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Signals inflammatory cells to areas of trauma or microbial influence | show 🗑
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show | Phagocytize
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aka neutrophils, make up 70% of circulating leukocytes; have granules that are filled with enzymes that when released cause ts. destruction | show 🗑
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show | Mast Cells-
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show | Macrophages
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react to cytokines, cause allergic reactions | show 🗑
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Made up of protein, bacteriolysis (destruction of bacteria), promotion of immune response, mediates degranulation of mast cells | show 🗑
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show | Cytokines
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show | Type I - Anaphylaxis
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show | Type II – Cytotoxic
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show | Type III – Immune complex
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show | Type IV – Cell Mediated
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