Histology of gingiva medium

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Questions and Answers

What is the primary function of the oral epithelium in relation to the gingiva?

  • To facilitate the movement of the jaw
  • To absorb nutrients from food
  • To produce saliva for digestion
  • To protect underlying tissues (correct)

Which layer of the oral epithelium is closest to the surface?

  • Keratinized cell layer (correct)
  • Prickle cell layer
  • Basal cell layer
  • Granular cell layer

What type of cells primarily make up the basal cell layer of the oral epithelium?

  • Cube-shaped cells (correct)
  • Flat squamous cells
  • Ciliated epithelial cells
  • Columnar cells

What characteristic do the cells in the prickle cell layer of the oral epithelium have?

<p>They have large intercellular spaces (D)</p> Signup and view all the answers

How does the keratinized cell layer differ from the granular cell layer?

<p>Keratinized cells are fully keratinized and flattened (D)</p> Signup and view all the answers

What role do desmosomes play in the layers of oral epithelium?

<p>They provide mechanical strength and cell adhesion (B)</p> Signup and view all the answers

What connects epithelial cells to the basal lamina?

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

Which cell junction connects neighbouring epithelial cells and their cytoskeletons?

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

What role does the gingival connective tissue play?

<p>Provides solidity and attachment to the bone (D)</p> Signup and view all the answers

What is the primary function of junctional epithelium?

<p>Serves as a barrier and host defense (A)</p> Signup and view all the answers

Which structure is involved in attaching the gingiva to the alveolar bone?

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

What does the term 'hemidesmosomes' refer to?

<p>Attachments of epithelial cells to the basal lamina (B)</p> Signup and view all the answers

What type of epithelium is the sulcular epithelium classified as?

<p>Stratified squamous nonkeratinized epithelium (B)</p> Signup and view all the answers

What is a function of the gingival crevicular fluid (GCF)?

<p>To facilitate the exchange of substances with the sulcus (D)</p> Signup and view all the answers

Which characteristic does the junctional epithelium have in comparison to the sulcular epithelium?

<p>Higher cell turnover rate (B)</p> Signup and view all the answers

How does the sulcular epithelium interface with the underlying connective tissue?

<p>At a smooth interface (C)</p> Signup and view all the answers

What is the approximate length range of the junctional epithelium?

<p>0.71 – 1.35 mm (D)</p> Signup and view all the answers

What is the cell thickness of the sulcular epithelium at the coronal zone?

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

What distinguishes nonkeratinized epithelium from keratinized epithelium?

<p>Lack of a protective outer layer (B)</p> Signup and view all the answers

What is a key characteristic of the junctional epithelium's cellular structure?

<p>Is thin, with few cell layers (A)</p> Signup and view all the answers

What is the primary role of the junctional epithelium in relation to teeth?

<p>It acts as a barrier to seal the opening created during tooth eruption. (B)</p> Signup and view all the answers

Where does the junctional epithelium originate from?

<p>Basal cell layer of the epithelium. (C)</p> Signup and view all the answers

What does the term 'junction' signify in the context of the junctional epithelium?

<p>The sealing connection formed by attaching epithelium. (C)</p> Signup and view all the answers

Which cell layer does NOT contribute directly to the formation of junctional epithelium?

<p>Keratininized cell layer (C)</p> Signup and view all the answers

What characteristic of the junctional epithelium is important for its function?

<p>It is more permeable compared to other epithelial layers. (C)</p> Signup and view all the answers

Which process involves the attachment of epithelium to seal the tooth opening?

<p>Epithelial attachment. (C)</p> Signup and view all the answers

During tooth eruption, what happens to the continuous epithelial sheet?

<p>An opening is created through which the tooth penetrates. (A)</p> Signup and view all the answers

What does the term 'embryology' in this context refer to?

<p>The natural development process of tissues. (C)</p> Signup and view all the answers

Which layer is most responsible for the regenerative capability of the junctional epithelium?

<p>Basal cell layer. (D)</p> Signup and view all the answers

What function does the junctional epithelium NOT serve?

<p>Facilitating tooth absorption. (C)</p> Signup and view all the answers

Flashcards

Oral Epithelium

The outermost layer of the gingiva, visible without magnification.

What makes the oral epithelium unique?

The layer of cells that constantly renew themselves, like skin.

Basal Cell Layer

Cube-shaped cells, forming the base of the oral epithelium.

Prickle Cell Layer

Cells with spiky projections, connected by strong junctions, forming the middle layer of the oral epithelium.

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Keratinized Cell Layer

Flattened cells containing keratin, forming the outer layer of the oral epithelium.

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Gingival Sulcus

The space between the tooth and the gingiva, lined by a thin, non-keratinized epithelium.

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What is the main function of the Sulcular Epithelium?

It enables the flow of gingival crevicular fluid (GCF) from the connective tissue into the sulcus.

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Junctional Epithelium

Specialized epithelium that connects the gingiva to the tooth surface.

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What is the typical length of the junctional epithelium?

The length of the junctional epithelium, crucial for maintaining a strong attachment.

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Why is the junctional epithelium more permeable?

This tissue is more permeable than keratinized tissue because it lacks the protective keratin layer.

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Desmosomes

A strong attachment between epithelial cells, helping them hold together.

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Hemidesmosomes

A specialized attachment between epithelial cells and the basal lamina.

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What are the main functions of the Junctional Epithelium?

Connecting the gingiva to the tooth, providing a barrier against bacteria.

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Gingival Connective Tissue (Lamina Propria)

Provides support and strength to the gingiva, attaching it to the tooth and bone.

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Supragingival Fibers

These fibers maintain the integrity and resilience of the gingiva, offering resistance to forces.

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What is the primary function of the Alveologingival fibers?

Maintaining the shape and integrity of the gingiva.

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What is the primary function of the Circular Fibers?

Encircling the tooth, contributing to the tight fit of the gingiva around the tooth.

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What is the primary function of the Dentogingival Fibers?

Connecting the tooth to the gingiva, providing stability to the overall structure.

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What is the primary function of the Periosteogingival Fibers?

Connecting the gingiva to the periosteum of the bone, enhancing structural support.

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What is the primary function of the Intergingival Fibers?

Connecting adjacent gingiva, promoting tissue cohesion.

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What is the primary function of the Interpapillary Fibers?

Maintaining the shape and structure of the interdental papillae.

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What is the primary function of the Transeptal Fibers?

Extending from the cementum of one tooth to the cementum of the adjacent tooth, maintaining alignment.

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What are the characteristics of a healthy gingival sulcus?

A healthy gingival sulcus is usually shallow and well-defined.

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Study Notes

Oral Epithelium

  • Covers the outer surface of the free and attached gingiva, extending from the gingival margin to the mucogingival junction.
  • Only part of the periodontium visible without magnification.
  • High cell turnover rate.
  • Stratified squamous epithelium with several layers:
    • Basal cell layer: Cube-shaped cells.
    • Prickle cell layer: Spine-like cells with large intercellular spaces, connected by desmosomes.
    • Granular cell layer: Flattened cells with increased intracellular keratin.
    • Keratinized cell layer (stratum corneum): Flattened cells with extensive intracellular keratin.

Sulcular Epithelium

  • Lines the gingival sulcus, facing the tooth but not in contact with it.
  • Thin, non-keratinized epithelium without rete pegs.
  • Semi-permeable, allowing gingival crevicular fluid (GCF) flow from connective tissue into the sulcus.
  • Harbors bacteria.

Junctional Epithelium

  • Stratified squamous, non-keratinized epithelium.
  • Connects the gingiva to the tooth surface.
  • Length: 0.71–1.35 mm.
  • Cell thickness varies: 15–30 cells coronally, 4–5 cells apically.
  • High cell turnover.
  • More permeable than keratinized tissue due to lack of keratinization.
  • Forms due to the body sealing the opening created when teeth erupt through the epithelial sheet. It's an embryological process of connection.
  • Attachment to connective tissue via hemidesmosomes and the external basal lamina.

Cell Junctions

  • Desmosomes: Connect neighboring epithelial cells and their cytoskeletons.
  • Hemidesmosomes: Connect epithelial cells to the basal lamina.

Functions of Junctional Epithelium

  • Attachment of gingiva to tooth.
  • Barrier function.
  • Host defense.
  • GCF leakage.

Gingival Connective Tissue (Lamina Propria)

  • Provides solidity to the gingiva.
  • Attaches gingiva to cementum and alveolar bone.
  • Transports water, nutrients, metabolites, and oxygen to connective tissue cells.
  • Mediates host immune response.

Connective Tissue Fibers

  • Supragingival Fibers: Maintain gingival integrity and withstand forces. Their disintegration contributes to inflammation.
    • Alveologingival
    • Circular
    • Dentogingival
    • Periosteogingival
    • Intergingival
    • Intercircular
    • Interpapillary
    • Transgingival
    • Transeptal

Gingival Sulcus in Health

  • Depth: Not specified in provided text.
  • Shape: Not specified in provided text.

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