Gingival Epithelium Overview
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Questions and Answers

What mechanism allows the body to seal the opening created by the eruption of teeth?

  • Remodeling of alveolar bone
  • Attachment of connective tissue
  • Attachment of epithelium (correct)
  • Formation of hemidesmosomes
  • What type of cell junction connects neighboring epithelial cells?

  • Gap junctions
  • Desmosomes (correct)
  • Hemidesmosomes
  • Tight junctions
  • What is the primary purpose of the internal basal lamina?

  • To connect the connective tissue to the gingiva
  • To provide attachment between epithelial cells and tooth surface (correct)
  • To act as a barrier to pathogens
  • To facilitate nerve innervation of the gingiva
  • Which statement correctly describes the attachment of epithelium to connective tissue?

    <p>Connected by hemidesmosomes and external basal lamina</p> Signup and view all the answers

    What specific structure primarily provides solidity to the gingiva?

    <p>Gingival connective tissue</p> Signup and view all the answers

    What is one of the primary functions of junctional epithelium?

    <p>Host defense</p> Signup and view all the answers

    How many hemidesmosomes exist per micron at the coronal end of the junctional epithelium?

    <p>8-10 hemidesmosomes</p> Signup and view all the answers

    What separates the epithelial cells from the gingival connective tissue?

    <p>External basal lamina</p> Signup and view all the answers

    What is the main characteristic of the keratinized cell layer (stratum corneum)?

    <p>It contains flattened cells with extensive intracellular keratin.</p> Signup and view all the answers

    Which feature distinguishes sulcular epithelium from junctional epithelium?

    <p>Sulcular epithelium is nonkeratinized and thin.</p> Signup and view all the answers

    What is gingival crevicular fluid (GCF)?

    <p>A fluid that originates from the gingival connective tissue into the sulcus.</p> Signup and view all the answers

    Which of the following statements about junctional epithelium is correct?

    <p>It serves to connect the gingiva to the tooth surface.</p> Signup and view all the answers

    What is a characteristic of nonkeratinized epithelium in the context of junctional epithelium?

    <p>It has a higher fluid permeability compared to keratinized tissues.</p> Signup and view all the answers

    Why is a junctional epithelium necessary for a tooth?

    <p>It connects the gingiva to the tooth surface.</p> Signup and view all the answers

    How many cell layers does the junctional epithelium typically exhibit at its coronal portion?

    <p>15-30 cells</p> Signup and view all the answers

    What does the presence of rete pegs indicate in epithelial tissue?

    <p>Strong attachment to underlying connective tissue.</p> Signup and view all the answers

    What role does gingival connective tissue primarily play in maintaining oral health?

    <p>Providing integrity and strength to gingival tissues</p> Signup and view all the answers

    Which supragingival fibre connects the cementum to the gingival connective tissue?

    <p>Dentogingival fibre</p> Signup and view all the answers

    Which statement about the transportation function of the gingival connective tissue is true?

    <p>Transportation involves a matrix that facilitates movement of nutrients</p> Signup and view all the answers

    What is the primary immune function of gingival connective tissue?

    <p>Facilitating a host response to pathogens</p> Signup and view all the answers

    How do the interpapillary fibres contribute to gingival structure?

    <p>Linking adjacent papillae between teeth</p> Signup and view all the answers

    What is the significance of the transeptal fibres in gingival health?

    <p>They link cementum of different teeth over crestal bone</p> Signup and view all the answers

    What is the common shape of a healthy gingival sulcus?

    <p>V-shaped</p> Signup and view all the answers

    Which fibre type runs horizontally linking teeth together?

    <p>Transgingival fibres</p> Signup and view all the answers

    Which of the following describes the structure of the oral epithelium?

    <p>Stratified squamous epithelium</p> Signup and view all the answers

    What is the primary function of the junctional epithelium?

    <p>To act as a barrier between the gingiva and the tooth surface</p> Signup and view all the answers

    Which area of the gingival epithelium extends from the crest of the gingival margin to the mucogingival junction?

    <p>Free gingiva</p> Signup and view all the answers

    What layer is NOT a part of the oral epithelium?

    <p>Muscular layer</p> Signup and view all the answers

    Which component is not directly classified as part of gingival tissues?

    <p>Mucosal epithelium</p> Signup and view all the answers

    In the oral epithelium, which layer consists of flattened cells with increased keratinization?

    <p>Granular cell layer</p> Signup and view all the answers

    Which of the following best describes the sulcular epithelium?

    <p>It forms the outer boundary of the periodontal pocket.</p> Signup and view all the answers

    Which structure is essential for maintaining the integrity of the gingival tissues?

    <p>Gingival connective tissue</p> Signup and view all the answers

    Study Notes

    Gingival Epithelium

    • The gingiva is made up of three different anatomic areas of gingival epithelium:
      • Junctional epithelium
      • Sulcular epithelium
      • Oral epithelium

    Oral Epithelium

    • Covers the outer surface of the free gingiva and attached gingiva
    • Extends from the crest of the gingival margin to the mucogingival junction
    • It is the only part of the periodontium that is visible to the naked eye.
    • It is considered stratified squamous epithelium
    • The layers are listed below in order from the deepest layer to the most superficial layer:
      • Basal cell layer: Cube-shaped cells
      • Prickle cell layer: Spine-like cells with large intercellular spaces. The cells of both the basal and prickle cell layers attach to each other with desmosomes.
      • Granular cell layer: Flattened cells and increased intracellular keratin
      • Keratinized cell layer (stratum corneum): Flattened cells with extensive intracellular keratin.
    • Joins with the underlying connective tissue in a wavy pattern

    Sulcular Epithelium

    • Faces the tooth surface without being in contact with the tooth surface
    • Thin
    • Nonkeratinized epithelium
    • Without rete pegs
    • Semi permeable (but less so than JE) allowing fluid to flow from the gingival connective tissue into the sulcus. This fluid is known as the gingival crevicular fluid (GCF)
    • In health, the sulcular epithelium joins the connective tissue at a smooth interface with no epithelial ridges (no wavy junction).

    Junctional Epithelium

    • Stratified squamous nonkeratinized epithelium
    • Joins gingiva to the tooth surface
    • Length 0.71 – 1.35mm
    • Cell thickness coronally – 15-30 cells
    • 4 -5 cells thick at apical zone
    • High cell turnover

    Function of Junctional Epithelium

    • Attachment
    • Barrier
    • Host defense

    Gingival Connective Tissue

    • Provides solidity to the gingiva
    • Attaches the gingiva to the cementum of the root and the alveolar bone.
    • Also known as the lamina propria.

    Functions of Gingival Connective Tissue

    • Integrity and strength of gingival tissues – dense network
    • Normal function of connective tissues
    • Transportation of water, nutrients, metabolites, oxygen, etc., to and from the individual connective tissue cells occurs within the matrix
    • Host response – immune response

    Supragingival fibres of connective tissue

    • AG: Alveologingival – Alveolar crest to gingival connective tissue
    • C: Circular – Ring round coronally above crestal bone
    • DG: Dentogingival – Cementum fan into gingival connective tissue
    • PG: Periosteogingival – Fan from periosteum
    • IG: Intergingival – Mesiodistal direction along whole dental arch linking teeth together
    • IC: Intercircular – Encircle several teeth linking teeth together
    • IP: Interpapillary – Located in the papilla connect oral & vestibular papilla
    • TG: Transgingival – Cementum to CEJ and run horizontally linking teeth together
    • TS: Transeptal – Cementum of one tooth to another tooth over crestal bone

    Other structures covered in other lectures:

    • Periodontal ligament
    • Cementum
    • Alveolar bone

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    Related Documents

    Histology of the Gingiva PDF

    Description

    This quiz covers the different areas of gingival epithelium, including junctional, sulcular, and oral epithelium. It discusses the structure and layers of oral epithelium, detailing its visibility and characteristics. Test your knowledge of the anatomy of the gingiva and its significance in dental health.

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