Review Note

Last Update: 05/16/2024 11:33 PM

Current Deck: DS1 Winter::PER710

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  • Oral mucosa
    • The gingiva and the covering of the hard palate, termed the{{c1:: masticatory mucosa}}
    • The oral mucous membrane lining the remainder of the oral cavity.
    • The dorsum of the tongue, covered by {{c1::specialized}} mucosa
    • The {{c1::gingiva }}is the part of the oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth
  • gingiva
    • {{c2::marginal}}
      • aka {{c3::free}}, {{c3::unatttached}}
      • In ≅ {{c3::50%}} of cases its demarcated from the attached gingiva by the marginal groove (1mm wide)
      • forms the {{c3::soft tissue wall}} of the healthy gingival sulcus
      • separated from the tooth surface with a periodontal probe
      • the {{c3::terminal edge}} of the gingiva surrounding the teeth
    • {{c2::attached}}
      • Is continuous with marginal gingiva
      • firm, resilient and tightly bound to periosteum of alveolar bone.
      • extends apically to the {{c4::mucogingival junction}} which separates it from the loose and movable alveolar mucosa.
      • Clinically delineated by depth of the sulcus  subtracted from width of the Keratinized gingiva
        • gingival sulcus
          • {{c6::shallow crevice}} or space around the tooth
          • bounded by surface of tooth on one side and epithelium lining marginal gingiva on the other side
          • V shaped; barely permits entrance of a periodontal probe.
          • Sulcus depth can be accurately measured only {{c6::histologically}}
          • Ideal conditions (only experimentally possible) depth = 0mm; histologically healthy human gingival sulcus mean depth ≅ {{c6::1.8mm}}
          • Surrogate used clinically = {{c6::Probing depth}}; probing depth in healthy gingiva = {{c6::2-3}}mm
          • Clinically filled with Gingival crevicular fluid 
      • Free {{c4::marginal gingival groove}}, if present, forms {{c4::coronal limit}}
      • width
        • {{c5::Marginal gingiva}}  = Depth of sulcus
        • {{c5::Attached gingiva}} = Keratinized gingiva – depth of sulcus (Free gingiva).
        • {{c5::Gingival margin}} – most coronal part of the free or marginal gingiva.
        • {{c5::Keratinized gingiva}} = Distance from gingival margin to MGJ
    • {{c2::interdental}}
      • In health it fills the gingival embrasure, which is the interproximal space apical to the tooth contact
      • Can be pyramidal or can have a col shape
      • Shape of the papillae varies according to {{c7::the dimension of the gingival embrasure}}
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PER710::Marucha

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