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Clinical features of
Gingiva
submitted to :-
submitted by :-
Nadia dhiman
Bds 3rd prof
INTRODUCTION
• Gingiva is part of oral mucosa that covers
the alveolar processes of jaws and surrounds
the neck of the tissue .
• Composed of thin outer epithelium and
underlying connective tissue .
• Consist of four anatomical portions –
Gingival sulcus , Free
gingiva, Interdental gingiva and attached
gingiva .
• Texture of Gingiva – healthy gums have
stippled ,translucent appearance.
- orange peel appearance .
• Colour of Gingiva-coral pink
-depends on the thickness and degree of
keratinization of epithelium, blood flow to
gingiva ,disease and medication ,natural
pigmentation.
• Contour of Gingiva-scalloped and knife edge
margin .
• Size of Gingiva-correspong with sum total
of the bulk of cellular and intercellular
elements and their vascular supply.
ANATOMIC LANDMARKS OF THE
GINGIVA
GINGIVAL SULCUS
• Its a V shaped notch .
• Bounded by surface of tooth on
one side and epithelium lining
the free margin of gingiva on
the other side.
• Clinical evaluation used to determine
the depth of gingival sulcus is throw
metallic instrument called peridontal probe
• Probing or clinical probing depth is depth of
penetration of probe and it is 2-3mm in
normal
gingival sulcus in humans .
• In histological section depth
is 1.8mm with variation from
0-6mm.
MARGINAL GINGIVA
• Also called as free or unattached gingiva .
• Surrounds the tooth in collarlike/cufflike
manner.
• Characteristic – fits closely around but not
directly attached to the tooth-also form
soft tissue wall
of the gingival
sulcus.
• It is 1mm wide .
• Free Gingiva is demarcated
from adjacent attached
gingiva by shallow linear
depression that follows the
Contour of the tooth called
‘ marginal groove ’.
•it can be separated from
tooth surface by
peridontal probe .
ATTACHED GINGIVA
• Part of gingiva tightly connected to periosteum of
alveolar bone .
• Lies between the two movable tissue .
• Colour- pale
-pigmented in
dark skinned
individuals.
• Width- widest in incisor and molar region
and narrowest in premolar region .
• Premolar= maxilla-1.9mm
mandible-1.8mm.
INTERDENTAL GINGIVA
• It occupies the gingival embrasure .
• Gingival embrasure is the interproximal
space beneath the area of tooth contact .
•It is of two shape pyramidal and ‘’col’’ shape .
•‘’col’’ is a valley like depression that connects
a facial and lingual papilla .
• ‘’col’’ in various types of contacts .
• The shape of interdental gingiva depends on
the contact point between the two adjoining
teeth and presence or absence of some
degree of recession .
Interdental col in
normal gingiva –
mandibular
anterior
segment,facial and
buccolingual views.
Interdental col
after gingival
recession.
• In diastema,the gingiva is firmly bound
over the interdental bone and the
interdental papilla will be absent.
TH
THANK YOU

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Clinical features of gingiva

  • 1. Clinical features of Gingiva submitted to :- submitted by :- Nadia dhiman Bds 3rd prof
  • 2. INTRODUCTION • Gingiva is part of oral mucosa that covers the alveolar processes of jaws and surrounds the neck of the tissue . • Composed of thin outer epithelium and underlying connective tissue . • Consist of four anatomical portions – Gingival sulcus , Free gingiva, Interdental gingiva and attached gingiva .
  • 3. • Texture of Gingiva – healthy gums have stippled ,translucent appearance. - orange peel appearance .
  • 4. • Colour of Gingiva-coral pink -depends on the thickness and degree of keratinization of epithelium, blood flow to gingiva ,disease and medication ,natural pigmentation. • Contour of Gingiva-scalloped and knife edge margin . • Size of Gingiva-correspong with sum total of the bulk of cellular and intercellular elements and their vascular supply.
  • 5. ANATOMIC LANDMARKS OF THE GINGIVA
  • 6.
  • 7. GINGIVAL SULCUS • Its a V shaped notch . • Bounded by surface of tooth on one side and epithelium lining the free margin of gingiva on the other side. • Clinical evaluation used to determine the depth of gingival sulcus is throw metallic instrument called peridontal probe
  • 8. • Probing or clinical probing depth is depth of penetration of probe and it is 2-3mm in normal gingival sulcus in humans . • In histological section depth is 1.8mm with variation from 0-6mm.
  • 9. MARGINAL GINGIVA • Also called as free or unattached gingiva . • Surrounds the tooth in collarlike/cufflike manner. • Characteristic – fits closely around but not directly attached to the tooth-also form soft tissue wall of the gingival sulcus. • It is 1mm wide .
  • 10. • Free Gingiva is demarcated from adjacent attached gingiva by shallow linear depression that follows the Contour of the tooth called ‘ marginal groove ’. •it can be separated from tooth surface by peridontal probe .
  • 11. ATTACHED GINGIVA • Part of gingiva tightly connected to periosteum of alveolar bone . • Lies between the two movable tissue . • Colour- pale -pigmented in dark skinned individuals.
  • 12. • Width- widest in incisor and molar region and narrowest in premolar region . • Premolar= maxilla-1.9mm mandible-1.8mm.
  • 13. INTERDENTAL GINGIVA • It occupies the gingival embrasure . • Gingival embrasure is the interproximal space beneath the area of tooth contact .
  • 14. •It is of two shape pyramidal and ‘’col’’ shape . •‘’col’’ is a valley like depression that connects a facial and lingual papilla .
  • 15. • ‘’col’’ in various types of contacts . • The shape of interdental gingiva depends on the contact point between the two adjoining teeth and presence or absence of some degree of recession .
  • 16. Interdental col in normal gingiva – mandibular anterior segment,facial and buccolingual views. Interdental col after gingival recession.
  • 17. • In diastema,the gingiva is firmly bound over the interdental bone and the interdental papilla will be absent.