applied anatomy

Question 1

what is the keratinized gingiva

Answer 1

The attached gingiva+ the marginal gingiva

Question 2

what kinda of gingiva is found beyond the mucogingival jucntion

Answer 2

Unkeratinized gingiva

Question 3

how to find the width of attached gingiva

Answer 3

measure from gingival margin to mucogingival junction

subtract probe deapth from this

Question 4

what is used to diagnosis of periodontisis

Answer 4

based on attachment loss, NOT probe depths

Question 5

how to calculate attachment loss

Answer 5

Pocket depth+ gingival recession

Question 6

how does Soft tissue attach to the tooth

Answer 6

via fibrous tissue and via junctional epithelium

Question 7

what is the connective tissue attachment

Answer 7

1.06-1.08mm

Question 8

what is the epithelial attachment

Answer 8

1.4mm

Question 9

what should the distance from CEJ to alveolar crest be

Answer 9

2mm

Question 10

what should you do if the distance from crown margin to alveolar crest is less than 2mm

Answer 10

Crown lengthening

Question 11

what was the initial thinking to create recession

Answer 11

width of keratiniezed tissue less than 2mm

Question 12

problem with narrow gingiva

Answer 12

Cannot protect from friction
cannot buffer against muscle pull
facilitates subgingival plaque formation

Question 13

what does narrow gingiva facilitate subgingival plaque formation

Answer 13

Mobile tissue causes pocket to open
Facilitates food impaction
Impedes oral hygiene

Question 14

why does the gingiva move down

Answer 14

Via bone resorption witch in turn pulls down the connective tissue that supports the gingiva

Question 15

what is recession described as when the gingival margin is coronal to CEJ

Answer 15

NEgative recession

Question 16

what happens if you violate the biologic width

Answer 16

leads to lots of inflammation

Question 17

what is modern ideal concerning gingival health in association with its dimensio

Answer 17

Gingival health can be maintained indepedent of its dimensions

Question 18

what has more resistance to attachment loss, narrow or wide gingiva

Answer 18

Both equal

Question 19

what receeds more thick or thin gingiva

Answer 19

Thin more

Question 20

what is more vulnerable to trauma, thick or thin gingiva

Answer 20

Thin more

Question 21

what is more vulnerable to inflammation, thick or thin gingiva

Answer 21

Thin

Question 22

what has less favorable tratment outcomes, thick or thin gingiva

Answer 22

Thin

Question 23

why would you receommend gingival grafts

Answer 23

When recession causes symptoms
Subgingival restoration margins on thin biotype
Pre-ortho therapy

Question 24

gingival grafts for when recession causes symptoms

Answer 24

Caries
Esthetic Concerns
Progressive recession
Sensitivity

Question 25

what determines the characterisitics of the gingiva

Answer 25

Geneticall determined rather than being the result of functional adaptation to environmental stimul

Question 26

what interaction is important for gingiva growth

Answer 26

Epithelial mesenchymal interactions

Question 27

how did we think gigniva became keratinized early on

Answer 27

In response to friction

Question 28

How do we now think gingiva becomes keratinized

Answer 28

Connective tissue determines epithelial characteristics

Question 29

why did we originally do coronally advanced flaps

Answer 29

Keratinized epithelium converted to firm attached gingiva and eptihlium directs new eptihlium

Question 30

now what do we do to graft gingiva

Answer 30

Connective tissue grafts

Question 31

early gingival grafts

Answer 31

free gingival grafts | Coronaly advanced flaps

Question 32

what happens if you develop antibodies to the basement membrane

Answer 32

basememnt membrane goes away | you blister since epithlium goes away

Question 33

what do the cells of the alveolar bone come from

Answer 33

Cells from the dental follicle | Cells independent of tooth development

Question 34

what makes up the alveolar bone

Answer 34

CAncellous bone Cortical bone Marrow

Question 35

what is found in the bone marrow of alveolar bone

Answer 35

Adipocytes Vascular structures Undifferentiated mesenchymal cels

Question 36

why does the alveolar bone remodel

Answer 36

In response to forces and tooth movement

Question 37

what forms the cortical plate of the alveolar bone

Answer 37

The cortical bone

Question 38

how does healing occur after extraction

Answer 38

``` Cloting Wound cleaning New vasculature Provision connective tissue Immature bone Bundle bone (Socket proper is resorbed Woven bone maturation of bone ```

Question 39

what does wound cleaning after an extraction

Answer 39

PMNs, monocytes, macrophages

Question 40

what forms the granulation tissue after an extraction

Answer 40

Mesenchymal cells from the PDL

Question 41

why preseve a socket

Answer 41

for bone morphology in the case of an implant

Question 42

what normally happens in the healing of bone

Answer 42

Pulls socket togeher

Question 43

how to preseve asocket

Answer 43

Fill with bone granules

Question 44

where are fibroblasts of the PDL

Answer 44

along principle fibers

Question 45

where are osteoblasts of the pdl

Answer 45

Line bone surface

Question 46

where are cementoblasts of the PDL

Answer 46

Line cemntal surface

Question 47

what is the principle of guided tissue regnetation

Answer 47

epithlium grows faster than bone or connective tissue

Question 48

what does epithelial exclusion allow

Answer 48

Selective growth of connective tissue cells

Question 49

how to do guided tissue regeneration

Answer 49

Fill with bone chips keep chips in with barrier membrane epithlium flows over membrane and bone replaces the bone chips