53

PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

  • Upload
    tranque

  • View
    244

  • Download
    8

Embed Size (px)

Citation preview

Page 1: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 2: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

PARTS OF PERIODONTIUM

GINGIVAPERIODONTAL LIGAMENTROOT CEMENTUMALVEOLAR BONE

Page 3: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

PARTS OF PERIODONTIUM1. GINGIVA

2. PERIODONTAL LIGAMENT

3. ROOT CEMENTUM

4. ALVEOLAR BONE

Page 4: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

PERIODONTIUM

G- GINGIVA

PL – PERIODONTAL LIGAMENT

ABP – ALVEOLAR BONE PROPER

RC –ROOT CEMENTUM

AP –ALVEOLAR PROCESS

Page 5: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

GINGIVA

Page 6: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

n

GINGIVA

I - LOOSE ALVEOLAR MUCOSA

II- MUCOGINGIVAL JUNCTION

III- ORANGE PEAL FEATURE

IV-MARGINAL GROOVE

V- FREE GINGIVAL MARGIN

VI- TEETH

VII- INTERDENTAL GINGIVA

VIII- VERTICAL INTERDENTAL GROOVES

IX- ATTACHED GINGIVA

Page 7: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 8: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 9: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

Orange peel appearance

Page 10: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

PARTS OF GINGIVAFREE GINGIVAL MARGIN

ATTACHED GINGIVA

LOOSE ALVEOLAR MUCOSA

Page 11: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 12: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

FREE GINGIVAL MARGINE AND EPITHELIAL ATTACHMENT AT THE CEMENTO-ENAMEL JUNCTION

Page 13: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 14: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

FREE GINGIVAGS- SULCUS

SE – SULCUS EPITHELIUM

BG- CONNECTIVE TISSUE

OE – ORAL EPITHELIUM

S – ENAMEL

SZG- JUNCTIONAL EPITHELIUM

Page 15: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

GINGIVAL RECESSION DURING THE LIFE

Page 16: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

HEAVY GINGIVAL PIGMENTATION DUE TO CHARACTERISTIC RACE FEATURE

ORANGE PEAL APPEARANCE

Page 17: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

DENTOGINGIVAL FIBERS AND THE INTERDENTAL COL AREA

Page 18: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

EPITHELIAL-CONNECTIVE TISSUE BOUNDARY

Page 19: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

FIBERS OF THE INTERDENTAL GINGIVA

Page 20: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

FIBERS OF THE FREE AND ATTACHED GINGIVA

Page 21: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

EPITHELIAL ATTACHMENT –JUNCTIONAL EPITHELIA

D –DENTIN

E – ENAMEL

C –CEMENTUM

A – JUNCTIONAL EPITHELIAL CELLS

THE JUNCTIONAL EPITHELIUM UNITES THE GINGIVAL CONNECTIVE TISSUE WITH THE ENAMEL BY HEMIDESMOSOMAL ATTACHMENT

Page 22: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

THE DENTINOGENESIS AND THE DEVELOPMENT OF THE APITHELIAL ATTACHMENT

ENAMEL ORGAN –ENAMEL AND PRIMARY EPITHELIAL ATTACHMENT

DENTAL PAPILLA – PULP, DENTIN

DENTAL FOLLICLE –PERIODONTAL ATTACHMENT APPARATUS –CEMENTUM, PDL, AND ALVEOLAR BONE PROPER

Page 23: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

DENTAL LAMINA

BUD STAGE

CAP STAGE

BELL STAGE

THE DENTINOGENESIS AND THE DEVELOPMENT OF THE APITHELIAL ATTACHMENT

Page 24: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

PRIMARY EPITHELIAL ATTCHMENT

Page 25: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

OUTER ENAMEL APITHELIUM

INNER ENAMEL EPITHELIUM

CERVICAL LOOP

AMELOBLASTS

Page 26: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 27: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

STELLATE RETICULUM

STRATUM INTERMEDIUM

INNER ENAMEL EPITHELIUM

AMELOBLASTS

ENAMEL

DENTIN

DENTAL PAPILLA

Page 28: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

PRIMAER EPITHELIAL ATTACHMENT

HEMIDESMOSOMES

Page 29: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 30: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

JUNCTIONAL EPITHELIUM ON THE ERUPTED TOOTH

E – ENAMEL

REE - REDUCED ENAMEL EPITHELIA

OE – ORAL EPITHELIUM

JE - JUNCTIONAL EPITHELIUM

C - CEMENTUM

AC - AFIBRILLA R- ACELLULAR CEMENTUM

CEJ-CEMENTOENAMELJUNCTION

Page 31: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

THE DEVELOPMENT OF THE PRIMITIVE ROOT

OB – ODONTOBLAST

D – DENTIN

RS – HERTWIG’S EPTHELIAL ROOT SHEATH

Page 32: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

GINGIVAL SULCUS AND JUNCTIONAL EPITHELIUM AT THE MOST CORONAL LEVEL

Page 33: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 34: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 35: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 36: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

EM PICTURE OF JUNCTIONAL EPITHELIUM WITH EMMIGRATING PMN LUKOCYTES

Page 37: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 38: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

THE JUNCTIONAL EPITHELIUM AT THE MOST APICAL LEVEL

Page 39: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

EM PICTURE OF THE EPITHELIAL ATTACHMENT

Page 40: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

SULCULAR FLUID

•FROM NORMAL GINGIVA IS MINIMAL AND RATHER A TRANSSUDATE

•THE MORE INFLAMMED THE GINGIVA THE MORE SULCULAR FLUID IS PRODUCED

•THAN IT IS A TYPICAL INFLAMMATORY EXUDATE

•WITH IgG, IgM, IgA, COMPLEMENT, FIBRONECTIN, PMN LEUKOCYTES

Page 41: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

SULCULAR FLUID

•DEFENSIVE MECHANISMS

•LUMBRICATING EFFECT

•EPITHELIAL DESQUAMATION

•IMMUNOGLOBULINS

•COMPLEMENT

•PMN LEUKOCYTES BARRIER

•CHRONIC INFLAMMATORY REACTION

Page 42: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 43: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 44: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

ORAL EPITHELIA

Page 45: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

THE TURN OVER OF THE STRATIFIED SQUAMOUS EPITHELIA

THE OLD BASAL CELLS (OB) ARE TRAVERSING INTO THE SPINOCELLULAR LAYER AND DIFFERENCIATED TO PRICKLE CELLS

Page 46: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

STRATIFIED SCQUAMOUS EPITHELIUM WITH PARAKERATINIZATION

Page 47: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 48: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 49: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 50: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

THE SPECIAL ORIENTATION OF THE TRANSSEPTAL DENTOGINGIVAL FIBERS

Page 51: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 52: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament
Page 53: PARTS OF PERIODONTIUM PERIODONTAL LIGAMENT ROOT CEMENTUM …semmelweis.hu/parodontologia/files/2013/10/2.NORMAL-MORPHOLOG… · periodontium g- gingiva pl – periodontal ligament

CLINICAL CRITERIA OF NORMAL GINGIVA

•COLOR

•SURFACE

•FORM

•CONSISTENCY

•SULCUS EXUDATE

•SULCUS BLEEDING