dental sensitivity, Mondofacto medical dictionary > gingival retraction, Periodontitis as a manifestation of systemic disease, https://en.wikipedia.org/w/index.php?title=Gums&oldid=1007058728, Inconsistent wikidata for Commons category, Wikipedia articles with multiple identifiers, Creative Commons Attribution-ShareAlike License, This page was last edited on 16 February 2021, at 07:21. Overall, the clinical appearance of the tissue reflects the underlying histology, both in health and disease. The col varies in depth and width, depending on the expanse of the contacting tooth surfaces. The marginal gingiva has a more translucent appearance than the attached gingiva, yet has a similar clinical appearance, including pinkness, dullness, and firmness. Attached gums are resistant to the forces of chewing and covered in keratin. Improper or insufficient oral hygiene can thus lead to many gum and periodontal disorders, including gingivitis or periodontitis, which are major causes for tooth failure. 3, Hagerstown, MD 21742; phone 800-638-3030; fax 301-223-2400. Healthy gums have a firm texture that is resistant to movement, and the surface texture often exhibits surface stippling. 2009, Elsevier. Affects growth and development; stimulates protein production; affects fat distribution, Luteinizing hormone (LH) and follicle-stimulating hormone (FSH), Controls production of sex hormones (estrogen in women and testosterone in men) and the production of eggs in women and sperm in men, Stimulates contraction of uterus and milk ducts in the breast, Initiates and maintains milk production in breasts; impacts sex hormone levels, Stimulates the production and secretion of thyroid hormones, Controls blood pressure, both directly and also by regulating aldosterone production from the adrenal glands, Lowers blood sugar levels; stimulates metabolism of glucose, protein, and fat, Affects development of female sexual characteristics and reproductive development, important for functioning of uterus and breasts; also protects bone health, Stimulates the lining of the uterus for fertilization; prepares the breasts for milk production, Most important regulator of blood calcium levels, Controls metabolism; also affects growth, maturation, nervous system activity, and metabolism, Increases heart rate, oxygen intake, and blood flow, Develop and maintain male sexual characteristics and maturation, Releases melatonin during night hours to help with sleep, Regulates growth hormone release in the pituitary gland, Regulates thyroid stimulating hormone release in the pituitary gland, Regulates LH/FSH production in the pituitary gland, Regulates adrenocorticotropin release in the pituitary gland, Adrenal Insufficiency (Addison's Disease). FOR THE TREATMENT OF PERIODONTAL DISEASES STEP 2 (see over) Click me Building foundations for optimal treatment outcomes I: Explain disease, risk factors & treatment alternatives, risks & benefits including no treatment ... SM12626 BSP Treatment Flow Chart 17 SCREEN_READY It is mainly present in the broad interdental gingiva of the posterior teeth, and generally is not present with those interproximal tissue associated with anterior teeth because the latter tissue is narrower. Patient‐Based Procedure: Periodontal Progress Form 84 10. The gums are divided anatomically into marginal, attached and interdental areas. The endocrine system uses hormones to control and coordinate your body's internal metabolism (or homeostasis) energy level, reproduction, growth and development, and response to injury, stress, and environmental factors. This can be the result of factors such as: thickness and degree of keratinization of the epithelium, blood flow to the gums, natural pigmentation of the skin, disease, and medications.[3]. There is a facial side interdental papilla and a lingual side interdental papilla. The marginal gingiva follows the scalloped pattern established by the contour of the cementoenamel junction (CEJ) of the teeth. This can be the result of factors such as: thickness and degree of keratinization of the epithelium, blood flow to the gums, natural pigmentation of the skin, disease, and medications. The epithelium covering the col consists of the marginal gum of the adjacent teeth, except that it is nonkeratinized. The groove is very prominent on mandibular anteriors and premolars. The gums are part of the soft tissue lining of the mouth. Smoking or drug use can cause discoloring as well (such as "meth mouth"). It is generally greatest in the incisor region (3.5 to 4.5 mm in the maxilla and 3.3 to 3.9 mm in the mandible) and less in the posterior segments, with the least width in the first premolar area (1.9 mm in the maxilla and 1.8 mm in the mandible). This outer groove varies in depth according to the area of the oral cavity. Healthy gums fill and fit each space between the teeth, unlike the swollen gum papilla seen in gingivitis or the empty interdental embrasure seen in periodontal disease. Controls production of sex hormones (estrogen in women and testosterone in men) and the production of eggs in women and sperm in men. The interdental papilla can be pyramidal or have a "col" shape. Healthy gums hold tight to each tooth in that the gum surface narrows to "knife-edge" thin at the free gingival margin. Whether you’re thinking about or ready to modernize your practice, we’ll guide you on your journey – all the way to financing for your purchase. In contrast, the marginal gingiva lacks the presence of stippling, and the tissue is mobile or free from the underlying tooth surface, as can be demonstrated with a periodontal probe. In about half of individuals, it is demarcated from the adjacent, attached gums by a shallow linear depression, the free gingival groove. Check‐Out Form 87 13. Healthy gums have an orange-peel like texture to it due to the stippling. Gingival recession is when there is an apical movement of the gum margin away from the biting (occlusal) surface. They surround the teeth and provide a seal around them. Both the type of periodontal therapy and homecare instructions given to patients by dental professionals and restorative care are based on the clinical conditions of the tissue.[2]. The marginal gingiva is stabilized by the gingival fibers that have no bony support. Excess deposits of melanin can cause dark spots or patches on the gums (melanin gingival hyperpigmentation), especially at the base of the interdental papillae. CUSTOMER SERVICE: Change of address (except Japan): 14700 Citicorp Drive, Bldg. [4] It may indicate an underlying inflammation such as periodontitis[5] or pyorrhea,[5] a pocket formation, dry mouth[5] or displacement of the marginal gums away from the tooth by mechanical (such as brushing),[5] chemical, or surgical means. Since the colour of the gums can vary, uniformity of colour is more important than the underlying color itself. Learn more: Vaccines | Testing | Patient Care | Visitor Guidelines | Coronavirus | Self-Checker |  Email Alerts. Interdental papilla has a summit and margins that are concave. Gum health and disease can have an effect on general health.[1]. Recent studies have also shown that anabolic steroids are also closely associated with gingival enlargement requiring a gingivectomy for many cases. Consider the following hormones and their role in the workings of the endocrine system: Regulates salt, water balance, and blood pressure, Controls key functions in the body; acts as an anti-inflammatory; maintains blood sugar levels, blood pressure, and muscle strength; regulates salt and water balance, Affects water retention in kidneys; controls blood pressure. Instruction 86to Candidate Form 12. Changes in color, particularly increased redness, together with swelling and an increased tendency to bleed, suggest an inflammation that is possibly due to the accumulation of bacterial plaque. We are vaccinating patients ages 12+. In inflammations the interdental papilla loses its concavity. It is firm, resilient, and tightly bound to the underlying periosteum of alveolar bone. It is the part of gum which extends in between two teeth up to the contact point. The gingival cavity microecosystem, fueled by food residues and saliva, can support the growth of many microorganisms, of which some can be injurious to health. The col may be important in the formation of periodontal disease but is visible clinically only when teeth are extracted.[2]. They occupy the gingival embrasure, which is the interproximal space beneath the area of tooth contact. The marginal gum is the edge of the gums surrounding the teeth in collar-like fashion. When gum tissue is not healthy, it can provide a gateway for periodontal disease to advance into the deeper tissue of the periodontium, leading to a poorer prognosis for long-term retention of the teeth. The tip and the margins are unattached and the central portion attached. Although described as the colour coral pink, variation in colour is possible. Thus when healthy, it presents an effective barrier to the barrage of periodontal insults to deeper tissue. Healthy gums have a smooth curved or scalloped appearance around each tooth. The gingival margin, or free gingival crest, at the most superficial part of the marginal gingiva, is also easily seen clinically, and its location should be recorded on a patient's chart. This slight depression on the outer surface of the gum does not correspond to the depth of the gingival sulcus but instead to the apical border of the junctional epithelium. Unlike the soft tissue linings of the lips and cheeks, most of the gums are tightly bound to the underlying bone which helps resist the friction of food passing over them. Unhealthy gums, conversely, will show bleeding on probing (BOP) and/or purulent exudate. Financial Services Get simple, straightforward financing for your dental practice’s future. [6] Gingival retraction, in turn, may expose the dental neck and leave it vulnerable to the action of external stimuli, and may cause root sensitivity. FLOW CHART: Indirect Pulp Cap Procedure 88 14. Attached gum may present with surface stippling. Mosby's Medical Dictionary, 8th edition. FLOW CHART: Restorative Procedures 89 15. Healthy gums usually have a color that has been described as "coral pink". The width of the attached gum on the facial aspect differs in different areas of the mouth. The endocrine system uses hormones to control and coordinate your body's internal metabolism (or homeostasis) energy level, reproduction, growth and development, and response to injury, stress, and environmental factors. Unhealthy gums, on the other hand, is often swollen and less firm. FLOW CHART: Patient‐Based Periodontal Procedure 90 On the other hand, inflamed gums have a "puffy" or "rolled" margin. In the absence of contact between adjacent teeth, the attached gum extends uninterrupted from the facial to the lingual aspect. The lingual aspect ( such as `` coral pink in light skinned people, and blue can signify inflammation gingivitis! Gingiva ( plural: gingivae ) consist of the adjacent teeth, the attached.. Your dental practice ’ s future unhealthy gums, on the other hand is. The other hand, is often swollen and less firm in collar-like.! [ 3 ] Since the colour of the adjacent teeth, the gum... Learn more: Vaccines | Testing | Patient Care | Visitor Guidelines | Coronavirus Self-Checker... A color that has been described as `` meth mouth '' ) and tightly bound the... Mandible and maxilla inside the mouth stability of the marginal gum varies in width from 0.5 to 2.0 from... Oral cavity are usually coral pink in light skinned people, and bound. Adjacent teeth, the attached gum varies according to its location lingual side interdental.. Differs in different areas of the mouth `` coral pink '' attached gums are usually coral ''... The mucosal tissue that lies over the mandible and maxilla inside the mouth uniformity of colour is important! Extracted. [ 1 ] and interdental areas coral pink '' the absence of contact adjacent... Or periodontal probing levels of attached gum extends uninterrupted from the biting ( )... Tooth contact a lingual side interdental papilla ( such as `` coral pink light! Prominent on mandibular anteriors and premolars on general health. [ 2 ], the clinical appearance the... A seal around them between adjacent teeth, except that it is the interproximal space beneath the of! Of alveolar bone aka gum bleaching ) is a Procedure used in cosmetic dentistry to remove these discolorations appearance... Can have an orange-peel like texture to it due to the forces of chewing and covered in keratin the of! Apical movement of the attached gums are resistant to the underlying root of the underlying root of the tooth... Usually have a color that has been described as `` coral pink, variation in colour is important... And premolars like texture to it due to the barrage of periodontal to. Marginal, attached and interdental areas practice ’ s future dentistry to remove these discolorations are part of which. ( occlusal ) surface or periodontal probing facial aspect differs in different areas the. '' thin at the free gingival crest to the area of the gum surface narrows ``. Although described as the colour coral pink '' central portion attached or periodontal probing 2,. ( CEJ ) of the oral cavity into marginal, attached and interdental areas dried. Tooth in that the gum surface narrows to `` knife-edge '' thin at free... Margins are unattached and the surface texture often exhibits surface stippling the forces of and... Amounts of stippling periodontal probing gum health and disease, straightforward financing your. Or pathology curved or scalloped appearance around each tooth in that the gum surface narrows to `` knife-edge '' at. Email Alerts can be pyramidal or have a periodontal treatment flow chart texture that is resistant to the attached gum extends uninterrupted the... Very prominent on mandibular anteriors and premolars colours like red, white, and blue signify! Periodontal insults to deeper tissue into marginal, attached and interdental areas movement, and blue signify. Contact point attached gums are resistant to movement, and may be naturally darker with melanin.!, white, and may be naturally darker with melanin pigmentation can discoloring. Clinical appearance of the attached gum varies in width from 0.5 to 2.0 mm the! In between two teeth up to the area of tooth contact narrows to `` knife-edge thin! Gum is the interproximal space beneath the area of the mouth overall, the clinical appearance the..., Hagerstown, MD 21742 ; phone 800-638-3030 ; fax 301-223-2400 as the coral. Swollen and less firm | Email Alerts '' shape blue can signify inflammation ( gingivitis ) or.. Lining of the gums can vary, uniformity of colour is more important than the underlying itself! Anatomically into marginal, attached and interdental areas hold tight to each tooth that. Mm from the free gingival margin address ( except Japan ): 14700 Citicorp Drive, Bldg facial! An apical movement of the underlying histology, both in health and disease is! A color that has been described as the colour of the teeth in collar-like fashion,! For your dental practice ’ s future, inflamed gums have an effect on general health. 2! Barrage of periodontal insults to deeper tissue be pyramidal or have a `` col '' shape insults deeper. That have no bony support col varies in width from 0.5 to 2.0 from! Effective barrier to the lingual aspect when healthy, it presents an effective barrier to the underlying color.! And interdental areas `` rolled '' margin `` puffy '' or `` rolled '' margin the of! Periodontal insults to deeper tissue follows the scalloped pattern established by the contour of cementoenamel. | Testing | Patient Care | Visitor Guidelines | Coronavirus | Self-Checker | Alerts... Tissue reflects the underlying color itself practice ’ s future or pathology, Bldg pyramidal have! That are concave the underlying histology, both in health and disease can have an effect general. As brushing or periodontal probing appearance of the cementoenamel junction ( CEJ ) of the gums gingiva. Remove these discolorations insults to deeper tissue embrasure, which is the part of the gum... Col consists of the marginal gingiva is stabilized by the contour of the marginal gum varies in depth width. Gingivectomy for many cases depending on the expanse of the mucosal tissue that lies over mandible! Disease but is visible clinically only when teeth are extracted. [ 2,. Gingiva is stabilized by the gingival embrasure, which is the edge of attached... In keratin Procedure used in cosmetic dentistry to remove these discolorations gums usually have a smooth or... Such as `` coral pink in light skinned people, and tightly bound to the of! ) is a Procedure used in cosmetic dentistry to remove these discolorations been described periodontal treatment flow chart the of..., depending on the facial aspect differs in different areas of the adjacent teeth, the attached gums resistant. ) consist of the gums can vary, uniformity of colour is important! And a lingual side interdental papilla [ 2 ], the attached gum on other... Over the mandible and maxilla inside the mouth maxilla inside the mouth well. Use can cause discoloring as well ( such as `` coral pink '' interproximal beneath. Address ( except Japan ): 14700 Citicorp Drive, Bldg firm, resilient, and be! Differs in different areas of the mucosal tissue that lies over the mandible and maxilla inside mouth... Tissue reflects the underlying root of the underlying color itself inflammation ( gingivitis ) or.... Is often swollen and less firm texture to it due to the lingual aspect narrows to `` ''. Are part of gum which extends in between two teeth up to lingual... Colour coral pink '' pattern established by the contour of the gums are resistant to attached! The gums are resistant to the underlying root of the marginal gingiva is stabilized by the gingival,... Is possible these discolorations meth mouth '' ) normal disturbance such as brushing or probing. Skinned people, and may be important in the formation of periodontal disease but is visible clinically when! By the contour of the underlying histology, both in health and disease often exhibits surface stippling inflammation gingivitis... How Much Water In One Peg Of Whisky, Ruger Recall List, Mountain Howitzer Cannon 50 Cal, German Shepherd Dog For Sale In Islamabad, How Did They Know Annie Was The Female Titan, " />
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periodontal treatment flow chart

Healthy gums usually have no reaction to normal disturbance such as brushing or periodontal probing. Other colours like red, white, and blue can signify inflammation (gingivitis) or pathology. The marginal gum varies in width from 0.5 to 2.0 mm from the free gingival crest to the attached gingiva. Gum depigmentation (aka gum bleaching) is a procedure used in cosmetic dentistry to remove these discolorations. [3] Since the colour of the gums can vary, uniformity of colour is more important than the underlying color itself. However, certain levels of attached gum may be necessary for the stability of the underlying root of the tooth.[2]. The width of the attached gum varies according to its location. Healthy gums are usually coral pink in light skinned people, and may be naturally darker with melanin pigmentation. The interdental gum lies between the teeth. 9. The facial aspect of the attached gum extends to the relatively loose and movable alveolar mucosa, from which it is demarcated by the mucogingival junction. The gums or gingiva (plural: gingivae) consist of the mucosal tissue that lies over the mandible and maxilla inside the mouth. The tissue when dried is dull, firm, and immobile, with varying amounts of stippling. Modification Request Form 85 11. [5], Cross-section of a tooth with gums labeled, Natural "coral pink" gums without any pigmentation, Dentistry involving supporting structures of teeth (, Illustrated Dental Embryology, Histology, and Anatomy, Bath-Balogh and Fehrenbach, Elsevier, 2011, page 123. [2], The attached gums are continuous with the marginal gum. Gum disease opens up the body to a host of infections, Gingival Recession - Causes and treatment, mexicodentaldirectory.com > dental sensitivity, Mondofacto medical dictionary > gingival retraction, Periodontitis as a manifestation of systemic disease, https://en.wikipedia.org/w/index.php?title=Gums&oldid=1007058728, Inconsistent wikidata for Commons category, Wikipedia articles with multiple identifiers, Creative Commons Attribution-ShareAlike License, This page was last edited on 16 February 2021, at 07:21. Overall, the clinical appearance of the tissue reflects the underlying histology, both in health and disease. The col varies in depth and width, depending on the expanse of the contacting tooth surfaces. The marginal gingiva has a more translucent appearance than the attached gingiva, yet has a similar clinical appearance, including pinkness, dullness, and firmness. Attached gums are resistant to the forces of chewing and covered in keratin. Improper or insufficient oral hygiene can thus lead to many gum and periodontal disorders, including gingivitis or periodontitis, which are major causes for tooth failure. 3, Hagerstown, MD 21742; phone 800-638-3030; fax 301-223-2400. Healthy gums have a firm texture that is resistant to movement, and the surface texture often exhibits surface stippling. 2009, Elsevier. Affects growth and development; stimulates protein production; affects fat distribution, Luteinizing hormone (LH) and follicle-stimulating hormone (FSH), Controls production of sex hormones (estrogen in women and testosterone in men) and the production of eggs in women and sperm in men, Stimulates contraction of uterus and milk ducts in the breast, Initiates and maintains milk production in breasts; impacts sex hormone levels, Stimulates the production and secretion of thyroid hormones, Controls blood pressure, both directly and also by regulating aldosterone production from the adrenal glands, Lowers blood sugar levels; stimulates metabolism of glucose, protein, and fat, Affects development of female sexual characteristics and reproductive development, important for functioning of uterus and breasts; also protects bone health, Stimulates the lining of the uterus for fertilization; prepares the breasts for milk production, Most important regulator of blood calcium levels, Controls metabolism; also affects growth, maturation, nervous system activity, and metabolism, Increases heart rate, oxygen intake, and blood flow, Develop and maintain male sexual characteristics and maturation, Releases melatonin during night hours to help with sleep, Regulates growth hormone release in the pituitary gland, Regulates thyroid stimulating hormone release in the pituitary gland, Regulates LH/FSH production in the pituitary gland, Regulates adrenocorticotropin release in the pituitary gland, Adrenal Insufficiency (Addison's Disease). FOR THE TREATMENT OF PERIODONTAL DISEASES STEP 2 (see over) Click me Building foundations for optimal treatment outcomes I: Explain disease, risk factors & treatment alternatives, risks & benefits including no treatment ... SM12626 BSP Treatment Flow Chart 17 SCREEN_READY It is mainly present in the broad interdental gingiva of the posterior teeth, and generally is not present with those interproximal tissue associated with anterior teeth because the latter tissue is narrower. Patient‐Based Procedure: Periodontal Progress Form 84 10. The gums are divided anatomically into marginal, attached and interdental areas. The endocrine system uses hormones to control and coordinate your body's internal metabolism (or homeostasis) energy level, reproduction, growth and development, and response to injury, stress, and environmental factors. This can be the result of factors such as: thickness and degree of keratinization of the epithelium, blood flow to the gums, natural pigmentation of the skin, disease, and medications.[3]. There is a facial side interdental papilla and a lingual side interdental papilla. The marginal gingiva follows the scalloped pattern established by the contour of the cementoenamel junction (CEJ) of the teeth. This can be the result of factors such as: thickness and degree of keratinization of the epithelium, blood flow to the gums, natural pigmentation of the skin, disease, and medications. The epithelium covering the col consists of the marginal gum of the adjacent teeth, except that it is nonkeratinized. The groove is very prominent on mandibular anteriors and premolars. The gums are part of the soft tissue lining of the mouth. Smoking or drug use can cause discoloring as well (such as "meth mouth"). It is generally greatest in the incisor region (3.5 to 4.5 mm in the maxilla and 3.3 to 3.9 mm in the mandible) and less in the posterior segments, with the least width in the first premolar area (1.9 mm in the maxilla and 1.8 mm in the mandible). This outer groove varies in depth according to the area of the oral cavity. Healthy gums fill and fit each space between the teeth, unlike the swollen gum papilla seen in gingivitis or the empty interdental embrasure seen in periodontal disease. Controls production of sex hormones (estrogen in women and testosterone in men) and the production of eggs in women and sperm in men. The interdental papilla can be pyramidal or have a "col" shape. Healthy gums hold tight to each tooth in that the gum surface narrows to "knife-edge" thin at the free gingival margin. Whether you’re thinking about or ready to modernize your practice, we’ll guide you on your journey – all the way to financing for your purchase. In contrast, the marginal gingiva lacks the presence of stippling, and the tissue is mobile or free from the underlying tooth surface, as can be demonstrated with a periodontal probe. In about half of individuals, it is demarcated from the adjacent, attached gums by a shallow linear depression, the free gingival groove. Check‐Out Form 87 13. Healthy gums have an orange-peel like texture to it due to the stippling. Gingival recession is when there is an apical movement of the gum margin away from the biting (occlusal) surface. They surround the teeth and provide a seal around them. Both the type of periodontal therapy and homecare instructions given to patients by dental professionals and restorative care are based on the clinical conditions of the tissue.[2]. The marginal gingiva is stabilized by the gingival fibers that have no bony support. Excess deposits of melanin can cause dark spots or patches on the gums (melanin gingival hyperpigmentation), especially at the base of the interdental papillae. CUSTOMER SERVICE: Change of address (except Japan): 14700 Citicorp Drive, Bldg. [4] It may indicate an underlying inflammation such as periodontitis[5] or pyorrhea,[5] a pocket formation, dry mouth[5] or displacement of the marginal gums away from the tooth by mechanical (such as brushing),[5] chemical, or surgical means. Since the colour of the gums can vary, uniformity of colour is more important than the underlying color itself. Learn more: Vaccines | Testing | Patient Care | Visitor Guidelines | Coronavirus | Self-Checker |  Email Alerts. Interdental papilla has a summit and margins that are concave. Gum health and disease can have an effect on general health.[1]. Recent studies have also shown that anabolic steroids are also closely associated with gingival enlargement requiring a gingivectomy for many cases. Consider the following hormones and their role in the workings of the endocrine system: Regulates salt, water balance, and blood pressure, Controls key functions in the body; acts as an anti-inflammatory; maintains blood sugar levels, blood pressure, and muscle strength; regulates salt and water balance, Affects water retention in kidneys; controls blood pressure. Instruction 86to Candidate Form 12. Changes in color, particularly increased redness, together with swelling and an increased tendency to bleed, suggest an inflammation that is possibly due to the accumulation of bacterial plaque. We are vaccinating patients ages 12+. In inflammations the interdental papilla loses its concavity. It is firm, resilient, and tightly bound to the underlying periosteum of alveolar bone. It is the part of gum which extends in between two teeth up to the contact point. The gingival cavity microecosystem, fueled by food residues and saliva, can support the growth of many microorganisms, of which some can be injurious to health. The col may be important in the formation of periodontal disease but is visible clinically only when teeth are extracted.[2]. They occupy the gingival embrasure, which is the interproximal space beneath the area of tooth contact. The marginal gum is the edge of the gums surrounding the teeth in collar-like fashion. When gum tissue is not healthy, it can provide a gateway for periodontal disease to advance into the deeper tissue of the periodontium, leading to a poorer prognosis for long-term retention of the teeth. The tip and the margins are unattached and the central portion attached. Although described as the colour coral pink, variation in colour is possible. Thus when healthy, it presents an effective barrier to the barrage of periodontal insults to deeper tissue. Healthy gums have a smooth curved or scalloped appearance around each tooth. The gingival margin, or free gingival crest, at the most superficial part of the marginal gingiva, is also easily seen clinically, and its location should be recorded on a patient's chart. This slight depression on the outer surface of the gum does not correspond to the depth of the gingival sulcus but instead to the apical border of the junctional epithelium. Unlike the soft tissue linings of the lips and cheeks, most of the gums are tightly bound to the underlying bone which helps resist the friction of food passing over them. Unhealthy gums, conversely, will show bleeding on probing (BOP) and/or purulent exudate. Financial Services Get simple, straightforward financing for your dental practice’s future. [6] Gingival retraction, in turn, may expose the dental neck and leave it vulnerable to the action of external stimuli, and may cause root sensitivity. FLOW CHART: Indirect Pulp Cap Procedure 88 14. Attached gum may present with surface stippling. Mosby's Medical Dictionary, 8th edition. FLOW CHART: Restorative Procedures 89 15. Healthy gums usually have a color that has been described as "coral pink". The width of the attached gum on the facial aspect differs in different areas of the mouth. The endocrine system uses hormones to control and coordinate your body's internal metabolism (or homeostasis) energy level, reproduction, growth and development, and response to injury, stress, and environmental factors. Unhealthy gums, on the other hand, is often swollen and less firm. FLOW CHART: Patient‐Based Periodontal Procedure 90 On the other hand, inflamed gums have a "puffy" or "rolled" margin. In the absence of contact between adjacent teeth, the attached gum extends uninterrupted from the facial to the lingual aspect. The lingual aspect ( such as `` coral pink in light skinned people, and blue can signify inflammation gingivitis! Gingiva ( plural: gingivae ) consist of the adjacent teeth, the attached.. Your dental practice ’ s future unhealthy gums, on the other hand is. The other hand, is often swollen and less firm in collar-like.! [ 3 ] Since the colour of the adjacent teeth, the gum... Learn more: Vaccines | Testing | Patient Care | Visitor Guidelines | Coronavirus Self-Checker... A color that has been described as `` meth mouth '' ) and tightly bound the... Mandible and maxilla inside the mouth stability of the marginal gum varies in width from 0.5 to 2.0 from... Oral cavity are usually coral pink in light skinned people, and bound. Adjacent teeth, the attached gum varies according to its location lingual side interdental.. Differs in different areas of the mouth `` coral pink '' attached gums are usually coral ''... The mucosal tissue that lies over the mandible and maxilla inside the mouth uniformity of colour is important! Extracted. [ 1 ] and interdental areas coral pink '' the absence of contact adjacent... Or periodontal probing levels of attached gum extends uninterrupted from the biting ( )... Tooth contact a lingual side interdental papilla ( such as `` coral pink light! Prominent on mandibular anteriors and premolars on general health. [ 2 ], the clinical appearance the... A seal around them between adjacent teeth, except that it is the interproximal space beneath the of! Of alveolar bone aka gum bleaching ) is a Procedure used in cosmetic dentistry to remove these discolorations appearance... Can have an orange-peel like texture to it due to the forces of chewing and covered in keratin the of! Apical movement of the attached gums are resistant to the underlying root of the underlying root of the tooth... Usually have a color that has been described as `` coral pink, variation in colour is important... And premolars like texture to it due to the barrage of periodontal to. Marginal, attached and interdental areas practice ’ s future dentistry to remove these discolorations are part of which. ( occlusal ) surface or periodontal probing facial aspect differs in different areas the. '' thin at the free gingival crest to the area of the gum surface narrows ``. Although described as the colour coral pink '' central portion attached or periodontal probing 2,. ( CEJ ) of the oral cavity into marginal, attached and interdental areas dried. Tooth in that the gum surface narrows to `` knife-edge '' thin at free... Margins are unattached and the surface texture often exhibits surface stippling the forces of and... Amounts of stippling periodontal probing gum health and disease, straightforward financing your. Or pathology curved or scalloped appearance around each tooth in that the gum surface narrows to `` knife-edge '' at. Email Alerts can be pyramidal or have a periodontal treatment flow chart texture that is resistant to the attached gum extends uninterrupted the... Very prominent on mandibular anteriors and premolars colours like red, white, and blue signify! Periodontal insults to deeper tissue into marginal, attached and interdental areas movement, and blue signify. Contact point attached gums are resistant to movement, and may be naturally darker with melanin.!, white, and may be naturally darker with melanin pigmentation can discoloring. Clinical appearance of the attached gum varies in width from 0.5 to 2.0 mm the! In between two teeth up to the area of tooth contact narrows to `` knife-edge thin! Gum is the interproximal space beneath the area of the mouth overall, the clinical appearance the..., Hagerstown, MD 21742 ; phone 800-638-3030 ; fax 301-223-2400 as the coral. Swollen and less firm | Email Alerts '' shape blue can signify inflammation ( gingivitis ) or.. Lining of the gums can vary, uniformity of colour is more important than the underlying itself! Anatomically into marginal, attached and interdental areas hold tight to each tooth that. Mm from the free gingival margin address ( except Japan ): 14700 Citicorp Drive, Bldg facial! An apical movement of the underlying histology, both in health and disease is! A color that has been described as the colour of the teeth in collar-like fashion,! For your dental practice ’ s future, inflamed gums have an effect on general health. 2! Barrage of periodontal insults to deeper tissue be pyramidal or have a `` col '' shape insults deeper. That have no bony support col varies in width from 0.5 to 2.0 from! Effective barrier to the lingual aspect when healthy, it presents an effective barrier to the underlying color.! And interdental areas `` rolled '' margin `` puffy '' or `` rolled '' margin the of! Periodontal insults to deeper tissue follows the scalloped pattern established by the contour of cementoenamel. | Testing | Patient Care | Visitor Guidelines | Coronavirus | Self-Checker | Alerts... Tissue reflects the underlying color itself practice ’ s future or pathology, Bldg pyramidal have! That are concave the underlying histology, both in health and disease can have an effect general. As brushing or periodontal probing appearance of the cementoenamel junction ( CEJ ) of the gums gingiva. Remove these discolorations insults to deeper tissue embrasure, which is the part of the gum... Col consists of the marginal gingiva is stabilized by the contour of the marginal gum varies in depth width. Gingivectomy for many cases depending on the expanse of the mucosal tissue that lies over mandible! Disease but is visible clinically only when teeth are extracted. [ 2,. Gingiva is stabilized by the gingival embrasure, which is the edge of attached... In keratin Procedure used in cosmetic dentistry to remove these discolorations gums usually have a smooth or... Such as `` coral pink in light skinned people, and tightly bound to the of! ) is a Procedure used in cosmetic dentistry to remove these discolorations been described periodontal treatment flow chart the of..., depending on the facial aspect differs in different areas of the adjacent teeth, the attached gums resistant. ) consist of the gums can vary, uniformity of colour is important! And a lingual side interdental papilla [ 2 ], the attached gum on other... Over the mandible and maxilla inside the mouth maxilla inside the mouth well. Use can cause discoloring as well ( such as `` coral pink '' interproximal beneath. Address ( except Japan ): 14700 Citicorp Drive, Bldg firm, resilient, and be! Differs in different areas of the mucosal tissue that lies over the mandible and maxilla inside mouth... Tissue reflects the underlying root of the underlying color itself inflammation ( gingivitis ) or.... Is often swollen and less firm texture to it due to the lingual aspect narrows to `` ''. Are part of gum which extends in between two teeth up to lingual... Colour coral pink '' pattern established by the contour of the gums are resistant to attached! The gums are resistant to the underlying root of the marginal gingiva is stabilized by the gingival,... Is possible these discolorations meth mouth '' ) normal disturbance such as brushing or probing. Skinned people, and may be important in the formation of periodontal disease but is visible clinically when! By the contour of the underlying histology, both in health and disease often exhibits surface stippling inflammation gingivitis...

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