Periodontics Study Notes
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Junctional epithelium is attached to the tooth surface by means of an internal basal ______ and hemidesmosomes.

lamina

The connective tissues that connect the cementum layer to the alveolar ______ are known as the periodontal ligament.

bone

Epithelial and connective tissue attachments to the tooth surface is called the biologic ______.

width

The junctional epithelial attachment measures approximately ______ mm.

<p>0.97</p> Signup and view all the answers

The total biologic width measures about ______ mm.

<p>2.04</p> Signup and view all the answers

A healthy sulcus measures between 0 to ______ mm.

<p>3</p> Signup and view all the answers

A ______ pocket has a base that grows apically and is 3 mm or more.

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

A pseudo pocket is not a true pocket and its base is still located at the ______.

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

An infrabony or intrabony pocket is located ______ to the alveolar crest.

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

A suprabony pocket has its base located ______ to the alveolar crest.

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

Supracrestal attachment is made up of epithelial attachment and ______ tissue attachment.

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

In a radiograph, the tip of the alveolar crest is not visible, indicative of bone ______.

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

The color of inflamed gingiva appears ______.

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

The contour of diseased gingiva may be rounded and ______.

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

The consistency of inflamed gingiva is described as ______.

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

The gingival sulcus should ideally measure ______ mm.

<p>0-3</p> Signup and view all the answers

Gingiva typically bleeds ______% of the time when there is inflammation.

<p>98</p> Signup and view all the answers

If there is a diastema, there will be no ______ area.

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

Stippling is more numerous in the labial surfaces anteriorly then reduce in numbers while going ______.

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

The black triangle is the space in which the interdental ______ is starting to recede.

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

Having a black triangle at age 20 is very ______.

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

Receding of gingiva is caused by attachment destruction or attachment ______ in supracrestal tissue attachments.

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

The appearance of gingiva can be considered healthy because this is gingiva of a ______ person.

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

Black people have so much ______ thickness, giving them black skin and gingiva.

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

Attached gingiva and oral mucosa lining the hard palate are hard to ______.

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

Both attached gingiva and oral mucosa are ______ and firmly attached to the palatal bone.

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

McCALL FESTOON is near the marginal gingiva and has a collar-like fibrous thickening, while the color is much lighter than the attached ______.

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

Gingival recession occurs when the CEJ moves ______, exposing the cementum.

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

If there is Stillman's cleft, probing the ______ area allows for plaque retrieval.

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

The healthiest attached gingiva is approximately ______ mm in the middle part of the root.

<p>8</p> Signup and view all the answers

The ______ junction is where the probe is positioned to measure attached gingival width.

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

The width of attached gingiva can be less than the ideal measurement, observed in the ______ photo.

<p>2nd</p> Signup and view all the answers

Excessive orthodontic movement can lead to gingival ______ due to too much force applied.

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

When there is no attached gingiva, the area presents with the color of ______ mucosa.

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

The ______ is the part of the gingiva that connects the facial, buccal, or labial gingiva to the lingual gingiva.

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

Healthy normal gingiva is typically described as ______ in color.

<p>coral pink</p> Signup and view all the answers

The ______ gingiva, which was once called unattached gingiva, is firmly adherent to the alveolar bone.

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

The ______ groove is a horizontal shallow groove that separates the marginal gingiva and attached gingiva.

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

The ______ fornik is located in a much deeper portion of the alveolar mucosa.

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

The imaginary line separating attached gingiva (pink) and alveolar mucosa (red) is known as the ______ junction.

<p>muco gingival</p> Signup and view all the answers

The marginal gingiva has a ______ form, following the marginal edge or proximal edge.

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

Gingiva is found up to the ______ of each tooth.

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

The ______ mucosa is the lining that covers the remainder of the oral cavity.

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

In prosthodontics, attempting to simulate interdental grooves is referred to as ______ to make it appear natural.

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

Flashcards

Lining Mucosa

The part of the gingiva that connects the facial, buccal, or labial gingiva to the lingual gingiva.

Attached gingiva

The part of the gingiva that covers the alveolar bone.

Marginal gingiva

The outermost part of the gingiva that covers the CEJ (cementoenamel junction) and is attached to the tooth.

Gingival groove

A horizontal shallow groove that separates the marginal gingiva from the attached gingiva.

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Mucogingival junction

An imaginary line that separates the attached gingiva from the alveolar mucosa. (The difference in color between the gingiva and the alveolar mucosa gives the line its appearance.)

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Vestibular fornix

A deeper portion of the alveolar mucosa, often described as a canal.

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Lining Mucosa

The oral mucous membrane that lines the oral cavity.

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Lining Mucosa

The portion of the lining mucosa that covers the lips, cheeks, floor of the mouth, and frenum.

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Lining Mucosa

It is described as the part of the gingiva that connects the facial, buccal, or labial gingiva to the lingual gingiva.(oral mucous membrane lining the remainder of the oral cavity)

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Gingiva

The gum tissue, which covers the alveolar bone and supports the teeth.

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Internal Basal Lamina

A thin layer of specialized tissue that helps attach the junctional epithelium to the tooth surface.

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Junctional Epithelium

The part of the gingiva (gum) that directly attaches to the tooth surface.

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Hemidesmosomes

Specialized cell structures that connect the junctional epithelium to the tooth.

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Biological Width

The space occupied by the junctional epithelium and underlying connective tissue.

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Periodontal Ligament

A fibrous tissue connecting the cementum (tooth root) to the alveolar bone (jaw bone), holding the tooth in place.

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What is a healthy gingival sulcus?

A healthy gingival sulcus is a shallow groove between the tooth and the gingiva, measuring 0 to 3 millimeters in depth.

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When does a sulcus become a pocket?

When the gingival sulcus becomes deeper than 3 millimeters, it is called a periodontal pocket.

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What is a pseudo pocket?

A pseudo pocket is when the base of the pocket is still at the cementoenamel junction (CEJ), even if the pocket depth is 3mm or more. It's not a true pocket because the attachment hasn't moved apically.

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What is a suprabony pocket?

A suprabony pocket is a periodontal pocket where the base of the pocket is coronal to the alveolar bone crest.

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What is an infrabony pocket?

An infrabony (or intrabony) pocket is a periodontal pocket where the base of the pocket is below the alveolar bone crest.

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Interdental gingiva

The part of the gingiva that lies between the teeth.

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Black Triangle

The small space between teeth where the interdental papilla has receded, often seen in older individuals due to normal wear and tear.

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Black Triangle in Young People

The presence of a Black Triangle in a young person (e.g., 20 years old) is a warning sign of gum recession. It needs attention as it can lead to periodontal disease, often caused by food getting stuck in the space.

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Supracrestal Tissue Attachments (STA)

Describes the gum tissue that attaches to the tooth and bone above the gum line. It can be damaged, leading to gum recession and attachment loss.

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Attachment Loss

If the STA is damaged, it can cause the gum to recede and expose the root surface. This can lead to tooth sensitivity and pain.

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Palatal Gingiva (Lingual Gingiva)

The gum tissue on the roof of the mouth, which can be difficult to distinguish from the surrounding tissue even when palpated.

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Gingival Color in Black People

The distinctive dark color of the gum tissue in Black individuals is due to the high concentration of melanin in their skin and gum tissue.

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Stippling

Stippling refers to the small, indentations present on the gum surface. They are more numerous on the facial surfaces of the front teeth and gradually decrease as you move towards the back of the mouth. Stippling is absent on the tongue side of the teeth.

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Healthy Gingiva in Black Individuals

Even with the distinct appearance of gingiva in Black individuals, it can still be considered healthy if the gum tissue is firm, pink, and there are no signs of inflammation or infection.

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McCall Festoon

A fibrous thickening near the marginal gingiva, appearing lighter in color than attached gingiva.

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Gingival Recession

The movement of the gingival margin apically, exposing the cementoenamel junction and cementum.

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Attached Gingiva Width

The measurement of the distance between the mucogingival junction and the gingival groove, indicating the width of the attached gingiva.

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Ideal Attached Gingiva Width

A healthy attached gingiva ideally measures around 8mm in the middle part of the root.

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Orthodontic Movement and Gingival Health

Excess force from orthodontic movement can lead to gingival recession and alveolar bone resorption.

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Gingival Sulcus

The space between the gingiva and the tooth, where plaque can accumulate.

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Stillman’s Cleft

A deep cleft in the gingiva, often caused by improper brushing techniques or periodontal disease.

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Study Notes

Periodontics Study Notes

  • Definition of Periodontology: The study of the tissues surrounding the tooth. It's interchangeable with periodontics, but periodontics is the technique or science of periodontal treatment.

  • Oral Mucosa: Soft tissue lining the interior of the mouth.

  • Oral Mucosa Zones:

    • Masticatory Mucosa: Covers the hard palate and gingiva.
    • Specialized Mucosa: Covers the dorsum of the tongue, specialized due to taste buds.
  • Periodontal Tissues:

    • Gingiva: Covers the alveolar bone, healthy gingiva is coral pink; important for CEJ.
    • Periodontal Ligaments: Attaches cementum to the alveolar bone.
    • Cementum: Root covering.
    • Alveolar Bone: Surrounding each tooth root.
  • Parts of Gingiva:

    • Marginal Gingiva: Scalloped; follows the marginal edge, proximal edge.
    • Attached Gingiva: Firmly attached to alveolar bone.
    • Interdental Gingiva: Located interproximal/interdental between two teeth.
  • Col: Part of the interdental gingiva, middle portion, valley-like depression, saddle-like.

  • Gingival Sulcus: The space between the tooth and gingiva is the sulcus, it's a healthy space ranging from 0 to 3mm.

  • Normal Gingival Sulcus: Base is made of junctional epithelium with internal basal lamina, hemidesmosomes.

  • Gingival Sulcus Depth: 0-3mm is healthy, 3.5+ and there is a problem. The probe is used to measure.

  • Suprabony Pocket: Base of pocket is coronal to alveolar crest.

  • Infrabony/Intrabony Pocket: Base of pocket is apical to alveolar crest.

  • Gingival Hyperplasia: Oral diseases; drugs-related reaction; side effect of certain medications.

  • Stillman's Cleft: Periodontal disease; it's caused by food impaction; recession of gingiva, supracrestal tissue attachments.

  • Black Triangle: The space where interdental papilla starts to recede, more common in older adults; influenced by receding gingiva, caused by things like abrasions.

  • Features of Healthy Gingiva:

    • Color: Coral pink
    • Contour: Scalloped
    • Consistency: Firm and resilient
    • Texture: Stippling (like an orange peel).
  • Features of Diseased Gingiva:

    • Color: Reddish.
    • Contour: Rounded and enlarged, less pronounced.
    • Consistency: Spongy, presence of fluid.
    • Texture: Smooth and shiny.
  • Radiopaque Structures: Important in evaluating bone health, gingiva and periodontal structures in x-rays.

  • Biologic Width: Measures 2.04mm, is made up of junctional epithelium and connective tissue attachments.

  • McCall Festoons: Collar-like fibrous thickening, near marginal gingiva, lighter color.

  • Important Considerations of the Gingiva of Black Individuals: Color variation; possible considerations for healthy status.

  • Different Gingiva Types: Gingival, palatal/lingual.

  • Components of the Periodontium: Free gingiva, gingival sulcus, gingival margin, attached gingiva, alveolar bone, periodontal ligament, cementum.

  • Types of Pocket:

  • Healthy Sulcus: 0 - 3mm deep

  • Pseudo Pocket: Not a true pocket: base of the sulcus is at the CEJ; 3mm or more is a periodontal pocket; not a true pocket

  • Suprabony Pocket: Base is coronal to the alveolar crest

  • Infrabony/ Intrabony Pocket: Base is apical to the alveolar crest

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Description

Explore the fundamentals of periodontology in this quiz, focusing on the tissues surrounding teeth and their roles. You'll learn about the oral mucosa, periodontal tissues, and the distinct parts of gingiva, enhancing your understanding of oral health.

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