Gingival stippling definition of gingival stippling by the. Predoctoral periodontal cases page 2 american academy of periodontology 20 predoctoral workshop. Request pdf prevalence of gingival stippling in children gingival stippling is a characteristic of the healthy attached gingiva and its diminution or loss has been considered as a sign of. Stippling is form of adaptive specie dilution or reinforcement for function. Zones of gingiva gingiva can be divided into several zones as shown in figure 75.
Although the gingival index and sulcus bleeding index have been widely used as. Stippling only presents on the attached gingiva bound to. Gingivitis is an infection that occurs when bacteria invade soft tissues around the tooth. Healthy gingiva is pale pink, shows a smooth gingival stippling, does not bleed and is tightly attached to the teeth. Gingival stippling definition of gingival stippling by. Gingival enlargements are quite common and may be either inflammatory, noninflammatory, or a combination of both.
The fourth edition of the glossary of periodontal terms represents four years of intensive work by many. Instruction manual for the periodontal screening pro cedure, usaf school. As stated in the recently released surgeon generals report, oral health in america, using the oral cavity for diagnosis of systemic disease is becoming an established practice. In health, attached gingiva the oral mucosa covering the base of the alveolar bone maintenance care for a patient treated for periodontal disease includes periodic assessment of 1. Stippling is a consequence of the microscopic elevations and depressions of the surface of the gingival tissue due to the connective tissue. 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. Stippling used to be thought to indicate health, but it has since been shown that smooth gingiva is not an indication of disease, unless it is smooth due to a loss of previously existing stippling. The normal gingiva of the child patient is diagnosed on the basis of 1. The normal gingiva of the child patient is diagnosed on. Most commonly, gingival overgrowth is a plaqueinduced inflammatory process, which can be modified by. Prevalenceofgingivalstipplingamong48 yearsoldchildren.
Additional instructions and trouble shooting are included with the game. Gingival stippling article about gingival stippling by the. Part of oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth. It is a result of the interlocking of the dermal papillae and the rete pegs stippling is generally considered to be an indication of healthy gums. The aim of this study was to determine the presence of gingival stippling in dogs, its location on the alveolar processes, and its association with age and signs of inflammation. Pdf diagnosis of periodontal disease, a frequent disorder in dogs, rests mainly upon the assessment of changes affecting the gingiva. Prevalence of gingival stippling in children request pdf. The third important consideration in gingival margin placement is the patients periodontal biotype, or whether the gingival tissue is thick or thin. The relationship between the width of keratinized gingiva and gingival health by niklaus p. Orban b 1948 although the biologic significance of gingival stippling is not known, some. The relation of gingival stippling to the microstructure of epithelium and underlying connective tissue was to be assessed. The art and science of educating to competency gingival description 5 student has accurately charted the patients gingival condition. Gingival hyperplasia is a bizarre condition causing esthetic, functional, psychological, and masticatory disturbances of the oral cavity.
Free gingival groove a shallow line or depression on the gingival surface at the junction of the free and attached gingivae. Gingival definition of gingival by the free dictionary. Edematous 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. Surface stippling and the parabolic arch pattern around each anterior tooth are evident in figure 74. Gingival zenith positions and levels of the maxillary. Surgical techniques to increase the apicocoronal dimension of the attached gingiva.
The relationship between the width of keratinized gingiva and. Graduation of shading by numerous separate touches. The clinician however, must take in consideration that its pattern and extent varies in different mouth areas, among persons and with age. Diseases, disorders, and symptoms see more details, and its relation to the microstructure of the gingiva. Characteristics of normal gingiva are listed later in table 71 along with the traits of diseased gingiva. Impediments to the use of gingival retraction techniques. This is determined by placing a periodontal probe into the sulcus.
The gingiva often possess a textured surface that is referred to as being stippled engraved points. Jun 08, 2009 though scientific evidence is equivocal at this point,most of us would agree that its better to have at least 3 mm of keratinized tissue around implant restorations. Our gingiva is constantly confronted with bacteria and sometimes shows inflammation tendency in spite of good care. A gingivectomy was performed to elevate the level of the free gingival margin developing a more proportion ate form for the teeth, as well as removing an excessive display of gingiva below the inferior border of the upper lip. 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. Causes of gingival enlargement can be due to plaque accumulation, due to poor oral hygiene, inadequate nutrition, or systemic hormonal. Jun 11, 2014 marginal gingiva unattached gingiva terminal edge or border of gingiva. The normal gingiva of the child patient is diagnosed on the. Proper assessment and diagnosis of oral conditions can alert the clinician to a potential systemic disease. Surgical techniques to increase the apicocoronal dimension of. Parameters that influence the position of the facial gingival. Request pdf prevalence of gingival stippling in children gingival stippling is a characteristic of the healthy attached gingiva and its diminution or loss has. Adjunctive therapies, including periodontal plastic surgery, are recommended to optimize gingival contours for restorative treatment in the presence of severe gingival.
It pays to assess the location of the mucogingival junction prior to implant therapy in order to plan surgical approach from the decision to flap or not ive seen many who are so enamoured by the flapless technique that they. When the gingiva is restored to health after treatment, the stippled appearance returns. Age influence on periodontal tissues romanian journal of. Gingival line definition of gingival line by medical dictionary. A 1year comparison between the free gingival graft and the modified apically repositioned flap. Stippling, is it an indicator of gingival thickness. Loss of stippling is usually an indication of tissue breakdown and disease progression stippling rete pegs dermal. Poor periodontal hygiene is an important risk factor for severity of phenytoininduced gingival overgrowth pigo, which is a timedependent process. Clinical featuresof gingivitis shilpa shivanand i mds. Gingival tissues histology ch 10 flashcards quizlet. The aim of this study was to determine the presence of gingival stippling in dogs, its location on alveolar processes, its association with age and inflammation inflammation subject category. The term gingival biotype1417 has been used to describe the thickness of the gingiva in the faciopalatal dimension and it is a genetically determined trait. Proper mucogingival therapy should lead to gingival augmentation and create a vestibule with adequate depth in the regions with insufficient attached gingival tissues 1, 14, 18, 20, 22.
Prevalence of gingival stippling among 48 years old children. Prevalenceofgingivalstipplingamong48yearsoldchildren. Gum health and disease can have an effect on general health. A key element in that proper assessment includes an accurate. The attached gingiva is a desirable anatomical element for the maintenance of gingival health. A film of plaque adhering to the free gingival margin and adjacent area of the. It is a feature of healthy gingiva, and reduction or loss ot stippling is a common sign of gingival disease. Gingival stippling is a characteristic of the healthy attached gingiva and its diminution or loss has been considered as a sign of gingival disease. A shade of pale or coral pink, knifeedged gingival margin, stippling. Stippling of the gingiva stippling is the pebblelike appearance of the gingival surface.
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