What is gingival hyperplasia? gingival hyperplasia treatment.
Figure 5 The wax is flowed into position with a warm spatula after the wax has been dripped onto the denture base. The objective of either the “drip-on” or “press-on” method is to add a sufficient bulk of wax to the denture base which can then be carved to the proper contours. …
The free gingival margin is the area located between the sulcular epithelium and the epithelium of the oral cavity. This interface exists at the most coronal point of the gingiva, which is also known as the crest of the marginal gingiva. The gingival margin (F) is the most coronal point of the gingiva.
Enlargement of marginal and interproximal gingival tissues. Results from collagen loss and an accumulation of interstitial fluid. Tissues are easily compressed with a blunt instrument. Diffuse redness.
The term is fibrotic. Fibrotic gingiva is described as “hyperkeratinized [tissue] with an abnormal whitish thickening of the keratin layer of the epithelium.”1 The problem is that, at first glance, it appears light in color and “firm” to the touch.
Structure of the Gingiva There are two types of gingiva and several important anatomic regions. Alveolar mucosa – The area of tissue beyond the mucogingival junction. It seems less firmly attached and redder than the attached gingiva.
Stippling occurs as a result of the microscopic elevations and depressions of the surface of the gingival tissue due to the connective tissue projections within the tissue. The degree of keratinization and the prominence of stippling appear to be connected.
The free gingival margin is the area located in between the sulcular epithelium and the epithelium of the oral cavity. This interface exists at the most coronal point of the gingiva. This is also referred to as the crest of the marginal gingiva.
Gingival recession, also known as receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth.
Gingival Margin is the area of the gingiva closest to the tooth surface, commonly referred to as the ‘gum line’. -GM reflects recession of the gum line. -GM measures from the Cemento-Enamel Junction (CEJ). … -GM is assigned a negative value of 1-10 when the gumline is above the CEJ.
(JIN-jih-vuh) The tissue of the upper and lower jaws that surrounds the base of the teeth. Also called gums.
The gingival tissues (or gingiva, frequently called gums in laypersons’ terms) are the soft tissues that cover the alveolar bone of the jaws and the teeth up to the exposed crown of the teeth.
Gingival enlargement can be induced by three main causes stemming from (1) inflammation, (2) medication, and (3) systemic disease. Treatment can be in the form of allowing for spontaneous resolution once the etiology is removed, instituting proper dental hygiene, nonsurgical treatment, and/or surgical treatment.
The gingiva surrounds the teeth and the marginal parts of the alveolar bone, forming a cuff around each tooth. It can be divided into the free gingiva, which is closely adapted to the tooth surface, and the attached gingiva, which is firmly attached to the underlying periosteum of the alveolar bone (Figs 4.3, 4.4).
Gingival fibromatosis can be caused by number of factors including inflammation, leukemic infiltration, and use of medications such as phenytoin, cyclosporine or nifedipine, and vigabatrin.  Gingival enlargement can be part of Laband, Rutherford, Ramon, or Cross syndrome.
The causative organisms are mostly anaerobic bacteria, particularly Fusobacteria and spirochete species. Predisposing factors include poor oral hygiene, smoking, poor nutrition, psychological stress, and a weakened immune system.
The gingiva (or gums) is the tissue that surrounds and protects the teeth and underlying bone. The gingiva is attached to the tooth, forming a seal that protects the underlying bone and helps provide a barrier against infection.
Clinical Presentation and Pertinent Anatomy. The gingiva is part of the masticatory mucosa that provides an internal defense mechanism against pathogens and mechanical stress. It is composed of a dense, vascular fibrous tissue with a keratinized stratified squamous epithelium.
What color is the human gingiva? It is frequently described as “coral pink” and is dependent upon the thickness of epithelium, the degree of keratinization, the magnitude of pigmentation, and the underlying vascularization1.
The presence or absence of gingival stippling can lead to early diagnosis of clinical gingivitis which can be stopped from further destruction and progression towards periodontal diseases. Presence of gingival stippling is a sign of a healthy gingiva which corresponds to absence of gingivitis.
Stippling was thought to indicate good gingival health, but it has since been shown that smooth gingiva is not an indication of disease, unless it is smooth due to loss of previously existing stippling.
Because the attached gingiva is dense, firm, and tightly attached via the collagen fibers of the connective tissue to the cementum and alveolar bone, stippling is typically seen. Not everyone will show the presence of stippling and those that do, may show varying degrees of stippling within their own mouth.
Historically, the presence of a wide zone of attached gingiva has been considered beneficial, as the gingiva plays an important role in maintaining the periodontium in health. It provides a physical barrier to oral biofilm, dissipates masticatory forces and protects the periodontium from injury.
Gingival and periodontal pockets are dental terms used to describe an abnormal depth of the gingival sulcus near the location where the gingival tissue contacts the tooth.
Subgingival calculus refers to calculus below the crest of the marginal gingiva which is not readily visible upon oral examination. It is usually dense and hard, dark- brown or green-black in color, flint-like in consistency, flattened in shape, and firmly attached to the tooth sur face ( s ) .
Many techniques have been introduced to treat gingival recession, including connective tissue grafting, or CTG; various flap designs; orthodontics; and guided tissue regeneration, or GTR. The authors reviewed human clinical studies to assess which techniques provided optimal results.
Unfortunately, gum recession cannot be reversed. The tissue will not grow back but there are specific steps to take to keep the recession from getting worse. Successful treatment ultimately depends on how your gum recession originated in the first place.
Receding gums, or gum recession, essentially means that your gum tissue has started to pull away from your teeth, exposing the roots. Once tooth roots are exposed, they’re left unprotected from the elements including hot and cold beverages – and maybe even your toothbrush. The result is shooting sensitive tooth pain.
- When recession of the gingival margin is present, the CAL is calculated by adding the probing depth to the gingival margin level. …
- When the gingival margin is coronal to the CEJ, the CAL is calculated by subtracting the gingival margin level from the probing depth.
Gingival recession is measured clinically as the distance from the cemento-enamel junction to the depth of the free gingival margin using the millimeter markings on the periodontal probe and reflects exposure of the root cementum [7, 8].
The Gingival Index (GI) scores each site on a 0 to 3 scale, with 0 being normal and 3 being severe inflammation characterized by edema, redness, swelling, and spontaneous bleeding4 (Table 2-2). This measurement is based on the presence or absence of bleeding on gentle probing.
The alveolar process, which is also called the alveolar bone, is the thick ridge of bone which contains the tooth sockets. … In humans, these bones that contain the teeth are the maxilla and the mandible. The curved portion of each alveolar process on the jaw is the alveolar arch.
Alveolar mucosa is the soft, thin mucous membrane that sits above the marginal gingiva and the attached gingiva, and continues across the floor of the mouth, cheeks, and lips.
There are two types of gingivae that are clearly recognizable and they are known as the marginal gingiva that is mobile, and the attached gingiva.
Structure. The gums are part of the soft tissue lining of the mouth. They surround the teeth and provide a seal around them. 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.
- Swelling in the gum tissue (caused by an accumulation of fluid)
- Pus discharge.
- Trismus, or difficulty opening your mouth and jaw, also called lockjaw.
- Pain with swallowing.
- Loss of appetite.
- over-the-counter pain relievers.
- warm salt-water rinses.
- oral water irrigators.
- good oral hygiene, including brushing and flossing.
Drug-induced gingival overgrowth is a side effect associated principally with 3 types of drugs: anticonvulsant (phenytoin), immunosuppressant (cyclosporine A), and various calcium channel blockers (nifedipine, verapamil, diltiazem).