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Class IV: Recession that extends to or beyond the mucogingival junction, with either loss of interproximal clinical attachment or tooth rotation that is severe A new classification has been proposed to classify gingival and palatal recessions.
Pocket depths greater than 3 mm can also be a sign of gingival hyperplasia. The periodontal probe can also be used to measure other dental instruments, tooth preparations during restorative procedures, gingival recession, attached gingiva, and oral lesions or pathologies.
Gum recession is a common problem in adults over the age of 40, but it may also occur starting in adolescence, or around the age of 10. It may exist with or without concomitant decrease in crown-to-root ratio (recession of alveolar bone). 85% of the world population has gingival recession on at least one tooth with denuded root surface ≥1.0 ...
No disease (gingival pockets < 3 mm) 1: Bleeding on probing, but gingival pockets < 3 mm 2: Periodontal pocketing < 3mm, but calculus (dental) present with or without plaque retentive factors such as "overhanging" restorations 3: Shallow periodontal pockets 4 - 5.5 mm (i.e. first band on probe partially visible) 4
A non-diseased, healthy gingival sulcus is typically 0.5-3mm in depth, however, this measurement can increase in the presence of periodontal disease. The gingival sulcus is lined by a non-keratinised layer called the oral sulcular epithelium ; it begins at the gingival margin and ends at the base of the sulcus where the junctional epithelium ...
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 of the keratinized gingiva coronal to the mucogingival junction is in fact attached to the underlying bone. The depth of the gingival sulcus, determined by the depth ...
The epithelial attachment does not migrate, it simply remains at the same attachment level found in pre-pathological health. The only anatomical landmark experiencing migration is the gingival margin in a coronal direction. In a gingival pocket, no destruction of the connective tissue fibers (gingival fibers) or alveolar bone occurs.
Gingival retraction or gingival recession is when there is lateral movement of the gingival margin away from the tooth surface. [1] [2] It is usually termed gingival retraction as an intentional procedure, and in such cases it is performed by mechanical, chemical, or electrical means in order to perform certain dental surgery procedures.