Costley Module 7 Flashcards
The clinical crown is the part of the tooth that is?
Above the attached periodontal tissues
The clinical root is the part to which what is attached
Periodontal fibers
The anatomical crown is?
Part covered with enamel
Anatomical root is?
Part covered with cementum
What are the 3 divisions of Oral mucosa
Masticatory
Lining
Specialized
The —– mucosa is firmly bound down to underlying tissues
Masticatory
The masticatory mucosa covers the —– and the ——
Gums
Hard palate
The masticatory mucosa is made up of ——- epithelium
Keritanized
The lining mucosa covers why surfaces of the mouth?
Is it keratinized?
Inner lip and cheek Floor of mouth Underside of tongue Soft palate Alveolar mucosa
No
Specialized mucosa covers what surfaces?
Upper side of tongue
The tongue is composed of many
—— and some contain —–
Papillae
Taste buds
4types of papillae
Filiform
Fungiform
Circumvallate
Foliate
What type of papillae are most numerous on the tongue?
Filiform
Filiform papillae are —- , —– elevations that cover the —– surface of the tongue
Threadlike
Keratinized
Dorsal
What papillae are mainly at the tip and lateral margins of the tongue
Fungiform
Fungiform are —— shaped have
—- —- on surface and appear —– than filiform
Mushroom
Taste buds
Redder
There are — to — large round papillae called Circumvallate arranged in a — shape that have —
— that line the walls!
10-14
V
Taste buds
What are the vertical grooves on the lateral posterior sides of the tongue called?
Foliate papillae
Fimbriata are ?
Folds under the tongue
The —–is the functional unit of tissues that surrounds and supports teeth
Periodontium
4 parts of the Periodontium
Gingiva ( gingival fibers ) Periodontal ligament (principal fibers) Cementum Alveolar Bone
Sharpeys fibers are inserted in the
— on one side and the —– on the other
Cementum
Alveolar bone
Two general groups of fibers
Gingival
Principal
Principal fibers surround —–
Root
Gingival fibers are around —– —- within the —–
Cervical area
Gingival tissues
What are the 5 gingival fiber groups
Dentogingival Alveologingival Circumferential Dentoperiosteal Transseptal
Dentogingival fibers are in the —-
Free gingiva
Alveologingival fibers are in the
—–
Attached gingiva
The dentoperiosteal fibers are located in the ——
Alveolar crest
What are the 5 types of Principal Fibers
Apical Oblique Horizontal Alveolar crest Interradicular
Apical fibers resist —- forces
Vertical
Oblique fibers resist —-
Vertical and unexpected strong forces
Horizontal fibers resist —–
Tipping of tooth
Alveolar crest fibers resist —-
Intrusive forces
Interradicular fibers resist —–
Vertical and lateral forces
Types of Sharpeys Fibers?
Dentoperiosteal
And
All principal fiber groups
Te cementum functions to ——
And ——
Seal tubules of dentin
Provide attachment for periodontal fiber groups
Cementum is —– um at apex and
—- um at cervical area
50-200
30-60
Cementum is insensitive due to?
No vascular or nerve connections
The alveolar bone consists of the
— —- which surrounds the tooth socket and supporting bone
Lamina dura
The gingiva is made up of?
Free gingiva
Attached gingiva
Interdental gingiva (papillae)
The —-demarcates the free gingiva from the attached gingiva
Free gingiva groove
The gingival groove runs —- with and about — to —mm from the gingival margin
Parallel
- 5
- 5
Outer (oral) gingiva covers the —– over the —-
Gingival groove
Gingival margin
The outer (oral ) epi is composed of what type of cells
Keratinized Stratified squamous
What marks the opening of the gingival sulcus
Gingival margin
Te base of the sulcus or pocket is also called the “—– —”
Probing depth
Healthy sulcus are shallow about
—mm avg is —mm
- 5
1. 8
Infected gingival fluid is termed
Suppuration (pus)
The — of the sulcus can be at different places on the tooth
Base
What epi is triangular in cross section and widest at the junction with the sulcur at epi
Junctional epithelium
Junctional epi can be — to — cells thick or — to — at the apical end
15-20
1-2
The length of the junctional epi is from — to — mm
- 25
1. 35
The junctional epi attaches to the tooth via —– and —-
Hemidesmosomes
Basal lamina
The distance between junctional epi base and crest of alveolar bone HAS to be —- to — mm at all times
- 0
1. 5
Interdental gingiva can be — or — shaped if teeth have spacing.
Can so be — or — shaped if teeth are crowded
Flat / saddle
Tapered / narrow
Cole definition
Area where facial and lingual interdental papillae come together
Most periodontal infections start in the —- area
Col
Attached gingiva is covered with what type of cells
Keratinized Stratified squamous epi
Where does the attached gingiva meet the alveolar mucosa
At the MGJ
Alveolar mucosa is (—–) and made up of what cells
Lining
Loosely bound stratified squamous
A —- — is used to locate frenal attachments an test adequacy of attached gingiva
Tension test
Localized means the gingiva is involved ____
about a single tooth or a “specific” area
Generalized means the gingiva is involved__
about all or nearly all of the teeth or through a single arch
Marginal Gingival inflammation is confined to the ______
Free Gingiva or Marginal Gingiva
The color or normal healthy gums are:
pale pink or coral pink
The size of healthy gums are
not enlarged
fits snugly around the tooth
The shape of the marginal gingiva in a healthy mouth
knife edged, flat, follow a curved line
The shape of the healthy papillae
pointed and pyramidal (fills inter-proximal space)
The consistency of healthy gums is _____ and _____
firm bound down (attached gingiva)
The surface texture of healthy gums:
free gingiva:
attached gingiva:
smooth
stippled
The position of the gingival margin in healthy gums on a fully erupted tooth is at?
1-2mm above cementoenamel junction
In chronic inflammation the gum color is
Dark red
Bluish red
Deep blue
Magenta
—- —-gum color is seen with acute inflammation
Bright red
Certain drugs like —- —- and —- can cause gingival inflammation
Phenytoin
Cyclosporine
Nifedipine
Free gingival tissue looks — or —- with inflammation
Rounded
Rolled
The papillae can be what shapes due to inflammation
Blunted
Bulbous
Cratered
Rolled (mcCals Festoon)
Stillmans cleft can be what shapes
V shape
Apostrophe shape
Slit like shape
What consistency of gingival tissue I apparent with acute inflammation
Soft spongy dents readily
What consistency of gingival tissue is seen with chronic inflammation
Firm hard doesn’t dent
Actual recession VS visible recession
Actual goes from CEJ to pocket depth
Visible goes from CEJ to gingival margin
——-recession can go through the MGJ
Localized
Total recession calculation
Visible and actual recession added together