Normal Peridontium Flashcards

1
Q

What is the periodontium?

A

The periodontium is the supporting apparatus of the teeth, consisting of the gingiva, periodontal ligament, root cementum, and alveolar bone.

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2
Q

What is the clinical relevance (importance) of normal periodontium?

A

It attaches the tooth to the bone, provides structural support, and plays a role in maintaining oral health.

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3
Q

What is the gingival sulcus, and what is its normal depth?

A

The gingival sulcus is the shallow space around the tooth, with a clinical depth of 2-3 mm in normal conditions.

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4
Q

What is the attached gingiva?

A

The attached gingiva extends from the free gingival groove to the mucogingival junction and is firm, resilient, and stippled.

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5
Q

How does the attached gingiva differ from marginal gingiva?

A

Marginal gingiva forms the free soft tissue wall of the sulcus, while the attached gingiva is firmly bound to the underlying structures.

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6
Q

What is the interdental papilla?

A

The interdental papilla is the gingival tissue located between adjacent teeth, pyramidal in the anterior and more flattened in the posterior regions.

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7
Q

What is the junctional epithelium?

A

The junctional epithelium forms the attachment between the gingiva and the tooth surface, preventing bacterial colonization of the subgingival area.

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8
Q

How does junctional epithelium contribute to oral health?

A

It acts as a barrier against bacteria, allows access to immune cells, and exhibits rapid turnover to help repair damaged tissues.

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9
Q

What is gingival fluid, and when does its flow increase?

A

Gingival fluid seeps from the connective tissue into the sulcus, and its flow increases during inflammation.

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10
Q

What is continuous tooth eruption?

A

Continuous eruption involves an active phase, where teeth move occlusally, and a passive phase, where the gingiva migrates apically.

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11
Q

What is biological width, and why is it important?

A

Biological width refers to the supracrestal attached tissues (about 2 mm) needed for periodontal health, and infringement by restorations can lead to tissue inflammation.

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12
Q

How is the biological width measured?

A

It is measured by bone sounding in healthy gingiva to ensure the space for supracrestal attached tissues is adequate.

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13
Q

What are the components of sulcular fluid?u

A

Sulcular fluid contains desquamated epithelial cells, leukocytes, lysosomes, bacteria, electrolytes, and organic compounds.
DEBLLO

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14
Q

What are the sources of blood supply to the gingiva?

A

The blood supply comes from supraperiosteal arterioles, periodontal ligament vessels, and arterioles from the ** interdental** septa.

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15
Q

Which tissue exhibits rapid turnover, and why is this important?

A

Junctional epithelium exhibits rapid turnover, which helps in maintaining the balance between host defense and bacterial presence.

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16
Q

What are the three parts of the gingiva?

A

The three parts are the free gingiva (marginal gingiva), attached gingiva, and interdental papilla.

17
Q

What happens if restorative margins infringe on the biological width?

A

Infringement can cause inflammation, tissue loss, and eventual periodontal breakdown due to bacterial accumulation or material toxicity.

18
Q

How does the width of the attached gingiva vary in the mouth?

A

The width is greatest in the incisor region and decreases in the posterior, with the least width found at the first premolar area.