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What is the appearance of healthy gingiva described in the content?
What is the appearance of healthy gingiva described in the content?
Which cellular layer of the oral epithelium is cube-shaped?
Which cellular layer of the oral epithelium is cube-shaped?
What function do retepegs serve in the gingival epithelium?
What function do retepegs serve in the gingival epithelium?
What type of epithelium is found on the surface facing the tooth in the gingiva?
What type of epithelium is found on the surface facing the tooth in the gingiva?
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Which characteristic does the keratinized layer of gingival epithelium exhibit?
Which characteristic does the keratinized layer of gingival epithelium exhibit?
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How is gingival crevicular fluid described in terms of its interaction with the epithelium?
How is gingival crevicular fluid described in terms of its interaction with the epithelium?
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Which cell type in the gingival epithelium is characterized by a flattened shape with extensive keratin?
Which cell type in the gingival epithelium is characterized by a flattened shape with extensive keratin?
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What type of epithelial layer is noted as lacking rete pegs?
What type of epithelial layer is noted as lacking rete pegs?
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Which description best defines the keratinization process in gingival epithelium?
Which description best defines the keratinization process in gingival epithelium?
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What is the significance of the mucogingival junction mentioned in the content?
What is the significance of the mucogingival junction mentioned in the content?
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Which structure in gingival connective tissue is responsible for its attachment to alveolar bone?
Which structure in gingival connective tissue is responsible for its attachment to alveolar bone?
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What role do supragingival fibers play in gingival anatomy?
What role do supragingival fibers play in gingival anatomy?
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Which type of fiber links teeth together in a mesiodistal direction along the whole dental arch?
Which type of fiber links teeth together in a mesiodistal direction along the whole dental arch?
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What effect does inflammation have on the density of supragingival fibers?
What effect does inflammation have on the density of supragingival fibers?
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Which fibers run from the alveolar crest to the gingival connective tissue?
Which fibers run from the alveolar crest to the gingival connective tissue?
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Which type of fiber encircles several teeth linking them together?
Which type of fiber encircles several teeth linking them together?
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What type of fibers run horizontally from the cementum to the cementoenamel junction (CEJ)?
What type of fibers run horizontally from the cementum to the cementoenamel junction (CEJ)?
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What is one function of the dense network in the gingival connective tissue?
What is one function of the dense network in the gingival connective tissue?
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What type of fibers connect the periosteum to the gingival connective tissue?
What type of fibers connect the periosteum to the gingival connective tissue?
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Which fibers connect the cementum of one tooth to another over crestal bone?
Which fibers connect the cementum of one tooth to another over crestal bone?
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What type of cells primarily compose the junctional epithelium?
What type of cells primarily compose the junctional epithelium?
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What structures join the epithelial cells to the basal lamina within the junctional epithelium?
What structures join the epithelial cells to the basal lamina within the junctional epithelium?
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What is the primary function of the junctional epithelium?
What is the primary function of the junctional epithelium?
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How thick is the junctional epithelium coronally?
How thick is the junctional epithelium coronally?
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Which of the following is a characteristic of the internal basal lamina?
Which of the following is a characteristic of the internal basal lamina?
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What type of epithelial tissue primarily comprises the junctional epithelium?
What type of epithelial tissue primarily comprises the junctional epithelium?
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Which component is involved in the host response within the junctional epithelium?
Which component is involved in the host response within the junctional epithelium?
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Which layer of the junctional epithelium is primarily concerned with attachment?
Which layer of the junctional epithelium is primarily concerned with attachment?
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What type of junctions do closely packed epithelial cells in the junctional epithelium primarily use?
What type of junctions do closely packed epithelial cells in the junctional epithelium primarily use?
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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.
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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.
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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.
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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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