Histology Of Gingiva Flashcards
What are the 3 areas of dento gingival junction epithelium?
Junctional epithelium
Sulcular epithelium
Oral epithelium
Four tissues of the periodontium
Gingiva
Cementum
Periodontal ligament
Alveolar bone
What is the col?
Gingiva between the interdental margin of teeth
Only visible gingival epithelium
Oral epithelium
What type of epithelium is oral epithelium?
Keratinised stratified squamous
What are the cell layers of oral epithelium?
- Basal layer - cube
- Prickle layer - spine like
- Granular layer - flattened - increased keratin
- Keratinized layer - flatened - extensive keratin
What holds cell to cell attachment in gingival epithelium together?
Desmosomes
Where is sulcular epithelium located?
Faces the tooth substance but not in contact with the tooth
Structures of sulcular epithelium
Thin
No rete pegs
Non keratinised
Semi permeable
What epithelium does gingival crevicular fluid flow between?
Sulcular epithelium
What are the cell layers of Sulcular epithelium?
Basal cell layer - cube
Prickle cell layer - spine
Superficial cell layer
What are the cell layers of junctional epithelium?
Basal cell layer - cubed
Prickle cell layer - spine
Tooth
What type of epithelium is junctional epithelium?
Stratified squamous non keratinised
How many cells thick is the junctional epithelium at apical zone?
4-5 cells layers thick
How many cells thick is junctional epithelium coronally?
15-30 cells thick
Where is junctional epithelium located?
Joins gingiva to tooth
Why is junctional epithelium present?
Whole body is a sheet of epithelium and the teeth penetrate this. The junctional epithelium is the body’s attempt to seal the opening.
Internal basal lamina structure and location
Thin layer of extra cellular matrix between epithelial cells and tooth surface
External basal lamina structure and location
Thin layer of extra cellular matrix between epithelial cells and gingival connective tissue
What do hemidesomes connect
Epithelial cells to internal and external basal lamina
Three main functions of junctional epithelium
Attachment
Barrier
Host defence
Gingival connective tissue function and location
Provides solidity to free and attached gingiva and attaches the gingiva to the cementum and alveolar bone
What is the gingival connective tissue also known as?
Lamina propria
What is the function of supra gingival fibres?
To provide a brace for the gingiva to withstand forces of mastication in different directions
(Hold tooth upright)
What does inflammation cause to the supra gingival fibres?
Lose of density, becomes spongy
Supra gingival fibre from alveolar crest to gingival connective tissue?
Alveologingival AG
Supra gingival fibre that’s a ring coronally around crestal bone?
Circular C
Supra gingival fibre from cementum fan into gingival tissue?
Dentogingival DG
Fan from periosteum supra gingival fibre?
Periosteogingival PG
Which supra gingival fibre runs mesiodistal direction along whole dental arch linking teeth together
Intergingival IG
Supra gingival fibre that encircles several teeth linking them together?
Intercircular IC
Supra gingival fibre located in papilla, connecting oral and vestibular papilla?
Interpapillary IP
Supra gingival fibre from cementum to cementoenamel junction and runs horizontally linking teeth together
Transgingival TG
Super gingival fibre from cementum of one tooth to another tooth over crestal bone
Transeptal TS
Microscopic anatomy of junctional epithelium
- Closely packed epithelial cells
- Neighbouring cells joined by desmosomes
- Internal basal lamia; thin layer of extracellular matrix between epithelial cells and tooth surface
- External basal lamia; thin layer of extracellular matrix between epithelial cells and gingival connective issue.
Which basal lamina lies between epithelial cells and tooth surface?
Internal basal lamina
Which basal lamina sits between epithelial cells and gingival connective tissue?
External basal lamina
What is the depth and shape of the gingival sulcus in health?
3mm or less and triangle in shape