牙周组织-上交大《口腔组织病理学》精品课.pptVIP

Introduction The gingiva（牙龈） The periodontal ligament（牙周膜） The alveolar process (牙槽突) The Gingiva located around the necks of teeth keratinized epithelium(角化上皮) function during mastication The periodontal ligament suspend the tooth in the socket provide a cushion against occlusal forces provide a delicate sense of touch and pressure carry oxygen and nutrition The alveolar process the bony extension of the mandible maxilla provide the necessary support for the teeth an attachment for periodontal ligament fibers compensate for tooth movement Cementum an attachment for periodontal ligament fibers provide compensation for occlusal wear protect the sensitive dentin Objective Histologic structures and function of the periodontal tissues the gingiva the periodontal ligament the alveolar bone Part I Gingiva Introduction Position: around the necks of teeth Color: pink Surface Anatomy The free gingiva(游离龈) The attached gingiva(附着龈) The interdental papilla(牙间乳头) Free Gingiva Boundaries Coronally: the gingival margin Apically: the free gingival groove, 1.0~1.5mm (游离龈沟，GG) Free Gingiva Gingival sulcus(龈沟) : 0.5~3mm coronally: the gingival margin bottomly: the junctional epithelium the inner margin: the tooth surface the outer surface: sulcular epithelium Attached Gingiva Position: between the free gingiva the alveolar mucosa the free gingiva: the free gingival groove the alveolar mucosa: mucogingival junction Stipple orange peel appearance the absence: an initial sign of pathology Interdental Papilla Position: on the inter-proximal areas of the crowns on the labial and lingual surfaces Shape: wedge-shaped The col interproximal to the vestibular and oral cavity surfaces of the interdental papilla a concave area anteriorly: like a pyramid posteriorly: be flattened plaque and calculus form: sign of inflammation Histological Structure The surface epithelium Lamina propria rete epithelium ridges The surface epithelium the margin of t