It occurs when plaque builds up between the teeth and gums. Similar to the variations seen in bowers study, the widest zone of attached gingiva was found in the incisors and the least. Spongy gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Etiologi resesi gingiva adalah multifaktorial, yaitu sebagai berikut. Attached gingiva is a part of keratinized gingiva which aids in increase resistance to external injury and contribute in stabilization of gingival margin.
Resesi gingiva dapat terjadi lokal atau menyeluruh pada semua gigi, yang mengakibatkan dentin hipersensitif dan rentan terhadap karies. Gcf levels of il6 were significantly elevated in gingivitis patients compared to healthy subjects in all phases p 0. Attached gingiva and its significance linkedin slideshare. The epithelium of the gingiva is often parakeratinized. The aim of this study was to determine normal values of the width of attached gingiva in an indian subpopulation. Ditemukan juga 80% kasus resesi gingiva ketidakteraturan orthodontik minor. Lang harald loe introduction in man the keratinized gingiva includes the free and the attached gingiva and extends from the gingival mar gin to the mucogingival junction. Marginal gingiva free gingival groove shallow linear depression that demarcates fmarginal gingiva from the adjacent attached gingiva about 50% of cases usually about 1mm wide, the marginal gingiva. Gingivitis refers to inflammation of the gingiva, and is common. Resesi gingiva adalah terbukanya akar gigi oleh karena bergesernya gingiva ke arah apikal.
Marginal gingiva the marginal, or unattached, gingiva is the terminal edge or border of the gingiva surrounding the teeth in collarlike fashion 6. Resesi gingiva dapat bersifat lokal pada satu gigi, beberapa gigi, atau umum pada. Attached gingiva definition of attached gingiva by medical. Abstract the purpose of this experiment was to evaluate the effect of plaque infection an gingival units 1 with or without support of attached gingiva and 2 with different height of the attachment apparatus.
Resesi gingiva bertambah seiring bertambahnya umur, insidensinya bervariasi dari 8% pada anakanak hingga 100% pada umur setelah 50 tahun. Width of attached gingiva wag is an important marker for diagnosis of periodontal disease. Measurement of the width of attached gingiva in an indian. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Hal lain yang timbul adalah masalah estetik, terutama bila resesi. Over time this build up can lead to infection of the gums. Feb 01, 2017 marginal gingiva the marginal, or unattached, gingiva is the terminal edge or border of the gingiva surrounding the teeth in collarlike fashion 6. Attached gingiva extends from the fgg to the mucogingival junction mgj attached.
Pdf gingiva tiruan sebagai perawatan alternatif untuk resesi. Resesi gingiva dapat terjadi pada satu permukaan gigi atau lebih di dalam rongga mulut. Recession is an exposure of the root surface and an apical shift of the gingival position. Clinical features of healthy gingiva this is important for clinicians to recognize the emergence of healthy gums and identify any deviations in health.
A clinical study of the width of the attached gingiva in the. Faktor anatomi yang mempengaruhi resesi gingiva adalah posisi abnormal di lengkung rahang. The aim of this study is to compile a comprehensive database on color range and color distribution of healthy human gingiva by age, gender and ethnicity. In clinically normal gingiva, the distance between the bottom of the sulcus and the alveolar crest is in normal gingiva, the predominant microflora of gingival plaque are the tooth surfaces least susceptible to caries are vitamin d is a factor in narrow slitlike areas of gingival recession over the roots of teeth are called the. The gingiva is the only visible part of the periodontium that can be seen in the mouth. The marginal gingiva is the terminal edge of gingiva surrounding the teeth in collar like fashion. Dec 22, 2015 the aim of this study is to compile a comprehensive database on color range and color distribution of healthy human gingiva by age, gender and ethnicity.
Overseas sales office kyoto daiichiseimei izumiya bldg. Gingival assessment dental hygiene advanced perio with. Study 31 gingival assessment flashcards from sarah c. The gingiva is composed of an outer epithelium and an inner network of connective tissue.
These findings led to their conclusion that at least 2 mm of keratinized gingiva is required for stability of the periodontium lang and loe, 1972. The gingival tissue runs from the mucogingival line, which marks the boundary with the nonkeratinised buccal mucosa, and covers the coronal aspect of the alveolar process. It is important to be patient in this part of the implant treatment. Free gingiva forms the gingival margin which is visible during examination. Gingivitis gingivitis is an infection that is an early sign of gum disease. Tissue consistency and texture in gingivitis foundations of. A single layer of basal cells rests on the basal lamina. This outer epithelial layer is keratinized, forming a protective layer around the tooth. Prior to the initiation of the study 4 different types of dentogingival units had been established in. The high incidence of recession, 100% on 50 years old requires an appropriate therapy to eliminate the hypersensitive dentin and also aesthetic problems.
Periodontics chapter 6 gingival disease flashcards quizlet. The importance of keratinized gingiva surrounding dental implants. You should consult with dentist regarding disease specific to the same for better oral hygiene. Periodontics chapter 6 gingival disease learn with flashcards, games, and more for free. Periodontitis kronis dan penatalaksaan kasus dengan kuretase. Color range and color distribution of healthy human gingiva. Discoloration of the oral mucosa or gingiva is associated with several exogenous and endogenous factors. Pdf gingival recession has became a serious problem.
In severe cases, the excess tissue may cover the crowns of the teeth, thus causing functional, esthetic, and periodontal problems, such as bone loss and bleeding, due to the presence of. The boxes provided by the dental professional were representative, not exhaustive, resulting in some of the inamed gingiva pixels lying outside the bounding boxes, which could lead to faulty training. The relationship between the width of keratinized gingiva and gingival health by niklaus p. Automated segmentation of gingival diseases from oral images. Gingiva the gingiva jin je va is the part of the oral tissue oral mucosa covered by keratinized epithelium.
In normal gingiva, the predominant microflora of gingival. Gingival zenith positions and levels of the maxillary anterior dentition stephen j. The gingiva line the external surface of the periodontium fig. The epithelium and lamina propria are separated by a thin basal lamina or basement membrane, which serves supportive and filtering functions. May 02, 2014 the assessment of width of attached gingiva in different age groups by vm revealed that the width of gingiva increases with age wherein the mean width in maxillary teeth in gingiva varies in different areas of the mouth and have been given a range of 19 mm, 14 mm, 05 mm. The gum around the gingiva former must have time to become fully developed before an impression can be made. Additional instructions and trouble shooting are included with the game. It covers the alveolar processes of the jaws and surrounds the portions of the teeth near where the root and crown join cervical portion. The gums often do not hurt with gingivitis, but treatment is very important. The gingiva is divided anatomically into marginal, attached and interdental areas. Based on the above measurements, the author classified gingival biotype as. Pemeriksaan intra oral gingiva memerah, tepi bulat dan mengkilap, bleeding on probing positif pada.
Pointed pyramidal gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. What are gingivitis and periodontitis the gingiva are the gums, the visible mucosa around teeth. From gingival margin to the free gingival groove fgg at the level of the cej. In healthy gingiva, the level of the interproximal alveolar. The width of the keratinized gingiva and the depth of the gingival sulcus were measured on the midfacial aspect of all teeth in each patient, using a calibrated, flat periodontal probe. The gingival thickness affects the treatment outcome possibly because of the difference in the amount of blood supply to the underlying bone and susceptibility to resorption. The perils of thin\ scalloped gingiva a restorative perspective dr. Clinical features of healthy gingiva foundations of. Dissipating physiological forces exerted by the muscular fibers of the alveolar mucosa on the gingival tissues. There was a tendency for a flat gingival architecture to have a lower tooth heighttowidth ratio, while a scalloped. Gingiva, ask a doctor about gingiva doctors insight on. The importance of keratinized gingiva surrounding dental. Secara etiologic resesi gingiva di pengaruhi oleh berbagai macam factor yaitu factor anatomi, fisiologis, patologis, dan actor lainnya. The relationship between the width of keratinized gingiva and.
The assessment of width of attached gingiva in different age groups by vm revealed that the width of gingiva increases with age wherein the mean width in maxillary teeth in the predominant microflora of gingival plaque are the tooth surfaces least susceptible to caries are vitamin d is a factor in narrow slitlike areas. Contained within the inner gingival connective tissue are gingival fibroblasts, which play a crucial role in tissue repair and the inflammatory response. A total of 240 subjects were selected with healthy gingival tissue. Assessment of the width of attached gingiva using different. Gingival fibromatosis is a rare and heterogeneous group of disorders that develop as slowly progressive, local or diffuse enlargements within marginal and attached gingiva or interdental papilla. Anatomical relationship of normal gingiva in facial view a and in crosssection b. Clinical pigmentation in the gingiva may cause aesthetic problems 4,5. The gingiva former may also be shaped as a temporary abutment that functions as a buildup and can support a temporary plastic crown in the healing process. In the present study, the range of the mean width of attached gingiva varied from 1 mm to 4 mm. Can be separated form the tooth by a probe depth of gingival sulcus crevice.
The marginal or unattached gingiva is the terminal edge or border of the gingiva that surrounds the teeth in collarlike fashion figures 11 and 12. Consequently, multiple depigmentation techniques have been employed, including bur abrasion, surgical scraping, and electro surgery 68. Resesi gingiva adalah terbukanya akar gigi akibat pergeseran posisi margin gingiva ke apikal dari cemento enamel junction. Gingiva definition of gingiva by medical dictionary. Pdf gingival recession is marked by the exposure of the root surface. In addition, clinicians should be able to describe the gums exactly when documenting results of periodontal evaluation. Jaringan periodontal terdiri dari gingiva, ligamen periodontal, sementum. It is a mild form of periodontitis, which means inflammation of all the tissues surrounding the teeth, and is less common.