Atlas · Plate X · Periodontology · 01
The periodontium
The periodontium is four tissues: gingiva, periodontal ligament, cementum and alveolar bone. A healthy sulcus probes about 0.5-3 mm, and crevicular fluid increases with inflammation. The lamina dura lines each socket. Root concavities, such as the mesial of the maxillary first premolar, trap deposits and make instrumentation harder.
High-yield facts · 6
- The periodontium = gingiva, PDL, cementum and alveolar bone.S40
- Healthy sulcus depth is about 0.5-3 mm (histologic depth is about 0.69 mm).S40T2
- Gingival crevicular fluid increases with inflammation and carries neutrophils, antibodies and enzymes.S40
- Alveolar bone proper (lamina dura) lines the socket; supporting bone includes cortical plates and cancellous (trabecular) bone.S40
- Fenestration is a window of missing bone over the root with intact marginal bone; dehiscence is missing bone that reaches the margin.T3
- The maxillary first premolar mesial concavity and the mandibular first molar mesial root concavity are classic instrumentation traps.T3
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