Histology of gingiva revision notes quiz
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Questions and Answers

What is the appearance of healthy gingiva described in the content?

  • Flat and pale
  • Stippled and knife-edge (correct)
  • Rough and puffy
  • Smooth and shiny
  • Which cellular layer of the oral epithelium is cube-shaped?

  • Granular cell
  • Prickle cell
  • Keratinized cell
  • Basal cell (correct)
  • What function do retepegs serve in the gingival epithelium?

  • Providing strength and support (correct)
  • Regulating inflammation
  • Protection from pathogens
  • Facilitating fluid absorption
  • What type of epithelium is found on the surface facing the tooth in the gingiva?

    <p>Stratified squamous-non-keratinized</p> Signup and view all the answers

    Which characteristic does the keratinized layer of gingival epithelium exhibit?

    <p>Resistance to mechanical stress</p> Signup and view all the answers

    How is gingival crevicular fluid described in terms of its interaction with the epithelium?

    <p>Semi-permeable and flowing</p> Signup and view all the answers

    Which cell type in the gingival epithelium is characterized by a flattened shape with extensive keratin?

    <p>Keratinized cell</p> Signup and view all the answers

    What type of epithelial layer is noted as lacking rete pegs?

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

    Which description best defines the keratinization process in gingival epithelium?

    <p>Provides mechanical protection</p> Signup and view all the answers

    What is the significance of the mucogingival junction mentioned in the content?

    <p>It serves as the transition between different types of gingival epithelium.</p> Signup and view all the answers

    Which structure in gingival connective tissue is responsible for its attachment to alveolar bone?

    <p>Lamina propria</p> Signup and view all the answers

    What role do supragingival fibers play in gingival anatomy?

    <p>Keep gingiva upright</p> Signup and view all the answers

    Which type of fiber links teeth together in a mesiodistal direction along the whole dental arch?

    <p>Intergingival fibers</p> Signup and view all the answers

    What effect does inflammation have on the density of supragingival fibers?

    <p>Causes a decrease in density</p> Signup and view all the answers

    Which fibers run from the alveolar crest to the gingival connective tissue?

    <p>Alveologingival fibers</p> Signup and view all the answers

    Which type of fiber encircles several teeth linking them together?

    <p>Intercircular fibers</p> Signup and view all the answers

    What type of fibers run horizontally from the cementum to the cementoenamel junction (CEJ)?

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

    What is one function of the dense network in the gingival connective tissue?

    <p>Provide solidity</p> Signup and view all the answers

    What type of fibers connect the periosteum to the gingival connective tissue?

    <p>Periosteogingival fibers</p> Signup and view all the answers

    Which fibers connect the cementum of one tooth to another over crestal bone?

    <p>Transeptal fibers</p> Signup and view all the answers

    What type of cells primarily compose the junctional epithelium?

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

    What structures join the epithelial cells to the basal lamina within the junctional epithelium?

    <p>Hemidesmosomes</p> Signup and view all the answers

    What is the primary function of the junctional epithelium?

    <p>Anchor gingiva to teeth</p> Signup and view all the answers

    How thick is the junctional epithelium coronally?

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

    Which of the following is a characteristic of the internal basal lamina?

    <p>Thin extracellular matrix</p> Signup and view all the answers

    What type of epithelial tissue primarily comprises the junctional epithelium?

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

    Which component is involved in the host response within the junctional epithelium?

    <p>White blood cells</p> Signup and view all the answers

    Which layer of the junctional epithelium is primarily concerned with attachment?

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

    What type of junctions do closely packed epithelial cells in the junctional epithelium primarily use?

    <p>Desmosomes</p> Signup and view all the answers

    Study Notes

    Healthy Gingiva

    • Stippled appearance: The healthy gingiva has a distinctive surface texture that resembles an orange peel.
    • Knife-edge gingival margins: The margins of the healthy gingiva are sharp and well-defined, forming a distinct line with the tooth surface.

    Oral Epithelium

    • Stratified squamous epithelium: This is the type of epithelium found in the oral cavity. It consists of multiple layers of cells.
    • Keratinized: The outer surface of the free and attached gingiva.
    • Extends: The oral epithelium spans from the crest of the gingival margin to the mucogingival junction.
    • Rete pegs: These interdigitations between the epithelium and the underlying connective tissue provide strength and support to the gingiva to withstand external forces.
    • Protection: Keratinization protects the gingiva from mechanical stress and trauma.
    • Layers of keratinized epithelium:
      • Basal cell layer: Composed of cubical cells responsible for cell renewal.
      • Prickle cell layer: Composed of spine-shaped cells.
      • Granular cell layer: Flattened cells with increased keratin.
      • Keratinized cell layer: Flattened, highly keratinized cells.

    Sulcular Epithelium

    • Non-keratinized stratified squamous epithelium: This type of epithelium faces the tooth surface but is not in contact with the free margin.
    • Semi-permeable: Allows gingival crevicular fluid (GCF) to flow from the tissue into the sulcus.
    • No rete pegs or keratinized epithelium: This makes the sulcular epithelium more susceptible to bacteria.
    • Layers of sulcular epithelium:
      • Basal cell layer: Cubical shaped.
      • Prickle cell layer: Spine-shaped cells.
      • Superficial cell layer: This forms the outer layer of the epithelium.

    Junctional Epithelium

    • Non-keratinized stratified squamous epithelium: This epithelium tightly joins the gingiva to the tooth.
    • Thickness: It ranges from 15-30 cells thick coronally and 4-5 cells thick apically.
    • Epithelial cell attachment: Cells are closely packed and joined by desmosomes.
    • Hemidesmosomes: Join epithelial cells to the basal lamina.
    • Basal lamina: This thin extracellular matrix is essential for attachment to the tooth surface.
    • Functions:
      • Attachment: Hemidesmosomes play a crucial role in attaching the gingiva to the tooth.
      • Barrier: It forms a barrier against bacterial penetration.
      • Host response: The junctional epithelium allows GCF to flow, carrying white blood cells and antibodies to defend against infection.

    Gingival Connective Tissue

    • Lamina propria: Also known as the gingival connective tissue.
    • Location: Found both in the free and attached gingiva.
    • Function: Provides solidity to the gingiva through its dense network of fibers.
    • Attachment: Attaches the gingiva to the cementum of the root and alveolar bone.
    • Transportation: Facilitates the transport of water, nutrients, and other substances within the matrix.
    • Host response: Plays a role in the immune response.

    Supragingival Fibers

    • Elastic and collagen fibers: Contribute to the structural integrity and biomechanics of the gingiva.
    • Upright position: These fibers help maintain the gingiva in its upright position.
    • Force resistance: They act as a brace to withstand various forces in different directions.
    • Inflammation: Inflammation can lead to a decrease in fiber density, compromising the structural integrity.

    Supragingival Fiber Groups

    • Alveologingival fibers: Extend from the alveolar crest to the gingival connective tissue.
    • Circular fibers: Encircle the tooth coronally, above the crestal bone.
    • Dentogingival fibers: From the cementum, fan into the gingival connective tissue.
    • Periosteogingival fibers: Fan from the periosteum.
    • Intergingival fibers: Run mesiodistally along the dental arch, linking teeth together.
    • Intercircular fibers: Encircle several teeth, connecting them.
    • Interpapillary fibers: Located in the interdental papilla, connecting the oral and vestibular papilla.
    • Transgingival fibers: Extend from the cementum to the cementoenamel junction (CEJ) and run horizontally, connecting teeth together.
    • Transeptal fibers: Extend from the cementum of one tooth to another tooth over the crestal bone.

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