Dentistry: The Normal Periodontium and Gingiva
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Questions and Answers

What is the function of the marginal gingiva?

  • To produce saliva
  • To cover the alveolar processes of the jaws
  • To form the soft tissue wall of the gingival sulcus (correct)
  • To support the teeth

What is the gingival sulcus?

  • A shallow crevice or space around the tooth neck (correct)
  • A deep crevice or space around the tooth pulp
  • A deep crevice or space around the tooth crown
  • A shallow crevice or space around the tooth root

What is the width of the marginal gingiva?

  • About 10 mm
  • About 0.5 mm
  • About 1 mm (correct)
  • About 5 mm

What is the attached gingiva?

<p>A firm, resilient part of the gingiva (A)</p> Signup and view all the answers

What determines the shape of the interdental gingiva?

<p>Both of the above (C)</p> Signup and view all the answers

What is the histological composition of the gingiva?

<p>Stratified Squamous Epithelium (SSE) and connective tissue (D)</p> Signup and view all the answers

What is the normal depth of the gingival sulcus?

<p>2-3 mm (A)</p> Signup and view all the answers

What happens to the width of the attached gingiva with age?

<p>It increases (A)</p> Signup and view all the answers

What is the structureless layer between the epithelium and lamina propria?

<p>Basement membrane (A)</p> Signup and view all the answers

What is the function of the basal lamina?

<p>To act as a barrier to particulate matter (D)</p> Signup and view all the answers

What type of collagen is found in the lamina densa?

<p>Type IV collagen (D)</p> Signup and view all the answers

What is the thickness of the oral epithelium?

<p>0.2-0.3 mm (A)</p> Signup and view all the answers

What is characteristic of the sulcular epithelium?

<p>It is non-keratinized and lacks rete pegs (D)</p> Signup and view all the answers

What is the thickness of the junctional epithelium?

<p>3-4 layers (B)</p> Signup and view all the answers

What is expressed in the junctional epithelium?

<p>K 19 (B)</p> Signup and view all the answers

What is the result of the irregularity of the basement membrane?

<p>All of the above (D)</p> Signup and view all the answers

What is the normal color of the gingiva in adults?

<p>Coral pink (B)</p> Signup and view all the answers

What is the shape of the gingival margin in adults?

<p>Knife edge (C)</p> Signup and view all the answers

What is the consistency of the gingiva in adults?

<p>Firm and resilient (B)</p> Signup and view all the answers

What is the surface texture of the gingiva in adults?

<p>Stippled (C)</p> Signup and view all the answers

What is the normal depth of the gingival sulcus in newly erupted teeth?

<p>2-3 mm (B)</p> Signup and view all the answers

At what age is stippling typically present in the gingiva?

<p>By age 6 (C)</p> Signup and view all the answers

What percentage of connective tissue is formed by collagen fibers?

<p>60% (C)</p> Signup and view all the answers

What is the main function of gingival fibers?

<p>To brace the marginal gingiva firmly against the tooth (D)</p> Signup and view all the answers

What is the main component of the ground substance in connective tissue?

<p>Proteoglycans (B)</p> Signup and view all the answers

What type of fibers provide tensile strength to the lamina propria?

<p>Collagen fibers (C)</p> Signup and view all the answers

What is the origin of the dentogingival group of gingival fibers?

<p>Cementum (B)</p> Signup and view all the answers

What is the main source of blood supply to the gingiva?

<p>All of the above (D)</p> Signup and view all the answers

What is the main cell type responsible for forming collagen and elastic fibers in connective tissue?

<p>Fibroblast (A)</p> Signup and view all the answers

What is the main function of the reticular layer of connective tissue?

<p>To provide a framework for tissue growth (A)</p> Signup and view all the answers

What is the main cell type in the oral epithelium?

<p>Keratinocyte (C)</p> Signup and view all the answers

Where does the proliferation of keratinocytes most frequently occur?

<p>Basal layer (A)</p> Signup and view all the answers

Which type of cell found in the basal layer functions as tactile receptors?

<p>Merkel cells (D)</p> Signup and view all the answers

Which process involves the progressive flattening of the cell and the disappearance of the nucleus?

<p>Keratinization (C)</p> Signup and view all the answers

Which layers are Langerhans cells located in?

<p>Suprabasal layers (D)</p> Signup and view all the answers

What is the turnover time for the gingiva in experimental animals?

<p>10 to 12 days (A)</p> Signup and view all the answers

What is the primary function of gingival epithelium?

<p>Provide a physical barrier to infection (C)</p> Signup and view all the answers

Which cells synthesize melanin?

<p>Melanocytes (B)</p> Signup and view all the answers

Study Notes

Marginal Gingiva

  • Forms the free edge of the gingiva
  • Connects the attached gingiva to the tooth
  • Width: 1-2 mm

Gingival Sulcus

  • Space between the tooth and the free gingiva
  • Filled with crevicular fluid
  • Normal depth: 0-3 mm
  • Depth increases with inflammation

Attached Gingiva

  • Part of the gingiva that is firmly attached to the underlying bone
  • Width decreases with age due to gingival recession

Interdental Gingiva

  • Shape determined by the shape of the interproximal surfaces of adjacent teeth

Histological Composition of the Gingiva

  • Epithelium: Oral epithelium and junctional epithelium
  • Lamina propria: Connective tissue layer

Lamina Propria

  • Consists of collagen fibers and ground substance
  • Main cell type: Fibroblast
  • Composed of reticular and papillary layers

Oral Epithelium

  • Thickness: 0.2 - 0.5 mm
  • Four layers: stratum basale, stratum spinosum, stratum granulosum, and stratum corneum
  • Langerhans cells located in the stratum spinosum and stratum granulosum

Junctional Epithelium

  • Thickness: 15-30 μm
  • Epithelium attaches to the tooth via hemidesmosomes
  • Rich in basal lamina: Connects epithelium to underlying connective tissue
  • Expressed proteins include: Integrins, cadherins, and desmosomes
  • Irregularity of the basement membrane: Results in a greater surface area for attachment

Sulcular Epithelium

  • Characterized by its non-keratinized nature

Gingival Color

  • Normal color: Pink
  • Affected by vascularity, pigmentation, and thickness of the epithelium

Gingival Margin

  • Shape: Crescentic in adults

Gingival Consistency

  • Firm in adults

Gingival Texture

  • Orange-peel-like stippling in adults

Gingival Development

  • Stippling emerges around 6 years of age
  • Normal sulcus depth in newly erupted teeth: 0-1.5 mm

Collagen Fibers

  • 90% of connective tissue
  • Main function: Provide support and stability to the gingiva

Ground Substance

  • Main component: Glycosaminoglycans

Dentogingival Fibers

  • Origin: Cemento-enamel junction
  • Insert into: Lamina propria of the gingiva

Blood Supply

  • Main source: Superior and inferior alveolar arteries

Fibroblasts

  • Main cell type responsible for collagen and elastic fibers in connective tissue

Reticular Layer of Connective Tissue

  • Located: Deepest layer of the lamina propria
  • Contains: Larger blood vessels, nerves, and collagen fibers

Keratinocytes

  • Main cell type in oral epithelium
  • Proliferate most frequently in the stratum basale

Merkel Cells

  • Tactile receptors located in the stratum basale

Keratinization

  • Process involves: Progressive flattening of the cell and disappearance of the nucleus

Gingival Turnover Time

  • 2-3 weeks in experimental animals

Gingival Epithelium

  • Primary function: Barrier to infection and injury

Melanocytes

  • Synthesize melanin: Responsible for gingival pigmentation

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The Gingiva - PDF

Description

Learn about the normal periodontium, gingiva, and its anatomical divisions, including marginal, attached, and interdental areas. Understand the gingival sulcus and its dimensions.

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