Attached gigniva. Apically positioned flaps, free gingival grafts, and the subepithelial connective tissue graft are the most common Attached gingiva plays a promising role in maintaining periodontal health. Increasing att … Jan 14, 2015 · The gingiva is distinguished from the oral mucosa at the mucogingival junction. Four black females presented with diffuse pigmentation of the maxillary attached gingiva and without any radiographic abnormalities. Methods An electronic search was performed in PubMed, Embase, Web of Science, and CNKI with no language restrictions. This paper will discuss the role of attached gingiva in patients with implants, and present a case managed with a free gingival graft. Apr 2, 2025 · In essence, the free gingiva protects the tooth and forms a seal, while the attached gingiva provides structural support and firmness to the gingival tissue, allowing it to withstand the forces of chewing and other oral activities. However, thin gingival tissues around teeth with restorations or undergoing labial orthodontic tooth movement may be more susceptible to recession. Watch the full video for a comprehensive understanding. Attached Gingiva Attached gingiva is continuous with marginal gingiva. A case is reported of a lesion that recurred in the attached gingiva following initial excision. Recurrent Intraoral Herpes Relatively uncommon Usually few symptoms Cluster of shallow ulcers intact vesicles rare Mucosa bound to periosteum Hard palate and attached gingiva Heal within one week Having a basic understanding of these structures allows clinicians to provide the best possible care to their patients by allowing them to accurately assess a patient’s oral health status. The tissues should appear pale pink and homogenous in color and texture (Figure 55). Stippling is often observed in the attached gingiva as it is firmly attached to the underlying cementum and alveolar bone. Attached gingiva is a part of keratinized gingiva which aids in periodontium to increase resistance to external injury and contribute in stabilization of gingival margin Learn the steps, from identifying the muco-gingival junction to calculating attached gingiva width, essential for assessing periodontal health. Oct 11, 2016 · An exploration of the role of keratinized gingiva in the natural dentition and around dental implants The significance of attached gingiva is controversial in periodontics and implant dentistry. The attached gingiva and free gingiva share similar histology because both are considered masticatory mucosa (due to its rubbery surface texture and resiliency). The attached gingiva extends from the marginal gingiva to the mucogingival junction and is tightly bound to the underlying alveolar bone. Maintaining its health involves good oral hygiene, regular dental visits, and prompt treatment of any periodontal issues. These structures increase surface area and enhance the tissue’s strength and durability. 2 and 1. Download scientific diagram | Marginal (free) gingiva, attached gingiva and alveolar mucosa. The interdental gingiva can be pyramidal or have a "col" shape. The color varies among different persons and […] It is lined with sulcular epithelium and attached to the tooth at its base by the epithelial attachment. It is firm, resilient & tightly bound to periosteum of the alveolar bone. Attached Gingiva: Gingival tissue laying between the alveolar gingiva and the mobile gingiva. This line indicates the transition from the loosely attached and movable oral mucosa to the attached gingiva, which is more firmly attached to the bone by collagen fibers. In contrast, the marginal gingiva lacks the presence of stippling, and the tissue is mobile or free from the underlying tooth surface, as can be demonstrated with a periodontal probe. An adequate width of attached gingiva prevents plaque formation and soft-tissue recession. Nov 22, 2024 · As dental hygienists, we are all about gums/gingivae, are we not? Day after day we examine what those nasty microbes are doing to the supporting structures of teeth. In summary, the attached gingiva is a vital component of oral health, providing support, protection, and stability to the teeth and surrounding tissues. Gingiva Anatomy The gingiva is composed of fibrous tissue covered by mucous membrane that is firmly attached to the periosteum of the alveolar processes of the mandible and maxilla. 1). ABSTRACT:- hed gingiva can hinder oral hygiene maintenance and may result in re ession. 8 mm (mandibular canines) and 1. Having a basic understanding of these structures allows clinicians to provide the best possible care to their patients by allowing them to accurately assess a patient’s oral health status. It discusses the different types of gingiva including the marginal, attached, and interdental gingiva. Microscopically, it describes the oral, sulcular, and junctional epithelium, as well as the development of the junctional epithelium during tooth eruption. Unlike the softer gingival margin that surrounds teeth, attached gingiva offers stability and safeguards the underlying periodontal structures, playing a vital Apr 4, 2022 · Attached gingiva plays an important role in periodontal health. This type of masticatory mucosa is also found on the hard palate. 1 A and B). Abstract Background The anatomical features of the gingiva and the clinical crowns and their interrelation, especially in aesthetically and functionally demanding areas, are important in complex dental or implant-retained prosthetic rehabilitations. Considerable variations exist in the same as well as in different individuals. 2 Because the free gingiva and attached gingiva protect the underlying periodontium, the epithelium is mainly keratinized. The gingiva extends from the dentogingival junction to the mucogingival junction and can be divided into free gingiva, attached gingiva, and interdental May 6, 2014 · The free gingival graft is an age-old periodontal procedure that has long been the gold standard for increasing attached gingiva around the natural dentition. The clinical relevance of the mucogingival junction is in the measurement of the attached gingiva’s width. The marginal or unattached gingiva is the terminal edge or border of the gingiva that surrounds the teeth in collarlike fashion (Figures 1-1 and 1-2). Therefore, it is essential to enhance the width of attached gingiva. The tissue is roughly four to five millimeters wide, depending on location, and tightly affixed to the underlying periosteum of alveolar bone. Histologically in the overlying epithelial structures (predominantly cellular in nature) and underlying connective tissue (CT) (less cellular, composed primarily of an integrated network of proteins, growth factors, minerals Dec 11, 2016 · Pink sessile nodule of the mandibular facial attached gingiva. All the specialties in dentistry deal with attached gingiva in their daily treatment procedures. The transition of the attached gingiva and mucosa is called the mucogingival line, it is not visible only at the transition of Study with Quizlet and memorize flashcards containing terms like Gingival assessment includes?, Why is it helpful to have a gingival descrition?, What are the components of Gingival Description? and more. The attached gingiva is the most common intraoral site of such pigmentation, where it appears as a bilateral, well-demarcated, ribbon-like, dark brown band that usually spares the marginal gingiva1 (Fig. It describes the width and thickness of attached gingiva, noting it varies between 1-9mm wide and has an average thickness of 1. Abstract Attached gingiva is a part of keratinized gingiva which aids in periodontium to increase resistance to external injury and contribute in stabilization of gingival margin against Study with Quizlet and memorize flashcards containing terms like attached gingiva, what is important to keep in mind when dentist are doing restorative work?, if there is no attached gingiva then the dentist is limited to? and more. The clinical differential diagnosis was fibroma vs. Large dermal papillae and rete pegs create the stippled (rough surface) appearance of the attached gingiva. Stippl ing occurs at the intersection of epithelial ridges that causes the depression and the interspersing of connective tissue papillae between these intersections giving rise to the small bumps. 4). 1 It also mitigates forces from frena pull, 2 deepens the vestibule, and provides an environment conducive to Jan 10, 2013 · Keratinized attached gingiva provides the periodontium with increased resistance to external injury, contributes to the stabilization of the gingival margin, and aids in dissipating physiological forces exerted by the muscular fibers of the alveolar mucosa on the gingival tissue. It is located at the base of the sulcus. Mar 1, 2019 · The attached gingiva we need helps provide protection from external injury and is very important when plaque control is compromised. Stippling is often observed in the attached gingiva as it is firmly attached to the underlying cementum and alveolar bone with the help of the collagen fibers of the connective tissue. Historically, it was believed that stippling signified good oral health, but it has since Macroscopically gingiva is divided into three zones based on its anatomic location - marginal gingiva attached gingiva interdental papilla so lets try and break this down and understand it better!! The document discusses attached gingiva and procedures for gingival augmentation. It defines attached gingiva and discusses its importance for periodontal health. Odontogenic epithelium and mineralized material may be found in the mass. This observational cross-sectional study was designed to evaluate gender- and age-related differences in the width of attached gingiva (WAG), the This document discusses the width of attached gingiva and its significance. It is four to five millimeters in width and is irremovable from the underlying structures without causing damage. The treatment not only improved vestibular depth and soft tissue phenotype but also alleviated inflammation and sensitivity, supporting better oral hygiene practices. It defines attached gingiva and explains its clinical significance as a barrier against microbes and irritants. Thicker gingiva provides better conditions for treatment and wound healing (blood flow; stable position of the gingival margin). Up to a third of such lesions on the gingiva contain trabeculae of metaplastic bone, particularly those on the maxillary labial gingiva, and which are or have been ulcerated [1, 7]. The functional need for attach … Jul 1, 2010 · This narrative review aims to outline the concepts on the significance of the width of attached gingiva around teeth and implants to enable the clinician to decide on the need for gingival augmentation in different clinical scenarios. What is Attached Gingiva? Understanding the Health and Significance of Attached Gingiva Attached gingiva is a specialized, firmly bound tissue within the oral mucosa that extends from the gingival margin to the mucogingival junction. Junctional epithelium – The part of the gingiva that attaches the connective tissue to the tooth. Attached The attached gingiva has a stippled or pebbled appearance caused by numerous small projections known as gingival papillae. The marginal gingiva has a more translucent appearance than the attached gingiva, yet has a similar clinical appearance, including pinkness, dullness, and firmness. e. This document provides an overview of the macroscopic and microscopic anatomy of the gingiva. Composed of very dense mucosa called masticatory mucosa, it has a thick epithelial covering and keratinized cells. Attached gingiva extending from the free margin of the gingiva to the mucogingival line minus the pocket or sulcus depth measured with a thin probe in the absence of inflammation. The frenum is a naturally occurring muscle attachment, typically seen between the front teeth. Jan 30, 2025 · Attached gingiva is the part of the gingiva which is tightly attached to the underlying periosteum of alveolar bone and cementum by connective tissue fibers. Diffuse; inflammation of the gingival margin, papilla and attached gingiva, extending to the mucogingival junction The attached gingiva extends from the free gingiva coronal to the alveolar mucosa. ,12 This flat, diffuse, brown/black pigmentation typically is noted on the anterior attached gingiva of both arches. Connective tissue Anatomically the gingiva is classified in the free gingival margin, the interdental gingiva and the attached gingiva. It is a topic of interest among dental professionals and dentists. While there are always local factors at work, it is important to be knowledgeable about the various Attached gingiva around the teeth is crucial in preserving periodontal health. 3. The attached gingiva is the portion that extends coronally from the mucogingival junction. 25mm. The attached gingiva is firmly bonded to the connective tissue over the alveolar bone and is separated from the oral mucosa by the mucogingival line (Figure 1). The conclusion emphasizes the importance of maintaining adequate May 13, 2020 · Three different types of Gingiva are: A. The underlying mucosa is composed of dense collagen fibers (Table 8-1). Methods to measure width and The attached gingiva has a festooned appearance with intermittent prominences corresponding to the root surface contour. Key surgical methods include free gingival autografts, free connective tissue autografts, and apically displaced flaps, each with distinct procedures and considerations. ( Courtesy of Curt Hayes, DDS, Lafayette, CO. , This tissue is Jun 4, 2021 · Background The anatomical features of the gingiva and the clinical crowns and their interrelation, especially in aesthetically and functionally demanding areas, are important in complex dental or implant-retained prosthetic rehabilitations. There are times, however, when those bulging, bulbous, and boggy tissues are caused by something other than microbial activity. The marginal gingiva is the terminal edge of gingiva surrounding the teeth in collar like fashion. There is a saying that goes ‘the eyes are a window to the soul’ and ‘the m attached gingiva that portion of the gingiva which is firm and resilient and is bound to the underlying cementum and the alveolar bone, thus being immovable. Several surgical techniques are described to widen attached gingiva, including free gingival autografts, free connective tissue autografts, pedicle autografts, and guided tissue regeneration. Abstract Peripheral odontogenic fibroma is an uncommon, benign, unencapsulated, exophytic gingival mass of fibrous connective tissue covered with a surface epithelium. It is firm, resilient and tightly bound to the underlying alveolar periosteum, i. 17: Illustration of a partially keratinized epithelium of the attached gingiva. Inter-dental The gingival tissue that tightly adheres to the alveolar process that surrounds the roots of the teeth is the attached gingiva. The free gingival groove (arrow) marks the boundary between free and attached gingiva. 3 Pigmentation tends to appear darker in heavy smokers and has a propensity to occur most often in women, potentially due to a synergistic effect of female sex hormones combined with the effects of smoking. Attached gingiva is firmly bound to the underlying alveolar bone and protects the mucosa during chewing and other oral functions. Plaque development and soft-tissue recession are both prevented by adequate attached gingiva. The attached gingiva's firm attachment is crucial for preventing recession and maintaining periodontal health. This document discusses the anatomy, measurement, and clinical significance of the attached gingiva. It is firm, resilient and hence immovable portion of the gingiva. The attached gingiva is especially important because it is tightly bound to the underlying alveolar bone. Eligible study selection, data extraction Mar 28, 2023 · The attached gingiva often exhibits stippling (orange peel-like appearance) of the surface, most evident on the facial aspect of maxillary anterior teeth (Figs. • The gingiva is the part of the oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth –Carranza. Discover histology and neurovascular supply of the gingiva and disorders like gingivitis. The attached gingiva is the part of the gingiva which is tightly attached to the underlying periosteum of the alveolar Attached gingiva may present with surface stippling. Attached gingiva is fim, resilient and hence immovable portion of the gingiva. 5 mm (mandibular second molars). (see Section 5. It notes that the attached gingiva extends from the base of the gingival sulcus to the mucogingival junction. In periodontally healthy subjects, the buccolingual dimension (thickness) of facial gingiva ranges between 0. 13 Healthy, Pigmented Gingiva Note the symmetrical pigmentation of the attached gingiva in this 16-year-old African female. Clinical appearance of gingiva: A) Attached gingiva above and interdental papilla below; B) mucogingival line separating attached gingival from mucosa; C) free gingival margin; D) posterior Dec 18, 2024 · An older adult with severe interdental attachment loss and gingival recession underwent a procedure to increase the zone of attached gingiva. The anatomical width of attached gingiva increases slightly with the increasing age because of tooth eruption to compensate for occlusal wear 12. The attached gingiva's attachment to the cementum and alveolar bone via collagen fibers provides stability and resistance to movement during chewing and other oral functions. The processes for harvesting soft-tissue grafts are frequently accompanied Periodontal deficiencies, such as a lack of keratinized or attached gingiva, need to be determined and appropriately treated. Attached gingiva The attached gingiva is continuous with the marginal gingiva. The width of attached gingiva is not significant to maintain periodontal health in the presence of adequate oral hygiene. The attached gingiva extends from the free gingiva coronal all the way to the alveolar mucosa. Called also alveolar gingiva. 2. This slight depression on the outer surface of the gingiva does not correspond to the depth of the gingival sulcus but instead to the apical border of the to the nearest 0. Explore the types of gingiva, such as marginal, attached, and interdental gingiva. Although the need for a so-called adequate amount of keratinized tissue for The keratinized attached gingiva provides the periodontium with increased resistance to external injury, contributes to the stabilization of the gingival margin, and aids in dissipating physiological forces exerted by the muscular fibers of the alveolar mucosa on the gingival tissues. Marginal; inflammation of the gingival margin and the papilla. 5 mm from the gingival margin to the mucogingival junction using a specially graded perio dontal probe. Interdental Each unit space approximates the area of the marginal gingiva, and extends from the gingival crest apically about 4 or 5 mm up to the level of the attached gingiva. 8-1). The gingival tissue between adjacent teeth adjoining the attached gingiva is the interdental gingiva, forming the individual extensions of the interdental papillae. Learn about Clinical Anatomy of the Healthy Gingival Unit from Anatomy & Histology of the Gingival Unit and Basic Oral Hygiene dental CE course & enrich your knowledge in oral healthcare field. It provides a physical barrier to oral biofilm, dissipates masticatory forces, and protects the periodontium from injury. Success with dental implants is based on the need to achieve primary stabilization and The gingiva or gums is the soft mucous tissue covering the alveolar bone. reported four cases of cultural practice of gingival tattoo in West African females of three different ethnic groups. Apr 2, 2025 · In essence, the free gingiva acts as a cuff around the tooth, while the attached gingiva is tightly bound down and provides the foundation for the free gingiva. The free gingivae form a thin rim, of approximately 1 mm, around the neck of the teeth (Standring, 2016). The attached 5 gingiva is thus, firmly entrenched between two movable structures: the marginal gingiva coronally and the alveolar mucosa apically (Table 1. This case report presents a case involving a 40-year-old male patient who was referred from the Department of Prosthodontics due to inadequate vestibul The interdental papilla, (interdental gingiva), is the part of the gingiva that exists coronal to the free gingival margin on the buccal and lingual surfaces of the teeth. Masticatory mucosa is well designed to withstand the trauma to Apr 23, 2022 · Attached gingiva is the part of gingiva which plays a significant role in maintaining periodontal health. The attached gingiva is the part of the gingiva which is tightly attached to the underlying periosteum of the alveolar bone. Jan 1, 2021 · Abstract Attached gingiva is a part of keratiniz ed gingiva which aids in periodontium to increase resist ance to ex ternal injury and contribute in stabilization of gingi val margin Jan 5, 2015 · FIGURE 10-1 Gingival and dentogingival junctional tissue: marginal gingiva, attached gingiva, sulcular epithelium, and junctional epithelium. [1] Although minimal dimensions of AG to The gingiva is the soft tissue that surrounds and supports the teeth in the oral cavity. peripheral ossifying fibroma. This document summarizes techniques to increase the width of attached gingiva. free gingiva the portion that surrounds the tooth and is not directly attached to the tooth surface. The attached gingiva also acts as a protective barrier, safeguarding the underlying structures from external threats. Inadequate width can facilitate subgingival plaque formation. Clinical Features of Gingival Inflammation Gingival inflammation is the body’s reaction to the bacterial infection of the gingival tissues by periodontal pathogens. Figure 3. The gingiva is the masticatory mucosa that lines the alveolar ridges and surrounds the necks of teeth. It serves as a stable and resilient anchor for the teeth, providing support and stability. Interdental gingiva The interdental gingiva occupies the interproximal spaces between the adjoining teeth. Study with Quizlet and memorize flashcards containing terms like Vestibule, Oral Cavity Proper, Mucobuccal Fold and more. This study aimed to assess t The free gingiva surrounds the tooth and creates a collar surrounding the crown. This may result in the requirement for flap procedures prior to implant place-ment and creation of attached gingiva. The oral manifestations of primary HGS include multiple vesicles, erosions, and small or large ulcerations on both movable and attached oral mucosae (such as gingiva and hard palate). The attached gingiva extends from the free gingiva coronal to the alveolar mucosa. The contour of the gingiva depends on the shape and alignment of the teeth in the dental arch. The attached gingiva is the most common location, but physiological pigmentation can be noted anywhere in the oral cavity, including the tips of the fungiform papillae on the dorsal tongue and the diagnosis of physiological pigmentation normally is made clinically and do not need any treatment (4). The free gingiva is the part that is visible in the mouth and surrounds the tooth, while the attached gingiva is attached to the underlying bone and helps to anchor the tooth in place. Adequate attached gingiva is important Study with Quizlet and memorize flashcards containing terms like what is attached gingiva considered to be, what is attached gingiva attached to, what is attached gingiva actually attached by and more. The masticatory mucosa extends to the free gingival margin where it becomes continuous with that of the sulcular epithelium. Healthy attached gingiva is pink in color, with some areas of melanin pigmentation possible (see Figures 2-10 and 9-22). The depth of the gingival crevices was also measured. Attached gingiva, a specialized part of the oral mucosa, plays a critical role in maintaining periodontal health and overall oral well-being. The free gingiva, attached gingiva, and alveolar mucosa make up the gingival unit and are the only components of the periodontium that are clinically visible. 2012). It begins by defining the different parts of the gingiva and describing the microscopic and macroscopic features of attached gingiva. Lesions range in size between 2 and 10 mm in diameter and are generally solitary; however, multifocal gingival involvement has been reported [22, 23]. Dec 11, 2023 · Purpose. 2). It is lined with sulcular epithelium and attached to the tooth at its base by the epithelial attachment. 6 The marginal gingiva is usually about 1 mm wide, and it forms the soft-tissue wall of Mar 6, 2024 · Addressing compromised attached keratinized gingiva: diagnosis and treatment strategies for stable implant outcomes. 5-2 mm coronal to the cemento-sacral border, then passes vestibularly into the mucosa lining the oral cavity. AI generated definition based on: International Orthodontics, 2010 When the mucogingival junction is used as the reference point of demarcation between the apical border of the attached gingiva, a periodontal probe can be inserted in the gingival sulcus in order to measure how much of the keratinized gingiva coronal to the mucogingival junction remains attached to the bone laying underneath. Thus, if the entire height of the keratinized gingiva, from the free gingival margin to the mucogingival junction is 8 mm, and the probing depth on the tooth at that location is 2 mm, the effective width of attached gingiva is 6 mm. 1. The document also covers the Periodontal Anatomy – Stippling The surface of the gingiva, or gums, commonly has a texture that is referred to as being stippled or resembling that of an orange peel. Study with Quizlet and memorize flashcards containing terms like The border region of the gingiva that touches the tooth. Subtract the pocket depth to get the width of attached gingiva. Although the need for a so-called adequate amount of keratinized tissue for maintenance of periodontal health is questionable, the mucogingival junction serves as an important clinical landmark in Aims To conduct a systematic review and meta-analysis of studies that evaluated the width of attached gingiva. With the information gathered from probing, visual assessments and radiographic imaging, you can stage and grade your patient’s periodontal disease according to this classification system provided by the American Academy of Periodontology (AAP). Stippling is typically seen in the attached gingiva as it is firmly attached to the underlying cementum and alveolar bone with the help of the collagen fibers of the connective tissue. Study with Quizlet and memorize flashcards containing terms like Which of the following are true of attached gingiva?, Which is most true of cementum?, Which is true of Sharpey's fibers? and more. The width and thickness of attached gingiva can be measured using various methods and are influenced by factors like age, tooth position, and frenal attachments. Jul 2, 2020 · The subjacent bone covering the roots is clearly visible. The attached gingiva is continuous with the free gingiva and is the part of the gingiva that is tightly bound to the underlying cementum on the cervical third of the root and to the periosteum (connective tissue cover) of the alveolar bone. attached gingiva that portion of the gingiva which is firm and resilient and is bound to the underlying cementum and the alveolar bone, thus being immovable. Microscopically, attached gingiva has a keratinized, cellular epithelium and dense connective tissue Attached gingiva is the part of the gingiva which is tightly attached to the underlying periosteum of alveolar bone and cementum by connective tissue fibers. from publication: Predictive, preventive, personalised and participatory eriodontology: ‘the 5Ps age Jan 30, 2025 · Attached gingiva is the part of the gingiva which is tightly attached to the underlying periosteum of alveolar bone and cementum by connective tissue fibers. In about half of individuals, it is demarcated from the adjacent, attached gingiva by a shallow linear depression, the free gingival groove. Gingival margin – The border region of the gingiva that touches the tooth. This chapter explains in detail the definition, clinical significance, various techniques to increase the attached gingiva, description of each technique The mean width of attached gingiva increases from the primary dentition to permanent dentition 23. Among various techniques for augmenting width of attached gingiva, modified dental gingiva, and attached gingiva. This is the gingiva which extends from the attached gingiva all the way to the tooth’s surface. 1,2 In all cases, the entire gingiva is enlarged, painful, and extremely erythematous (Fig. There is, however, a tendency for this ex mination to be overlooked clinically. Jan 15, 2015 · Marginal Gingiva. The cells that make up the free gingiva and attached gingiva are described as keratinized stratified squamous Jul 1, 2010 · This narrative review aims to outline the concepts on the significance of the width of attached gingiva around teeth and implants to enable the clinician to decide on the need for gingival augmentation in different clinical scenarios. Acute necrotizing ulcerative gingivitis (ANUG) is a painful and rapidly progressive disease of the free gingiva, attached gingiva and alveolar mucosa characterized by necrosis of the gingival papilla accompanied by halitosis (Fig. " Stippling" of the attached gingiva refers to the irregular surface texture of the attached gingiva, similar to the surface of an orange peel. The gingival margin is demarcated from attached gingiva by an indentation called as free gingival groove which is positioned at a level corresponding to the level of the cementoenamel junction (CEJ). Jan 4, 2015 · GINGIVAL UNIT The gingiva is made up of free and attached gingiva (Fig. Jan 7, 2018 · The document discusses attached gingiva, defining it as the portion of gingiva that extends from the base of the gingival crevice to the mucogingival junction. The attached gingiva is located apically to the gingival sulcus, which is the space surrounding each tooth and is lined by the oral sulcular epithelium (Box 1; Figure 1). Attached gingiva is firm, resilient and hence immovable portion of the gingiva. The normal width is 3-4. Width of attached gingival varies in different areas of the mouth and also increases with age with no significant difference in the method of its assessment. it is a mucoperiosteum. The lower gingiva includes the mucosa covering the mandible from the gingival-buccal gutter to the origins of the mobile mucosa on the floor of the mouth. Using the mucogingival junction as the boundary that demarcates the apical border of the attached gingiva, a periodontal probe is inserted into the gingival sulcus and measures how much of the keratinized gingiva coronal to the mucogingival junction is attached to the underlying bone. Jul 18, 2020 · The gingival sulcus is the shallow space between the tooth and the marginal gingiva. This observational cross-sectional study was designed to evaluate gender- and age-related differences in the width of attached gingiva (WAG), the clinical The attached gingiva is named for its firm attachment to the tooth or to alveolar bone by groups of gingival fibers. It is made up of two parts: the free gingiva and the attached gingiva. 5mm in the maxillary anterior region but narrower in other areas. The inflammatory response to this bacterial infection results in clinical changes in the gingival tissue involving the free and attached gingiva, as well as the papillae. • It is divided anatomically into marginal, attached and interdental areas. Free/unattached/marginal gingiva The free gingiva is the terminal edge of the gingiva which is usually about 1mm wide and surround the teeth. The bulk of the gingival is attached to the alveolar margins of bone. Se-Lim Oh, DMD, MS The keratinized attached gingiva provides the periodontium with increased resistance to external injury, contributes to the stabiliza-tion of the gingival margin, and aids in The mucogingival junction is important when measuring the width of the attached gingiva. 3). It also reviews the cells and layers It shows a strong predilection for the maxillary anterior facial attached gingiva and typically develops along the marginal gingiva. Oct 30, 2023 · The attached gingiva is the gingival tissue which lies between the mobile gingiva and the alveolar gingiva. The interdental gingiva is comprised of the mucosa occupying the embrasure space between adjacent teeth (Newman et al. The free gingiva forms one of the walls of the gingival sulcus and is separated from the attached gingiva by a groove called free gingival groove. , This tissue is Study with Quizlet and memorize flashcards containing terms like The border region of the gingiva that touches the tooth. B. Such lesions are termed peripheral ossifying fibroma (synonym: mineralizing fibrous epulis). Recognizing its importance can help prevent serious dental problems and contribute to a healthier, more confident smile. It provides protection to the mucosa during the functional use of the structures, such as chewing and brushing the teeth. Differential diagnosis of exophytic gingival lesions and The attached gingiva extends from the free gingiva coronal to the alveolar mucosa. It is comprised of stratified squamous epithelium that is usually parakeratinized and overlies a dense connective tissue lamina propria. Introduction Attached gingiva (AG) is thought to be desirable component for gingival health maintenance; as it not only help in maintenance of stable position of gingival margin, protect the periodontium from external injury but also aids in dissipating the physiological forces that are exerted by muscular fibers of alveolar mucosa onto the gingiva. In order to compare the results of the present study to results from previous studies the width of attached gingiva was determined by subtracting the crevicular depth from the width of keratinized gingiva. Low oxygen circulation When describing the gingiva as cyanotic, what other descriptors can be used in conjunction? Papillary; inflammation of the interdental papilla only. There is a need to modify the definition of attached gingiva (AG) as it applies to healthy and diseased teeth and implants. Macroscopic anatomy of the gingiva The outermost part of the gingiva runs in an arc 0. Diseases of the gingiva May 9, 2017 · Historically, a wide zone of attached gingiva has been considered beneficial, as the gingiva plays an important role in maintaining the health of the periodontium. The facial aspect of this gingiva extends to the relatively loose and movable alveolar mucosa, from which it is demarcated by the mucogingival junction. The width and thickness of the attached gingiva are important clinical parameters. • All gingival changes must be described as being localized or generalized & also in relation to the part of gingiva being affected as papillary, marginal or diffuse. The unit spaces correspond to the buccal and lingual gingival areas which norm ally invest the human adult dentition. The inadequate width of attached gingiva favors plaque accumulation and increased inflammation contributing to periodontal destruction. It then discusses the normal width of attached gingiva in different regions of the mouth, how it is measured, and what constitutes an inadequate width. Interdental gingiva The interdental gingiva occupies the gingival embrasure, which is the interproximal space beneath the area of tooth contact. It serves as a vital protective barrier and provides stability to the teeth, preventing gingival recession and safeguarding the underlying periodontal tissues. A lack of attached gingiva is often associated with a high frenum attachment, which exaggerates the pull on the gum margin and causes strain on the gum. . The conventional and modified apically Jun 1, 2017 · p) Gingival tattoo: Rawal et al. There are two regions of gingivae, the attached and free gingivae. The interdental papillae fill in the area between the teeth apical to their contact areas to prevent food impaction; they assume a conical shape for the anterior teeth and a blunted shape buccolingually for the posterior Gingiva is defined as the soft tissue surrounding the teeth, which is traditionally divided into three areas: marginal (around the tooth), attached (bounded by the mucogingival junction and the marginal sulcus), and interdental (interdental papilla). The document discusses surgical techniques to increase the width of attached gingiva, detailing its anatomy, functions, and the reasons for inadequate width. The trough around the tooth is called the sulcus and its depth is normally 1-3 mm. The attached gingiva is a masticatory mucosa (see Chapter 9). , This tissue is not attached and forms a collar around the tooth. Only present on the attached gingiva connected to the alveolar bone, stippling does not present on the freely moveable alveolar mucosa. Background: The width of attached gingiva varies from tooth to tooth and also among individuals with mixed opinions regarding an “adequate” or “sufficient” dimension of the gingiva. The shape of the interdental gingiva is Learn about the gingiva (gums): its visual appearance, structure, and functions. Pigmentation of the buccal mucosa, hard palate, lips and tongue may also be seen as brown patches with less well-defined borders. We want healthy pink tissue around our implants to maintain aesthetics and gingival health. Attached Gingiva Situated beneath the free gingiva, the attached gingiva is firmly connected to the underlying bone. The width of attached gingiva varies from tooth to tooth and also among individuals with mixed opinions regarding an “adequate” or “sufficient” dimension of the gingiva. 6 In about 50% of cases, it is demarcated from the adjacent attached gingiva by a shallow linear depression called the free gingival groove. Inflammation that is confined to gingival tissue with no Nov 25, 2023 · This melanotic macule presented as a pigmented lesion apical to tooth number 13 on the attached gingiva. The free gingiva (rectangles) surrounds the tooth and creates a cuff or collar of gingival tissue. Take course now! Feb 28, 2025 · Gingiva: Types, Histology And Clinical Aspects Clinical and Microscopic Features of Normal Gingiva The color of attached gingiva and marginal gingiva is generally described as coral pink and is produced by the vascular supply, the thickness and degree of keratinization of the epithelium and presence of pigment-containing cells. The attached gingiva of the maxillary and mandibular arches is visually examined using both direct and indirect vision. ) To rule out malignant melanoma, a biopsy is required. vnklsf jmpyuab gcrx rrozk zigfhw sub qrtzsuf mbph vscexop qary