SlideShare ist ein Scribd-Unternehmen logo
1 von 15
INTRODUCTION:-

    ۞   GINGIVA is a masticatory mucosa and covers
        the alveolar process of the jaw and surrounds the
        neck of the teeth.

    ۞   The gingival extends from the dentogingival
        junction to the alveolar mucosa. It is subject to
        friction and pressure of mastication.

۞       The stratified squamous epithelium may be
        keratinized or non-keratinized but most often it is
        parakeratinized.




۞       The gingival appears slightly depressed between
        adjacent teeth, corresponding to the depression
on the alveolar process between eminence of the
    sockets.

۞   The gingiva is limited on the outer surface of
    both the jaws by the mucogival junction, which
    separates it from the alveolar mucosa.

۞   The alveolar mucosa is red & contains numerous
    small vessels coursing close to the surface.

۞   The gingival is normally pink but sometimes
    have grayish tint.

۞   Gingiva is attached immovably and firmly to the
    periosteum of the alveolar bone.

۞   On the inner surface of the lower jaw a line of
    demarcation is found between the gingival and
    the mucosa on the floor of the mouth.
TYPES OF GINGIVA:-

The gingival is divided into three types:

  A)   Free or unattached or marginal gingival

  B) Gingival sulcus.

  C) Attached gingiva.
A) FREE OR UNATTACHED OR
     MARGINAL GINGIVA:-

۞        The free gingival is the terminal edge of the
         gingival which is usually about 1mm wide and
         surrounds the teeth.

۞        The free gingival forms one of the walls of the
         gingival sulcus and is separated from the
         attached gingival by a groove called free gingival
         groove.

    B)   ATTACHED GINGIVA:-

۞        It is the continuation of the free gingival and
         extends up to the alveolar mucosa.

۞        The attached gingival is separated from the
         alveolar mucosa by a mucogingival sulcus.

۞        The width :-
         →3.5-4.5 mm in the maxillary anterior region

         →3.3-3.9mm in the mandibular anterior region.

         →Posteriorly the width of the attached gingival
         is less.
→It is the least at the first premolar area being

     →1.9mm-maxilla and 1.8mm-mandible.

C)   INTERDENTAL PAPILLA:-

۞ It is the part of gingival that fills the space
        between two adjacent teeth.

۞ It is a shallow V shaped space surrounding the
        tooth.

۞ It is bounded on one side by the tooth and on the
        other side by the free gingiva.

۞ From oral or vestibular aspect, the surface of the
      interdental papilla is triangular.

۞ The depressed part of interdental papilla is called
      COL.

۞ Col is covered by thin non-keratinized
      epithelium.

۞ Elastic fibers known as OXYTALAN fibers are
      present.
MICROSCOPIC FEATURES OF
GINGIVA:-

۞ Broadly speaking gingival is made up of
    epithelium and connective tissue.

۞   The gingival epithelium can be studied under
    three headings:-

      1) Outer or oral epithelium

      2) Sulcular epithelium

      3) Junctional epithelium.

                          GINGIVAL
                         EPITHELIUM


      OUTER OR ORAL       SULCULAR          JUNCTIONAL
       EPITHELIUM        EPITHELIUM         EPITHELIUM


                  STRATUM
                   BASALE


                  STRATUM
                  CORNEUM


                  STRATUM
                  SPINOSUM
1)     OUTER OR ORAL EPITHELIUM:-

     ۞ The epithelium consists of the following layers:

       a)   Stratum basale:-      cuboidal cells.

       b)   Stratum spinosum:-   large polyhedral cells
                                    →Desmosomes

       c)   Stratum corneum:-     superficial most layer
                                  Large, wide, flat and
                                  lacking nucleus.
2)    SULCULAR EPITHELIUM:-

     ۞ Extends from the coronal area of the junctional
           epithelium to the free margin of the gingival.

     ۞ Epithelium is nonkeratinized.

     ۞ Epithelium lacks heavy ridges and papillae.

     ۞ It is not keratinized due to constant irritation of
             plaque.

3)    JUNCTIONAL EPITHELIUM:-

     ۞ Cells become cuboidal after ameloblasts have
           finished formation of enamel.

     ۞ It forms a collar around the fully erupted tooth.

     ۞ It consist of stratified squamous nonkeratinizing
            epithelium of 3-4 cell thickness having
            length of 0.25-1.35 mm.

TYPES OF GINGIVAL
LIGAMENT:-
۞ The gingival contains dense fibers of collagen,
      sometimes referred to as gingival ligament,
      which is divided into:-

  1)    DENTOGINGIVAL:-
          Extends from cervical cementum into
          the lamina propria of the gingival.


  2)   ALVEOLOGINGIVAL:-
          The fibers arise from the alveolar crest
          & extend into the lamina propria.
3)   CIRCULAR:-
          A small groups of fibers that circle the
          tooth & interlace with the other fibers.

  4)     DENTOPERIOSTEAL:-
           These fibers can be followed from the
           cementum into the periosteum of the
           alveolar crest and of the vestibular and
           oral surfaces of the alveolar bone.

۞ There are also accessory fibers that extend
      interproximally between adjacent teeth &
      are also referred to as transseptal fibers.

۞ These fibers make the interdental ligament.
DIFFERENT TYPES OF
EPITHELIAL LAYERS:-

  1)    KERATINIZATION (75%) :-

           # In which the superficial cells form
           scales of keratin & lose their nuclei.

           # A stratum granulosum is present.

  2)   PARAKERATINIZATION (15%) :-

           # In which the superficial cells retain
           pyknotic nuclei & show some signs of
           being keratinized.

           # However, the stratum granulosum is
           generally absent.

  3)   NON-KERATINIZATION (10%) :-

           # In which the surface cells are
       nucleated & show no signs of keratinization.
BlOOD SUPPLY:-
     Blood supply of gingiva is by ALVEOLAR
  ARTERY




NERVE SUPPLY:-
                               NERVE SUPPLY



   MAXILLARY                                              MANDIBULAR



                 NASOPALATINE NERVE
                                                          Inferior alveolar nerve
            (Supplies facial aspect of anterior teeth)



            POSTERIOR SUPERIOR ALVEOLAR
                             NERVE
           (Supplies facial aspect of posterior teeth)



               GREATER PALATINE NERVE
           (Supplies lingual aspect of posterior teeth)



               ANTERIOR PALATINE NERVE
            (Supplies lingual aspect of anterior teeth)
CONTENTS:-

 1) INTRODUCTION

 2) TYPES OF GINGIVA

 3) MICROSCOPIC FEATURES OF
    GINGIVA

 4) TYPES OF GINGIVAL LIGAMENT

 5) DIFFERENT TYPES OF EPITHELIAL
    LAYERS

 6) ARTERIAL SUPPLY

 7) NERVE SUPPLY

 8) REFERENCES
REFERNECES:-

۞ Oral histology and embryology    -
  ORBANS
                         S.N.
Bhaskar

۞    Oral histology and embryology -
     A.R. Ten Cate

۞    Clinical periodontology      -
     Caranza
                           Glick Man

۞    Oral pathology          -
     Shaffers

۞    Local Anaesthesia       -
     Mallamaid
 gingiva

Weitere ähnliche Inhalte

Was ist angesagt? (20)

Periodontal instruments
Periodontal  instrumentsPeriodontal  instruments
Periodontal instruments
 
Inlay
InlayInlay
Inlay
 
gingiva
gingivagingiva
gingiva
 
Class ii amalgam
Class ii amalgamClass ii amalgam
Class ii amalgam
 
Isolation in dentistry
Isolation in dentistryIsolation in dentistry
Isolation in dentistry
 
Endodontic instruments
Endodontic instrumentsEndodontic instruments
Endodontic instruments
 
Developmental disturbances of tongue
Developmental disturbances of tongueDevelopmental disturbances of tongue
Developmental disturbances of tongue
 
"GINGIVAL-ENLARGEMENT"
"GINGIVAL-ENLARGEMENT""GINGIVAL-ENLARGEMENT"
"GINGIVAL-ENLARGEMENT"
 
Class i cavity preparation
Class i cavity preparationClass i cavity preparation
Class i cavity preparation
 
Jaw relation in complete dentures
Jaw relation in complete denturesJaw relation in complete dentures
Jaw relation in complete dentures
 
Radicular cyst or Periapical cyst
Radicular cyst or Periapical cystRadicular cyst or Periapical cyst
Radicular cyst or Periapical cyst
 
Dental Plaque
Dental PlaqueDental Plaque
Dental Plaque
 
9.periodontal ligament ppt
9.periodontal ligament ppt9.periodontal ligament ppt
9.periodontal ligament ppt
 
Anatomy and clinical significance of denture bearing areas
Anatomy and clinical significance of denture bearing areasAnatomy and clinical significance of denture bearing areas
Anatomy and clinical significance of denture bearing areas
 
Dentinogenesis Imperfecta
Dentinogenesis ImperfectaDentinogenesis Imperfecta
Dentinogenesis Imperfecta
 
Difference between primary and permanent teeth
Difference between primary and permanent teethDifference between primary and permanent teeth
Difference between primary and permanent teeth
 
DENTIN BONDING AGENTS
 DENTIN BONDING AGENTS DENTIN BONDING AGENTS
DENTIN BONDING AGENTS
 
Ansi & ada specification no. 32
Ansi & ada specification no. 32Ansi & ada specification no. 32
Ansi & ada specification no. 32
 
Cementum
CementumCementum
Cementum
 
ATTACHED GINGIVA
ATTACHED GINGIVAATTACHED GINGIVA
ATTACHED GINGIVA
 

Andere mochten auch

Manual of local anesthesia in dentistry, 2 e (2010) [pdf][unitedvrg]
Manual of local anesthesia in dentistry, 2 e (2010) [pdf][unitedvrg]Manual of local anesthesia in dentistry, 2 e (2010) [pdf][unitedvrg]
Manual of local anesthesia in dentistry, 2 e (2010) [pdf][unitedvrg]Simona Belu
 
A concise textbook of oral and maxillofacial surgery
A concise textbook of oral and maxillofacial surgeryA concise textbook of oral and maxillofacial surgery
A concise textbook of oral and maxillofacial surgeryNay Aung
 
Dental Anesthesia
Dental AnesthesiaDental Anesthesia
Dental AnesthesiaOzident
 
Blood supply of the jaws and teeth
Blood supply of the jaws and teethBlood supply of the jaws and teeth
Blood supply of the jaws and teethRamez Maqsood
 
486 junctional epithelium
486 junctional epithelium486 junctional epithelium
486 junctional epitheliumNabin Chaudhary
 
Nerve supply for all teeth dental surgery local anesthesia
Nerve supply for all teeth dental surgery local anesthesia Nerve supply for all teeth dental surgery local anesthesia
Nerve supply for all teeth dental surgery local anesthesia Dr-Faisal Al-Qahtani
 

Andere mochten auch (10)

gingiva
gingivagingiva
gingiva
 
Manual of local anesthesia in dentistry, 2 e (2010) [pdf][unitedvrg]
Manual of local anesthesia in dentistry, 2 e (2010) [pdf][unitedvrg]Manual of local anesthesia in dentistry, 2 e (2010) [pdf][unitedvrg]
Manual of local anesthesia in dentistry, 2 e (2010) [pdf][unitedvrg]
 
Mandibular nerve dental surgery
Mandibular nerve dental surgeryMandibular nerve dental surgery
Mandibular nerve dental surgery
 
A concise textbook of oral and maxillofacial surgery
A concise textbook of oral and maxillofacial surgeryA concise textbook of oral and maxillofacial surgery
A concise textbook of oral and maxillofacial surgery
 
Dental Anesthesia
Dental AnesthesiaDental Anesthesia
Dental Anesthesia
 
Blood supply of the jaws and teeth
Blood supply of the jaws and teethBlood supply of the jaws and teeth
Blood supply of the jaws and teeth
 
Mandibular anesthetic techniques
Mandibular anesthetic techniquesMandibular anesthetic techniques
Mandibular anesthetic techniques
 
486 junctional epithelium
486 junctional epithelium486 junctional epithelium
486 junctional epithelium
 
Nerve supply for all teeth dental surgery local anesthesia
Nerve supply for all teeth dental surgery local anesthesia Nerve supply for all teeth dental surgery local anesthesia
Nerve supply for all teeth dental surgery local anesthesia
 
Surgery revision
Surgery revisionSurgery revision
Surgery revision
 

Ähnlich wie gingiva

Periodontium seminar
Periodontium seminar Periodontium seminar
Periodontium seminar PrajaktaGir
 
Clinical Periodontology - Introduction & Anatomy
Clinical Periodontology - Introduction & AnatomyClinical Periodontology - Introduction & Anatomy
Clinical Periodontology - Introduction & AnatomySarang Suresh Hotchandani
 
Oral cavity anatomy and histology
Oral cavity anatomy and histologyOral cavity anatomy and histology
Oral cavity anatomy and histologyAliLaith5230
 
Gingiva / rotary endodontic courses by indian dental academy
Gingiva / rotary endodontic courses by indian dental academyGingiva / rotary endodontic courses by indian dental academy
Gingiva / rotary endodontic courses by indian dental academyIndian dental academy
 
003.biology of periodontal tissues
003.biology of periodontal tissues003.biology of periodontal tissues
003.biology of periodontal tissuesDr.Jaffar Raza BDS
 
003.biology of periodontal tissues
003.biology of periodontal tissues003.biology of periodontal tissues
003.biology of periodontal tissuesDr.Jaffar Raza BDS
 
Periodontium presentation.pptx
Periodontium presentation.pptxPeriodontium presentation.pptx
Periodontium presentation.pptxssuserd0ad2f
 
1 periodontal ligament future
1  periodontal ligament future1  periodontal ligament future
1 periodontal ligament futureMoHamed MaGdy
 
oral mucous membranes-2 /certified fixed orthodontic courses by Indian dental...
oral mucous membranes-2 /certified fixed orthodontic courses by Indian dental...oral mucous membranes-2 /certified fixed orthodontic courses by Indian dental...
oral mucous membranes-2 /certified fixed orthodontic courses by Indian dental...Indian dental academy
 
Structural anatomy and development of periodontium
Structural anatomy and development of periodontiumStructural anatomy and development of periodontium
Structural anatomy and development of periodontiumPeriSrivani
 
Gingiva (Macroscopic features)
Gingiva (Macroscopic features)Gingiva (Macroscopic features)
Gingiva (Macroscopic features)PremKumar2314
 

Ähnlich wie gingiva (20)

Periodontium seminar
Periodontium seminar Periodontium seminar
Periodontium seminar
 
pegah pourmand
pegah pourmand pegah pourmand
pegah pourmand
 
Clinical Periodontology - Introduction & Anatomy
Clinical Periodontology - Introduction & AnatomyClinical Periodontology - Introduction & Anatomy
Clinical Periodontology - Introduction & Anatomy
 
Gingiva
GingivaGingiva
Gingiva
 
Anatomy part 1
Anatomy part 1Anatomy part 1
Anatomy part 1
 
Anatomy of periodontium
Anatomy of periodontiumAnatomy of periodontium
Anatomy of periodontium
 
Gingiva
Gingiva Gingiva
Gingiva
 
Oral cavity anatomy and histology
Oral cavity anatomy and histologyOral cavity anatomy and histology
Oral cavity anatomy and histology
 
Gingiva
GingivaGingiva
Gingiva
 
Gingiva / rotary endodontic courses by indian dental academy
Gingiva / rotary endodontic courses by indian dental academyGingiva / rotary endodontic courses by indian dental academy
Gingiva / rotary endodontic courses by indian dental academy
 
Dental pulp
Dental pulpDental pulp
Dental pulp
 
Gingiva
Gingiva Gingiva
Gingiva
 
003.biology of periodontal tissues
003.biology of periodontal tissues003.biology of periodontal tissues
003.biology of periodontal tissues
 
003.biology of periodontal tissues
003.biology of periodontal tissues003.biology of periodontal tissues
003.biology of periodontal tissues
 
Periodontium presentation.pptx
Periodontium presentation.pptxPeriodontium presentation.pptx
Periodontium presentation.pptx
 
1 periodontal ligament future
1  periodontal ligament future1  periodontal ligament future
1 periodontal ligament future
 
Neurophysiology of pulp
Neurophysiology of pulpNeurophysiology of pulp
Neurophysiology of pulp
 
oral mucous membranes-2 /certified fixed orthodontic courses by Indian dental...
oral mucous membranes-2 /certified fixed orthodontic courses by Indian dental...oral mucous membranes-2 /certified fixed orthodontic courses by Indian dental...
oral mucous membranes-2 /certified fixed orthodontic courses by Indian dental...
 
Structural anatomy and development of periodontium
Structural anatomy and development of periodontiumStructural anatomy and development of periodontium
Structural anatomy and development of periodontium
 
Gingiva (Macroscopic features)
Gingiva (Macroscopic features)Gingiva (Macroscopic features)
Gingiva (Macroscopic features)
 

Mehr von Parth Thakkar

Classification of periodontal diseases
Classification of periodontal diseasesClassification of periodontal diseases
Classification of periodontal diseasesParth Thakkar
 
Delayed multidisciplinary management of an intrusively luxated maxillary late...
Delayed multidisciplinary management of an intrusively luxated maxillary late...Delayed multidisciplinary management of an intrusively luxated maxillary late...
Delayed multidisciplinary management of an intrusively luxated maxillary late...Parth Thakkar
 
permanent-young-teeth-pedo
permanent-young-teeth-pedopermanent-young-teeth-pedo
permanent-young-teeth-pedoParth Thakkar
 
transient-malocclusions-pedodontics
transient-malocclusions-pedodonticstransient-malocclusions-pedodontics
transient-malocclusions-pedodonticsParth Thakkar
 
the-mixed-dentition-pedodontics
the-mixed-dentition-pedodonticsthe-mixed-dentition-pedodontics
the-mixed-dentition-pedodonticsParth Thakkar
 
anterior cross-bites in primary mixed dentition-pedo
anterior cross-bites in primary mixed dentition-pedoanterior cross-bites in primary mixed dentition-pedo
anterior cross-bites in primary mixed dentition-pedoParth Thakkar
 
natal neonatal teeth-pedo
 natal neonatal teeth-pedo natal neonatal teeth-pedo
natal neonatal teeth-pedoParth Thakkar
 
posterior crossbite in primary and mixed dentition etiology and management pedo
 posterior crossbite in primary and mixed dentition etiology and management pedo posterior crossbite in primary and mixed dentition etiology and management pedo
posterior crossbite in primary and mixed dentition etiology and management pedoParth Thakkar
 
predentate period pedo
 predentate period pedo predentate period pedo
predentate period pedoParth Thakkar
 
deciduous-dentition-pedo
deciduous-dentition-pedodeciduous-dentition-pedo
deciduous-dentition-pedoParth Thakkar
 
mechanism-action-of-fluorides pedo
mechanism-action-of-fluorides pedomechanism-action-of-fluorides pedo
mechanism-action-of-fluorides pedoParth Thakkar
 
school-dental-health-programme-pedo
school-dental-health-programme-pedoschool-dental-health-programme-pedo
school-dental-health-programme-pedoParth Thakkar
 
space-regaining-pedo
space-regaining-pedospace-regaining-pedo
space-regaining-pedoParth Thakkar
 
tooth-discolouration-pedo
 tooth-discolouration-pedo tooth-discolouration-pedo
tooth-discolouration-pedoParth Thakkar
 
mouth-breathing-habit-in-children-pedo
 mouth-breathing-habit-in-children-pedo mouth-breathing-habit-in-children-pedo
mouth-breathing-habit-in-children-pedoParth Thakkar
 
space-maintainers-pedo
space-maintainers-pedospace-maintainers-pedo
space-maintainers-pedoParth Thakkar
 

Mehr von Parth Thakkar (20)

Classification of periodontal diseases
Classification of periodontal diseasesClassification of periodontal diseases
Classification of periodontal diseases
 
Pericoronitis
PericoronitisPericoronitis
Pericoronitis
 
Delayed multidisciplinary management of an intrusively luxated maxillary late...
Delayed multidisciplinary management of an intrusively luxated maxillary late...Delayed multidisciplinary management of an intrusively luxated maxillary late...
Delayed multidisciplinary management of an intrusively luxated maxillary late...
 
permanent-young-teeth-pedo
permanent-young-teeth-pedopermanent-young-teeth-pedo
permanent-young-teeth-pedo
 
transient-malocclusions-pedodontics
transient-malocclusions-pedodonticstransient-malocclusions-pedodontics
transient-malocclusions-pedodontics
 
the-mixed-dentition-pedodontics
the-mixed-dentition-pedodonticsthe-mixed-dentition-pedodontics
the-mixed-dentition-pedodontics
 
anterior cross-bites in primary mixed dentition-pedo
anterior cross-bites in primary mixed dentition-pedoanterior cross-bites in primary mixed dentition-pedo
anterior cross-bites in primary mixed dentition-pedo
 
natal neonatal teeth-pedo
 natal neonatal teeth-pedo natal neonatal teeth-pedo
natal neonatal teeth-pedo
 
posterior crossbite in primary and mixed dentition etiology and management pedo
 posterior crossbite in primary and mixed dentition etiology and management pedo posterior crossbite in primary and mixed dentition etiology and management pedo
posterior crossbite in primary and mixed dentition etiology and management pedo
 
predentate period pedo
 predentate period pedo predentate period pedo
predentate period pedo
 
deciduous-dentition-pedo
deciduous-dentition-pedodeciduous-dentition-pedo
deciduous-dentition-pedo
 
mechanism-action-of-fluorides pedo
mechanism-action-of-fluorides pedomechanism-action-of-fluorides pedo
mechanism-action-of-fluorides pedo
 
nursing-caries-pedo
nursing-caries-pedonursing-caries-pedo
nursing-caries-pedo
 
pulpectomy-pedo
pulpectomy-pedopulpectomy-pedo
pulpectomy-pedo
 
school-dental-health-programme-pedo
school-dental-health-programme-pedoschool-dental-health-programme-pedo
school-dental-health-programme-pedo
 
space-regaining-pedo
space-regaining-pedospace-regaining-pedo
space-regaining-pedo
 
tooth-discolouration-pedo
 tooth-discolouration-pedo tooth-discolouration-pedo
tooth-discolouration-pedo
 
tooth-mobility-pedo
tooth-mobility-pedotooth-mobility-pedo
tooth-mobility-pedo
 
mouth-breathing-habit-in-children-pedo
 mouth-breathing-habit-in-children-pedo mouth-breathing-habit-in-children-pedo
mouth-breathing-habit-in-children-pedo
 
space-maintainers-pedo
space-maintainers-pedospace-maintainers-pedo
space-maintainers-pedo
 

Kürzlich hochgeladen

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 

Kürzlich hochgeladen (20)

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 

gingiva

  • 1. INTRODUCTION:- ۞ GINGIVA is a masticatory mucosa and covers the alveolar process of the jaw and surrounds the neck of the teeth. ۞ The gingival extends from the dentogingival junction to the alveolar mucosa. It is subject to friction and pressure of mastication. ۞ The stratified squamous epithelium may be keratinized or non-keratinized but most often it is parakeratinized. ۞ The gingival appears slightly depressed between adjacent teeth, corresponding to the depression
  • 2. on the alveolar process between eminence of the sockets. ۞ The gingiva is limited on the outer surface of both the jaws by the mucogival junction, which separates it from the alveolar mucosa. ۞ The alveolar mucosa is red & contains numerous small vessels coursing close to the surface. ۞ The gingival is normally pink but sometimes have grayish tint. ۞ Gingiva is attached immovably and firmly to the periosteum of the alveolar bone. ۞ On the inner surface of the lower jaw a line of demarcation is found between the gingival and the mucosa on the floor of the mouth.
  • 3. TYPES OF GINGIVA:- The gingival is divided into three types: A) Free or unattached or marginal gingival B) Gingival sulcus. C) Attached gingiva.
  • 4. A) FREE OR UNATTACHED OR MARGINAL GINGIVA:- ۞ The free gingival is the terminal edge of the gingival which is usually about 1mm wide and surrounds the teeth. ۞ The free gingival forms one of the walls of the gingival sulcus and is separated from the attached gingival by a groove called free gingival groove. B) ATTACHED GINGIVA:- ۞ It is the continuation of the free gingival and extends up to the alveolar mucosa. ۞ The attached gingival is separated from the alveolar mucosa by a mucogingival sulcus. ۞ The width :- →3.5-4.5 mm in the maxillary anterior region →3.3-3.9mm in the mandibular anterior region. →Posteriorly the width of the attached gingival is less.
  • 5. →It is the least at the first premolar area being →1.9mm-maxilla and 1.8mm-mandible. C) INTERDENTAL PAPILLA:- ۞ It is the part of gingival that fills the space between two adjacent teeth. ۞ It is a shallow V shaped space surrounding the tooth. ۞ It is bounded on one side by the tooth and on the other side by the free gingiva. ۞ From oral or vestibular aspect, the surface of the interdental papilla is triangular. ۞ The depressed part of interdental papilla is called COL. ۞ Col is covered by thin non-keratinized epithelium. ۞ Elastic fibers known as OXYTALAN fibers are present.
  • 6. MICROSCOPIC FEATURES OF GINGIVA:- ۞ Broadly speaking gingival is made up of epithelium and connective tissue. ۞ The gingival epithelium can be studied under three headings:- 1) Outer or oral epithelium 2) Sulcular epithelium 3) Junctional epithelium. GINGIVAL EPITHELIUM OUTER OR ORAL SULCULAR JUNCTIONAL EPITHELIUM EPITHELIUM EPITHELIUM STRATUM BASALE STRATUM CORNEUM STRATUM SPINOSUM
  • 7. 1) OUTER OR ORAL EPITHELIUM:- ۞ The epithelium consists of the following layers: a) Stratum basale:- cuboidal cells. b) Stratum spinosum:- large polyhedral cells →Desmosomes c) Stratum corneum:- superficial most layer Large, wide, flat and lacking nucleus.
  • 8. 2) SULCULAR EPITHELIUM:- ۞ Extends from the coronal area of the junctional epithelium to the free margin of the gingival. ۞ Epithelium is nonkeratinized. ۞ Epithelium lacks heavy ridges and papillae. ۞ It is not keratinized due to constant irritation of plaque. 3) JUNCTIONAL EPITHELIUM:- ۞ Cells become cuboidal after ameloblasts have finished formation of enamel. ۞ It forms a collar around the fully erupted tooth. ۞ It consist of stratified squamous nonkeratinizing epithelium of 3-4 cell thickness having length of 0.25-1.35 mm. TYPES OF GINGIVAL LIGAMENT:-
  • 9. ۞ The gingival contains dense fibers of collagen, sometimes referred to as gingival ligament, which is divided into:- 1) DENTOGINGIVAL:- Extends from cervical cementum into the lamina propria of the gingival. 2) ALVEOLOGINGIVAL:- The fibers arise from the alveolar crest & extend into the lamina propria.
  • 10. 3) CIRCULAR:- A small groups of fibers that circle the tooth & interlace with the other fibers. 4) DENTOPERIOSTEAL:- These fibers can be followed from the cementum into the periosteum of the alveolar crest and of the vestibular and oral surfaces of the alveolar bone. ۞ There are also accessory fibers that extend interproximally between adjacent teeth & are also referred to as transseptal fibers. ۞ These fibers make the interdental ligament.
  • 11. DIFFERENT TYPES OF EPITHELIAL LAYERS:- 1) KERATINIZATION (75%) :- # In which the superficial cells form scales of keratin & lose their nuclei. # A stratum granulosum is present. 2) PARAKERATINIZATION (15%) :- # In which the superficial cells retain pyknotic nuclei & show some signs of being keratinized. # However, the stratum granulosum is generally absent. 3) NON-KERATINIZATION (10%) :- # In which the surface cells are nucleated & show no signs of keratinization.
  • 12. BlOOD SUPPLY:- Blood supply of gingiva is by ALVEOLAR ARTERY NERVE SUPPLY:- NERVE SUPPLY MAXILLARY MANDIBULAR NASOPALATINE NERVE Inferior alveolar nerve (Supplies facial aspect of anterior teeth) POSTERIOR SUPERIOR ALVEOLAR NERVE (Supplies facial aspect of posterior teeth) GREATER PALATINE NERVE (Supplies lingual aspect of posterior teeth) ANTERIOR PALATINE NERVE (Supplies lingual aspect of anterior teeth)
  • 13. CONTENTS:- 1) INTRODUCTION 2) TYPES OF GINGIVA 3) MICROSCOPIC FEATURES OF GINGIVA 4) TYPES OF GINGIVAL LIGAMENT 5) DIFFERENT TYPES OF EPITHELIAL LAYERS 6) ARTERIAL SUPPLY 7) NERVE SUPPLY 8) REFERENCES
  • 14. REFERNECES:- ۞ Oral histology and embryology - ORBANS S.N. Bhaskar ۞ Oral histology and embryology - A.R. Ten Cate ۞ Clinical periodontology - Caranza Glick Man ۞ Oral pathology - Shaffers ۞ Local Anaesthesia - Mallamaid