1) Scaling and root planing

2) Local delivery of chemotherapeutics

1) To remove excess gingiva

2) To re-contour existing gingiva

1) Gingivectomy

2) Crown Lengthening

3) Osseous surgery

1) To increase the width of keratinized gingiva

2) To add gingiva in areas where recession had occured (for root coverage)

1) Gingiva

2) PDL

3) Cementum

4) Alveolar bone

1) The alveolar process of the jaws

2) The cervical portion of the teeth

does not,

resists

stratum corneum

stratum granulosum

stratum spinosum

stratum basale

Which layer of the oral epithelium sits against the basement menbrane

1) alveolar mucosa is non-keratinized, stratified, squamous epithelium

2) subepithelial connective tissue is loosely attached to periosteum (bone)

3) minor salivary glands may be present

_______ _________ is the most permeable of any epithelium in the oral cavity

15-20

apically

tooth

gingival connective tissue

propria

collage

reticular

elastic

oxytalan

What type of collagen is primarily found in gingival connective tissue?

What percent is this collagen in the CT?

type I collagen

60%

Alveologingival

Dentogingival

Dentoperiosteal

Circular

Transeptal

Name the gingival fiber group

arise from the alveolar crest and insert coronally into the lamina propria

Name the gingival fiber group

Extends from cementum (tooth) just apical to base of JE and to connective tissue of free and attached gingiva

Name the gingival fiber group

From cervical cementum (passes over crest) to periosteum

Name the gingival fiber group

Encircles tooth

Name the gingival fiber group

horizontal fibers that extend between teeth

redness (erythema)

swelling (edema)

heat

pain

Increase in vascular diameter

Leukocyte emigration and accumulation

Increase in vascular permeability

Which cell is one of the first critical cells that is at site of infection?

Deliver effector molecules/cells

Physical barrier, counter spread of infection

Promote and initiate repair

IL-1

TNF-alpha

Resolution

Abscess

Scar

Chronic

If tooth is not in function (has no opposing tooth, etc.) then we would expect the PDL to be _______.  

Formative

Supportive

Nutritive

Sensory

Protective

A viable PDL will always contain which 3 types of cells?

Epithelial cells in the PDL are remnants of the _____ _____ and are found in islands called _____ __ _______.

root sheeth

Rests of Malessez

It is theorized that the ________ _____ in the Rests of Malassez can turn on during periodontitis state and can contribute to the pathology.

Alveolar crestal group

Horizontal group

Oblique group

Apical group

Interradicular group

Principle Fibers of the PDL

Eminates from the crest of the bone and goes to the cementum

45-50%

50-55%

Cementoblasts

Cementocytes

Cementoclasts

Osteocytes are derived from ___________ cells

periodontal ligament

parallel

Name the 3 components of the alveolar bone process

These components of bone are classified by _______ and not by ____.

1) Alveolar bone proper

2) Supporting bone

3) Interdental septa

location, type

The periosteum is a connective tissue that is closely bound to the bone and two layers.  What are they?

Which layer contains cells that have the ability to differentiate into osteoblasts?

1) Outer - fibrous layer

2) Inner - cellular layer

Cellular layer

Feedback between ________ and ________ is necessary to get osteoclasts to begin absorbing bone

1) Decreased cell and fiber content with age

2) The amount of cementum increases with age

Which phase of passive eruption?

Base of the gingival sulcus and the junctional epithelium are on the enamel

Which phase of passive eruption?

Base of the gingival sulcus in on the enamel, and part of the junctional epithelium is on the root

Which phase of passive eruption?

Base of the gingical sulcus is at the cementoenamel line, and the entire juntional epithelium is on the root

Which phase of passive eruption?

Base of the gingival sulcus and the junctional epithelium are on the root

1) Gingival recession

2) Notching of the roots which increases plaque retention

1) Aspirin

2) Mouth rinses

3) Toothpaste

1) Bruxism

2) Clenching

Definition

Inflammation

Definition

Gingivitis

Definition

Periodontitis

1) Physical

2) Chemical

3) Microbiological

1) Acute

2) Chronic

3) Chronic granulomatous

Despite all 3 types of inflammation looking different, we still see the ______ ______ of inflammation for all three.  

1) Gather cells for phagocytosis at the site of the injury

2) Gather antibodies

3) Neutralize and dilute the irritant (edema)

4) Limit the spread of the inflammation (fibrosis)

5) Initiate repair

Vascular response

Cellular response

Chemical mediators

Immune response

1) Increase blood flow

2) Sticking of WBCs to the capillary walls

3) Migration of leukocytes through the capillary walls and chemotaxis of granulocytes slowly replaced by monocytes

Histamine

Serotonin

SRS-A

Bradykinin

Erythema

Edema

Pain

Temperature

Loss of function

In the case of retracted gingival tissue, a significant amount of calculus built up on the root surface that prevent what?

Mobility of teeth and pathological migration can lead to alterations in ________.