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The width of attached tissue is critical, because the more there is available provides a greater sense of protection against the aforementioned insults to the tissue. Using the mucogingival junction as the boundary demarcating the apical border of the attached gingiva, a periodontal probe is inserted into the gingival sulcus to measure how much ...
1: Total loss of attachment (clinical attachment loss, CAL) is the sum of 2: Gingival recession, and 3: Probing depth. Gingival recession, also known as gum recession and receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth. [1]
They are also attached to the gingival (gum) tissue that covers the alveolar bone by an attachment apparatus; because this attachment exists superficial to the crest, or height, of the alveolar bone, it is termed the supracrestal attachment apparatus.
The gingival fibers, (H), extend from the cementum (B) into the attached gingiva. Some fibers extend coronally into the crest of the free gingiva, some horizontally, and still other extend horizontally over the crest of the alveolar bone, (C), and then apically to connect on the facial aspect of the buccal plate of the alveolar bone.
Free gingival autograft is one of the more common techniques used for a gingival recession in areas of inadequate attached gingiva in the mandibular anterior region. [10] Conversely, coronally repositioned flaps for the treatment of gingival recession will lead to decreased vestibular depth which may impact oral hygiene or denture retention. [9 ...
Normal gingiva may range in color from light coral pink to heavily pigmented. The soft tissues and connective fibres that cover and protect the underlying cementum, periodontal ligament and alveolar bone are known as the gingivae. The gingivae are categorized into three anatomical groups: the free, attached and the interdental gingiva.
Both the attached gingivae and the free gingivae are included as part of the gingival epithelium. While the junctional epithelium is a stratified and thin epithelium that is attached to the tooth surface, the epithelium of the gingival sulcus is stratified squamous and thicker non-keratinised.
Thus, the JE does not mature like keratinized tissue, such as the marginal gingiva or attached gingiva, which fills its matured superficial cells with keratin. Nor does JE mature on a lesser level like nonkeratinized tissue of the sulcular gingiva and throughout the rest of the oral cavity, which enlarges its cells as they mature and migrate ...