This document provides an overview of the anatomy and microscopic features of the gingiva. It defines the gingiva and describes its macroscopic features including the marginal, attached, and interdental gingiva. Microscopically, it discusses the epithelium and connective tissue layers. The epithelium is stratified squamous with keratinocytes as the main cell type. Other cell types include melanocytes, Langerhans cells, and Merkel cells. The document also reviews features such as the basal lamina, sulcular fluid, and renewal of the epithelial layers.
This document provides an overview of the gingiva, including its definition, microscopic and clinical features, and components. Key points:
- The gingiva is the part of oral mucosa that surrounds the teeth and covers the alveolar bone. It consists of stratified squamous epithelium and underlying connective tissue.
- Microscopically, it contains three types of epithelium - oral epithelium, sulcular epithelium, and junctional epithelium. The connective tissue contains fibers, ground substance, blood vessels and nerves.
- Clinically, the gingiva is divided into marginal, attached and interdental regions. It provides support to teeth and protects underlying structures.
This document provides an overview of the gingiva. It begins with definitions of gingiva from various sources and discusses the development, macroscopic features, microscopic features, fibers, cells, vascular supply, nerve supply, and matrix of the gingiva. Specifically, it describes the development of gingiva from mesoderm, its division into marginal, attached, and interdental papilla. It also discusses the layers of the gingival epithelium, the keratinization process, and cell types present like keratinocytes and non-keratinocytes.
This document discusses the junctional epithelium, which is the stratified non-keratinizing epithelium that surrounds the tooth like a collar. It forms the floor of the gingival sulcus and attaches the gingiva to the tooth surface. The junctional epithelium has two basal lamina layers and is unique in that it attaches to the tooth through hemidesmosomes. It develops from the reduced enamel epithelium during tooth eruption. The junctional epithelium provides both an attachment role and a protective role through its permeability. The position of the dentogingival junction can shift through passive eruption as the gingiva recedes over time.
This document describes the clinical features of the gingiva. It discusses the four main anatomical portions of the gingiva: the gingival sulcus, free gingiva, interdental gingiva, and attached gingiva. It provides details on the texture, color, contour, and size of healthy gingiva. Key anatomical landmarks are then described in more depth, including the gingival sulcus, marginal gingiva, attached gingiva, and interdental gingiva. Probings depths and widths of different regions are provided. Diagrams are included to illustrate features like the interdental col in different situations.
Ultrastructure of gingival epithelium in health and diseaseKrati Bakliwal
This document provides an overview of the ultrastructure of gingival epithelium in health and disease. It defines the different parts of the gingiva and describes the microscopic features and cell types found in the oral gingival epithelium, oral sulcular epithelium, and junctional epithelium. Specifically, it discusses the keratinocytes and other cell types present, degree of keratinization, cell layers, adhesion properties, and how these epithelial areas respond in inflamed and healthy states.
This document provides information on the gingiva, including its definition, macroscopic and microscopic features, blood supply, and changes in disease. Key points:
- The gingiva is the masticatory mucosa that surrounds and covers the alveolar bone. It is divided into marginal, attached, and interdental areas.
- Microscopically, it consists of stratified squamous epithelium and underlying connective tissue. The epithelium may be keratinized, parakeratinized, or non-keratinized depending on its location.
- The junctional epithelium attaches to the tooth surface and has a high turnover rate. Its cells are in constant renewal as they
This document discusses the structure and function of gingiva and connective tissue. It defines gingiva as the part of oral mucosa that surrounds and is attached to teeth. Gingiva consists of epithelium and connective tissue. The document describes the microscopic and macroscopic anatomy of gingiva, including the marginal gingiva, gingival sulcus, attached gingiva, and interdental gingiva. It also discusses the principal cell types that make up gingival epithelium, including keratinocytes, Langerhans cells, melanocytes, and Merkel cells.
This document provides information about the dento-gingival unit, which refers to the junctional epithelium and gingival fibers that maintain the attachment between the gingiva and tooth. It discusses the development, structure, and functions of the junctional epithelium. In particular, it describes how the junctional epithelium forms a specialized attachment to the tooth through hemidesmosomes and an internal basal lamina. It also discusses the dynamic cellular processes and molecular components that allow the junctional epithelium to regenerate and maintain a strong yet permeable attachment between the oral cavity and periodontium.
This document provides an overview of the gingiva, including its definition, microscopic and clinical features, and components. Key points:
- The gingiva is the part of oral mucosa that surrounds the teeth and covers the alveolar bone. It consists of stratified squamous epithelium and underlying connective tissue.
- Microscopically, it contains three types of epithelium - oral epithelium, sulcular epithelium, and junctional epithelium. The connective tissue contains fibers, ground substance, blood vessels and nerves.
- Clinically, the gingiva is divided into marginal, attached and interdental regions. It provides support to teeth and protects underlying structures.
This document provides an overview of the gingiva. It begins with definitions of gingiva from various sources and discusses the development, macroscopic features, microscopic features, fibers, cells, vascular supply, nerve supply, and matrix of the gingiva. Specifically, it describes the development of gingiva from mesoderm, its division into marginal, attached, and interdental papilla. It also discusses the layers of the gingival epithelium, the keratinization process, and cell types present like keratinocytes and non-keratinocytes.
This document discusses the junctional epithelium, which is the stratified non-keratinizing epithelium that surrounds the tooth like a collar. It forms the floor of the gingival sulcus and attaches the gingiva to the tooth surface. The junctional epithelium has two basal lamina layers and is unique in that it attaches to the tooth through hemidesmosomes. It develops from the reduced enamel epithelium during tooth eruption. The junctional epithelium provides both an attachment role and a protective role through its permeability. The position of the dentogingival junction can shift through passive eruption as the gingiva recedes over time.
This document describes the clinical features of the gingiva. It discusses the four main anatomical portions of the gingiva: the gingival sulcus, free gingiva, interdental gingiva, and attached gingiva. It provides details on the texture, color, contour, and size of healthy gingiva. Key anatomical landmarks are then described in more depth, including the gingival sulcus, marginal gingiva, attached gingiva, and interdental gingiva. Probings depths and widths of different regions are provided. Diagrams are included to illustrate features like the interdental col in different situations.
Ultrastructure of gingival epithelium in health and diseaseKrati Bakliwal
This document provides an overview of the ultrastructure of gingival epithelium in health and disease. It defines the different parts of the gingiva and describes the microscopic features and cell types found in the oral gingival epithelium, oral sulcular epithelium, and junctional epithelium. Specifically, it discusses the keratinocytes and other cell types present, degree of keratinization, cell layers, adhesion properties, and how these epithelial areas respond in inflamed and healthy states.
This document provides information on the gingiva, including its definition, macroscopic and microscopic features, blood supply, and changes in disease. Key points:
- The gingiva is the masticatory mucosa that surrounds and covers the alveolar bone. It is divided into marginal, attached, and interdental areas.
- Microscopically, it consists of stratified squamous epithelium and underlying connective tissue. The epithelium may be keratinized, parakeratinized, or non-keratinized depending on its location.
- The junctional epithelium attaches to the tooth surface and has a high turnover rate. Its cells are in constant renewal as they
This document discusses the structure and function of gingiva and connective tissue. It defines gingiva as the part of oral mucosa that surrounds and is attached to teeth. Gingiva consists of epithelium and connective tissue. The document describes the microscopic and macroscopic anatomy of gingiva, including the marginal gingiva, gingival sulcus, attached gingiva, and interdental gingiva. It also discusses the principal cell types that make up gingival epithelium, including keratinocytes, Langerhans cells, melanocytes, and Merkel cells.
This document provides information about the dento-gingival unit, which refers to the junctional epithelium and gingival fibers that maintain the attachment between the gingiva and tooth. It discusses the development, structure, and functions of the junctional epithelium. In particular, it describes how the junctional epithelium forms a specialized attachment to the tooth through hemidesmosomes and an internal basal lamina. It also discusses the dynamic cellular processes and molecular components that allow the junctional epithelium to regenerate and maintain a strong yet permeable attachment between the oral cavity and periodontium.
The periodontium is a complex anatomical structure surrounding the tooth root that includes cementum, periodontal ligament, alveolar bone, and gingiva. The gingiva is composed of marginal, attached, and interdental gingiva. The periodontium provides support, shock absorption, formation, sensation, and nutrition to teeth. Understanding the microscopic and anatomical features of each component is essential for proper periodontal diagnosis and treatment planning.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The document discusses the gingiva, which is the gum tissue surrounding the teeth. It defines gingiva and describes its functions of protecting the underlying tissues and maintaining periodontal health. The gingiva develops with tooth formation and eruption. Microscopically, it consists of stratified squamous epithelium and connective tissue. The epithelium can be oral, sulcular, or junctional depending on its location. The document also describes the anatomical structures of the gingiva including the marginal, attached, and interdental gingiva as well as the gingival sulcus.
Introduction
A sound knowledge of the anatomy of the periodontium and the surrounding hard and soft structures is essential to determine the scope and possibilities of surgical periodontal procedures and to minimize their risks.
Blood vessels, and nerves located in the vicinity of the periodontal surgical field, are particularly important during various surgical procedures.
Arterial Supply
Common Carotid Artery
Carotid Sinus & Carotid Body
Applied Anatomy of CCA
CAROTID PULSE :
CCA may be compressed against the carotid tubercle of transverse process of C6 vertebra about 4cm above the sternoclavicular joint.
External Carotid Artery
Generally it lies anterior to the Internal Carotid Artery.
It is the chief artery of supply to structures in the front of neck, oral cavity and in the face.
In carotid triangle
Crossed superficially by:
Cervical branch of facial nerve
Hypoglossal nerve
Facial, lingual &superior thyroid vein
Deep to artery lies:
Wall of pharynx
Superior laryngeal nerve
Ascending pharyngeal artery
Above the carotid triangle
ECA lies deep in the substance of parotid gland
Branches
Lingual Artery
Principal artery of tongue.
Arises anteromedially from ECA opposite the tip of greater cornu of hyoid bone.
Divided into three parts by hyoglossus muscle.
Applied anatomy
Sublingual artery injury occurs in premolar & molar region, when sharp instrument or rotating disks slips off a lower molar & injure the floor of mouth.
Sublingual and submental arteries may course anteriorly in close proximity to the lingual plate, and branches of these blood vessels enter accessory foramina along the lingual cortex.
Hofschneider et al (1999)
Inadvertent penetration through the lingual cortical plate into the floor of the mouth while preparing an osteotomy can cause arterial trauma, thereby resulting in development of a sublingual or submandibular hematoma
Flanagan D. et al.2003
Facial Artery
ORIGIN: Arises from the ECA just above the tip of greater cornua of hyoid bone.
COURSE:
Runs upwards in neck as cervical part ;
On face as facial part.
Tortuous course—
In neck allows free movements of pharynx during deglutition,
On face allows free movements of mandible , lips, & cheek during mastication & facial expressions, escapes traction & pressure during movements.
Cervical part :
Cervical part runs upwards on superior constrictor of pharynx deep to the posterior belly of digastric.
It grooves the posterior border of submandibular gland, makes S-bend [2 loops]
1st winding down over submandibular gland &
then up over the base of mandible.
Facial part:
The vessel enters the face by winding around the base of the mandible, and by piercing the deep cervical fascia,at the anteroinferior angle of the masseter muscle, here it can be palpated & is called as anaesthetist’s artery. Using contracted masseter as a landmark, pulse of facia
This document provides an overview of the gingiva, including its macroscopic and microscopic features. It discusses the different types of gingival epithelium (oral, sulcular, junctional), their histological characteristics. It also describes the renewal process of gingival epithelium and cuticular structures. Additionally, it covers the microscopic features of gingival connective tissue and blood supply. Key points include the layers and keratinization process of gingival epithelium, the non-keratinized nature of sulcular and junctional epithelium, and the formation and structure of the dentogingival junction.
The document provides an overview of the anatomy of the gingiva. It begins with definitions of gingiva from various sources and discusses the embryology and origin from both ectoderm and mesoderm. The macroscopic anatomy section describes the different types of gingiva - marginal, interdental papilla, and attached gingiva. The microscopic anatomy sections cover the epithelial layers, basement membrane, and connective tissue components. Blood supply, nerve supply, and lymphatic drainage are also summarized briefly.
The periodontium is the functional unit supporting teeth and includes the gingiva, periodontal ligament, cementum, and alveolar process. The gingiva is divided into marginal, attached, and interdental gingiva. It covers the alveolar process and surrounds tooth necks. The gingival sulcus is the space between tooth and gingiva that extends to the junctional epithelium. The gingiva gets its blood supply from supraperiosteal arterioles, vessels of the periodontal ligament, and interdental septa. Lymphatic drainage varies by region, draining to submental, submandibular, or jugulodigastric
This document provides an overview of gingival epithelium, including its microscopic features, structural characteristics, defense mechanisms, and renewal process. It defines gingiva as the part of oral mucosa that covers the alveolar process and surrounds tooth necks. Gingiva consists of three types: marginal, attached, and interdental gingiva. The gingival epithelium contains keratinocytes and melanocytes. Keratinocytes form the bulk of the epithelium and undergo continuous renewal, while melanocytes transfer melanin to keratinocytes. The degree of keratinization varies between oral mucosal sites.
The gingiva is divided anatomically into the marginal, attached, and interdental gingiva. The marginal gingiva forms the soft tissue wall around the teeth. The attached gingiva is firmly bound to the underlying bone. The interdental gingiva occupies the spaces between teeth. Microscopically, the gingiva contains an epithelial layer and underlying connective tissue. The epithelial layer includes the sulcular, junctional, and oral epithelium. The connective tissue contains collagen, fibroblasts, and ground substance.
macroscopic/ clinical features of gingiva
With video clips
Short video descriptions
Lecture for 3rd BDS students
Periodontology
Periodontics aspect
Clinical features of the gingiva
This document provides information about the periodontium and gingiva. It begins with an introduction to the periodontium, describing it as the tissues that support and surround the tooth. It then discusses the various tissues that make up the periodontium, including the gingiva, cementum, periodontal ligament, bone, and alveolar mucosa. The document goes on to describe the clinical and microscopic features of the gingiva, including the oral epithelium, sulcular epithelium, connective tissue, and correlations between clinical and microscopic features. It provides details on the anatomical divisions of the gingiva and characteristics of healthy and diseased states.
The document discusses the ultrastructure of gingiva including its microscopic and macroscopic features. It defines gingiva and describes its various parts like the marginal, attached, and interdental gingiva. Microscopically, it consists of stratified squamous epithelium and underlying connective tissue. The epithelium undergoes keratinization and consists of basal, spinous, granular and corneal layers. It protects the underlying tissues and allows selective permeability with the oral environment.
The gingiva is a masticatory mucosa that covers the alveolar process of the jaw and surrounds the neck of the teeth. It is made up of epithelium and connective tissue. The gingiva can be divided into three types - free gingiva, gingival sulcus, and attached gingiva. Microscopically, the gingival epithelium consists of outer oral epithelium, sulcular epithelium, and junctional epithelium. The gingiva also contains dense collagen fibers called the gingival ligament. Blood supply to the gingiva is provided by the alveolar artery and it receives nerve innervation from various nerves depending on location.
The dentogingival junction is the region where the tooth is attached to the gingiva. It initially forms with the emergence of the tooth into the oral cavity, with the enamel covered by epithelium. Over time, the junction shifts apically as the epithelium separates from the enamel surface in a process called passive eruption. The junctional epithelium, which is more permeable, eventually attaches at the cementoenamel junction. In unhealthy conditions, the junction and sulcus can shift further onto the root surface, forming a pathological periodontal pocket.
The gingiva surrounds and protects the teeth. It has three types - marginal gingiva forms the gumline, attached gingiva is firmly bound to bone, and interdental gingiva fills spaces between teeth. Microscopically, gingiva has keratinized epithelium and connective tissue with collagen fibers. The epithelium has three areas - oral epithelium on the outer surface, sulcular epithelium lining the gumline, and junctional epithelium attaching to the tooth. Gingiva has a blood supply and defenses like fluid and receives nerves for sensation.
JUNCTIONAL EPITHELIUM
It is a highly specialized epithelial tissue which divides faster than any other normal epithelium.
The mean turnover time of junctional epithelium is 5–6 days.
The junctional epithelium is basically a stratified, squamous, non-keratinizing epithelium comprising two layers: basal & suprabasal layers.
The junctional epithelium differs from the gingival oral epithelium & sulcular epithelium in origin & structure.
This specialized epithelium ranges in thickness from few cells at its most apical portion to between 15 & 30 cells at its most coronal portion adjacent to the sulcular epithelium, & the cells align themselves in a plane parallel to the tooth surface.
The length of this epithelium is approximately 0.25–1.35 mm.
The document summarizes the anatomy and structures of the gingiva. It describes the marginal gingiva, gingival sulcus, attached gingiva, interdental gingiva, and mucogingival junction. It discusses the functions of the gingiva in protecting tissues, obtaining shape with tooth eruption, and resisting forces. The document also examines age-related changes to the gingiva and studies on the width of attached gingiva needed for periodontal health.
Gingiva is the part of oral mucosa that covers the alveolar process of the jaw and surround the neck of teeth in collar like fashion.
It is a combination of epithelium and connective tissue.
This document discusses the anatomy, histology, and biology of the gingiva. It defines the gingiva and divides it anatomically into the marginal, attached, and interdental gingiva. Microscopically, the gingiva consists of stratified squamous epithelium and underlying connective tissue. The document describes the development, microscopic features including the different areas of gingival epithelium, gingival fibers, blood supply, lymphatics and nerves of the gingiva. It correlates the clinical features of color, size, and contour to the microscopic structure of the gingiva.
The periodontium is a complex anatomical structure surrounding the tooth root that includes cementum, periodontal ligament, alveolar bone, and gingiva. The gingiva is composed of marginal, attached, and interdental gingiva. The periodontium provides support, shock absorption, formation, sensation, and nutrition to teeth. Understanding the microscopic and anatomical features of each component is essential for proper periodontal diagnosis and treatment planning.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The document discusses the gingiva, which is the gum tissue surrounding the teeth. It defines gingiva and describes its functions of protecting the underlying tissues and maintaining periodontal health. The gingiva develops with tooth formation and eruption. Microscopically, it consists of stratified squamous epithelium and connective tissue. The epithelium can be oral, sulcular, or junctional depending on its location. The document also describes the anatomical structures of the gingiva including the marginal, attached, and interdental gingiva as well as the gingival sulcus.
Introduction
A sound knowledge of the anatomy of the periodontium and the surrounding hard and soft structures is essential to determine the scope and possibilities of surgical periodontal procedures and to minimize their risks.
Blood vessels, and nerves located in the vicinity of the periodontal surgical field, are particularly important during various surgical procedures.
Arterial Supply
Common Carotid Artery
Carotid Sinus & Carotid Body
Applied Anatomy of CCA
CAROTID PULSE :
CCA may be compressed against the carotid tubercle of transverse process of C6 vertebra about 4cm above the sternoclavicular joint.
External Carotid Artery
Generally it lies anterior to the Internal Carotid Artery.
It is the chief artery of supply to structures in the front of neck, oral cavity and in the face.
In carotid triangle
Crossed superficially by:
Cervical branch of facial nerve
Hypoglossal nerve
Facial, lingual &superior thyroid vein
Deep to artery lies:
Wall of pharynx
Superior laryngeal nerve
Ascending pharyngeal artery
Above the carotid triangle
ECA lies deep in the substance of parotid gland
Branches
Lingual Artery
Principal artery of tongue.
Arises anteromedially from ECA opposite the tip of greater cornu of hyoid bone.
Divided into three parts by hyoglossus muscle.
Applied anatomy
Sublingual artery injury occurs in premolar & molar region, when sharp instrument or rotating disks slips off a lower molar & injure the floor of mouth.
Sublingual and submental arteries may course anteriorly in close proximity to the lingual plate, and branches of these blood vessels enter accessory foramina along the lingual cortex.
Hofschneider et al (1999)
Inadvertent penetration through the lingual cortical plate into the floor of the mouth while preparing an osteotomy can cause arterial trauma, thereby resulting in development of a sublingual or submandibular hematoma
Flanagan D. et al.2003
Facial Artery
ORIGIN: Arises from the ECA just above the tip of greater cornua of hyoid bone.
COURSE:
Runs upwards in neck as cervical part ;
On face as facial part.
Tortuous course—
In neck allows free movements of pharynx during deglutition,
On face allows free movements of mandible , lips, & cheek during mastication & facial expressions, escapes traction & pressure during movements.
Cervical part :
Cervical part runs upwards on superior constrictor of pharynx deep to the posterior belly of digastric.
It grooves the posterior border of submandibular gland, makes S-bend [2 loops]
1st winding down over submandibular gland &
then up over the base of mandible.
Facial part:
The vessel enters the face by winding around the base of the mandible, and by piercing the deep cervical fascia,at the anteroinferior angle of the masseter muscle, here it can be palpated & is called as anaesthetist’s artery. Using contracted masseter as a landmark, pulse of facia
This document provides an overview of the gingiva, including its macroscopic and microscopic features. It discusses the different types of gingival epithelium (oral, sulcular, junctional), their histological characteristics. It also describes the renewal process of gingival epithelium and cuticular structures. Additionally, it covers the microscopic features of gingival connective tissue and blood supply. Key points include the layers and keratinization process of gingival epithelium, the non-keratinized nature of sulcular and junctional epithelium, and the formation and structure of the dentogingival junction.
The document provides an overview of the anatomy of the gingiva. It begins with definitions of gingiva from various sources and discusses the embryology and origin from both ectoderm and mesoderm. The macroscopic anatomy section describes the different types of gingiva - marginal, interdental papilla, and attached gingiva. The microscopic anatomy sections cover the epithelial layers, basement membrane, and connective tissue components. Blood supply, nerve supply, and lymphatic drainage are also summarized briefly.
The periodontium is the functional unit supporting teeth and includes the gingiva, periodontal ligament, cementum, and alveolar process. The gingiva is divided into marginal, attached, and interdental gingiva. It covers the alveolar process and surrounds tooth necks. The gingival sulcus is the space between tooth and gingiva that extends to the junctional epithelium. The gingiva gets its blood supply from supraperiosteal arterioles, vessels of the periodontal ligament, and interdental septa. Lymphatic drainage varies by region, draining to submental, submandibular, or jugulodigastric
This document provides an overview of gingival epithelium, including its microscopic features, structural characteristics, defense mechanisms, and renewal process. It defines gingiva as the part of oral mucosa that covers the alveolar process and surrounds tooth necks. Gingiva consists of three types: marginal, attached, and interdental gingiva. The gingival epithelium contains keratinocytes and melanocytes. Keratinocytes form the bulk of the epithelium and undergo continuous renewal, while melanocytes transfer melanin to keratinocytes. The degree of keratinization varies between oral mucosal sites.
The gingiva is divided anatomically into the marginal, attached, and interdental gingiva. The marginal gingiva forms the soft tissue wall around the teeth. The attached gingiva is firmly bound to the underlying bone. The interdental gingiva occupies the spaces between teeth. Microscopically, the gingiva contains an epithelial layer and underlying connective tissue. The epithelial layer includes the sulcular, junctional, and oral epithelium. The connective tissue contains collagen, fibroblasts, and ground substance.
macroscopic/ clinical features of gingiva
With video clips
Short video descriptions
Lecture for 3rd BDS students
Periodontology
Periodontics aspect
Clinical features of the gingiva
This document provides information about the periodontium and gingiva. It begins with an introduction to the periodontium, describing it as the tissues that support and surround the tooth. It then discusses the various tissues that make up the periodontium, including the gingiva, cementum, periodontal ligament, bone, and alveolar mucosa. The document goes on to describe the clinical and microscopic features of the gingiva, including the oral epithelium, sulcular epithelium, connective tissue, and correlations between clinical and microscopic features. It provides details on the anatomical divisions of the gingiva and characteristics of healthy and diseased states.
The document discusses the ultrastructure of gingiva including its microscopic and macroscopic features. It defines gingiva and describes its various parts like the marginal, attached, and interdental gingiva. Microscopically, it consists of stratified squamous epithelium and underlying connective tissue. The epithelium undergoes keratinization and consists of basal, spinous, granular and corneal layers. It protects the underlying tissues and allows selective permeability with the oral environment.
The gingiva is a masticatory mucosa that covers the alveolar process of the jaw and surrounds the neck of the teeth. It is made up of epithelium and connective tissue. The gingiva can be divided into three types - free gingiva, gingival sulcus, and attached gingiva. Microscopically, the gingival epithelium consists of outer oral epithelium, sulcular epithelium, and junctional epithelium. The gingiva also contains dense collagen fibers called the gingival ligament. Blood supply to the gingiva is provided by the alveolar artery and it receives nerve innervation from various nerves depending on location.
The dentogingival junction is the region where the tooth is attached to the gingiva. It initially forms with the emergence of the tooth into the oral cavity, with the enamel covered by epithelium. Over time, the junction shifts apically as the epithelium separates from the enamel surface in a process called passive eruption. The junctional epithelium, which is more permeable, eventually attaches at the cementoenamel junction. In unhealthy conditions, the junction and sulcus can shift further onto the root surface, forming a pathological periodontal pocket.
The gingiva surrounds and protects the teeth. It has three types - marginal gingiva forms the gumline, attached gingiva is firmly bound to bone, and interdental gingiva fills spaces between teeth. Microscopically, gingiva has keratinized epithelium and connective tissue with collagen fibers. The epithelium has three areas - oral epithelium on the outer surface, sulcular epithelium lining the gumline, and junctional epithelium attaching to the tooth. Gingiva has a blood supply and defenses like fluid and receives nerves for sensation.
JUNCTIONAL EPITHELIUM
It is a highly specialized epithelial tissue which divides faster than any other normal epithelium.
The mean turnover time of junctional epithelium is 5–6 days.
The junctional epithelium is basically a stratified, squamous, non-keratinizing epithelium comprising two layers: basal & suprabasal layers.
The junctional epithelium differs from the gingival oral epithelium & sulcular epithelium in origin & structure.
This specialized epithelium ranges in thickness from few cells at its most apical portion to between 15 & 30 cells at its most coronal portion adjacent to the sulcular epithelium, & the cells align themselves in a plane parallel to the tooth surface.
The length of this epithelium is approximately 0.25–1.35 mm.
The document summarizes the anatomy and structures of the gingiva. It describes the marginal gingiva, gingival sulcus, attached gingiva, interdental gingiva, and mucogingival junction. It discusses the functions of the gingiva in protecting tissues, obtaining shape with tooth eruption, and resisting forces. The document also examines age-related changes to the gingiva and studies on the width of attached gingiva needed for periodontal health.
Gingiva is the part of oral mucosa that covers the alveolar process of the jaw and surround the neck of teeth in collar like fashion.
It is a combination of epithelium and connective tissue.
This document discusses the anatomy, histology, and biology of the gingiva. It defines the gingiva and divides it anatomically into the marginal, attached, and interdental gingiva. Microscopically, the gingiva consists of stratified squamous epithelium and underlying connective tissue. The document describes the development, microscopic features including the different areas of gingival epithelium, gingival fibers, blood supply, lymphatics and nerves of the gingiva. It correlates the clinical features of color, size, and contour to the microscopic structure of the gingiva.
The document provides details about the gingiva (gums). It discusses the microscopic and macroscopic features of the gingiva, including its epithelial and connective tissue layers. The gingival epithelium is composed of keratinocytes and other cell types. It has multiple layers and can be keratinized, parakeratinized, or non-keratinized. The gingival connective tissue below contains fibers, cells, blood vessels and nerves. The document provides a comprehensive overview of gingival anatomy and histology.
This document provides an overview of gingival anatomy and histology. It discusses the 3 parts of the gingiva - marginal, attached, and interdental gingiva. Microscopically, it describes the stratified squamous epithelium and underlying connective tissue. The epithelium consists of basal, spinous, granular, and corneal layers. The connective tissue contains collagen fibers, fibroblasts, and ground substance. Gingival fibers attach the gingiva to the tooth cementum. Blood supply and innervation is also summarized.
The gingiva is divided into marginal, attached, and interdental gingiva. The marginal gingiva surrounds the teeth and forms the soft tissue wall of the gingival sulcus. The attached gingiva is firmly bound to the underlying alveolar bone. The interdental gingiva occupies the spaces between teeth. Microscopically, the gingiva contains stratified squamous epithelium and underlying connective tissue. The epithelium includes sulcular, junctional, and oral epithelium. The connective tissue contains collagen fibers, fibroblasts, vessels and nerves that provide structure and function to the gingiva.
The document discusses the anatomy and histology of the gingiva. It defines gingiva as the part of oral mucosa that surrounds the teeth. Macroscopically, it describes the three types of gingiva: marginal, interdental, and attached gingiva. Microscopically, it explains that gingiva contains stratified squamous epithelium, the epithelium-connective tissue interface, and connective tissue. It details the layers of the epithelium, the cells present, and their roles in keratinization and immune response.
This document provides an overview of the gingiva. It begins with definitions of gingiva from various sources. It then discusses the development, macroscopic anatomy including the different regions of gingiva, and microscopic anatomy. The latter covers the histology of the epithelial layers and cell types present. It also describes the different types of gingival epithelium and concludes with the dentogingival unit.
DR SWARNEET KAKPURE
THIS SEMINAR COVERS ALL ASPECTS OF GINGIVA,ITS MACROSCOPIC & MICROSCOPIC FEATURES, GINGIVAL CREVICULAR FLUID
,CLINICAL FEATURES ,GINGIVAL FIBRES,ARTERIAL SUPPLY
& NERVE SUPPLY,LYMPHATIC DRAINAGE ALONG WITH
GINGIVAL DISEASES
REFERANCE BOOK- CARANZZA TEXTBOOK OF CLINICAL PERIODONTOLOGY
1. The anatomical landmarks of the maxilla and mandible are important reference points for denture fabrication. They include limiting structures like the labial and buccal frenums which determine denture border extent, and supporting structures like the hard palate and residual ridges which support the denture.
2. Careful consideration of these landmarks aids in properly distributing forces from the denture bases onto the supporting tissues and designing denture borders that are harmonious with normal function of surrounding structures.
3. Understanding the landmarks guides border molding techniques and ensures a well-fitting denture that is retained in place during mouth movements.
The document provides information on the anatomy and histology of the gingiva. It describes the gingiva as the part of oral mucosa that surrounds and protects the teeth. The gingiva is divided into marginal, attached, and interdental gingiva. Microscopically, it consists of connective tissue covered by stratified squamous epithelium, including oral, sulcular, and junctional epithelium. The document outlines the microscopic features of these tissues, including their cell types, layers, fibers, ground substance, blood and nerve supply. Clinical features of healthy versus inflamed gingiva are also discussed.
This document provides definitions and details about the anatomy and microscopic structure of gingiva. It begins with definitions of gingiva from several sources and discusses the development, macroscopic anatomy including the different types of gingiva, and microscopic anatomy. The microscopic anatomy section describes the layers of the gingival epithelium and cell types present. It also discusses the different types of gingival epithelium including oral, sulcular, and junctional epithelium. In summary, the document provides a comprehensive overview of the definitions, structures, and histology of gingival tissues.
The gingiva is the gum tissue that surrounds the teeth. It has several parts - the marginal gingiva forms the border around the teeth, the attached gingiva is firmly bound to the underlying bone, and the interdental papilla fills the spaces between teeth. Microscopically, it is made of stratified squamous epithelium overlying connective tissue. The junctional epithelium attaches it to the tooth surface. The gingiva provides protection and resilience to withstand forces from chewing. With age, it thins but dental plaque buildup can lead to gingivitis and periodontal disease if not removed.
The gingiva is the investing tissue of the periodontium that surrounds and is attached to the teeth. It consists of stratified squamous epithelium and an underlying connective tissue. The gingiva has several functions including protecting the underlying structures, withstanding forces of mastication, and maintaining periodontal health through defense mechanisms. Microscopically, it contains keratinized epithelium and fibers that attach it firmly to the tooth and provide rigidity. The gingiva has a blood supply from the surrounding bone and periodontal ligament and lymphatic drainage to regional lymph nodes. Changes in disease include variations in color, size, and consistency as the gingiva becomes edematous from inflammatory fluid
The periodontium is composed of gingiva, periodontal ligament, cementum, and alveolar bone. The gingiva is divided into marginal, attached, and interdental regions. It surrounds the neck of the tooth and is lined by sulcular and junctional epithelium. The gingiva contains collagen fibers that attach it to the tooth and alveolar bone. It receives blood supply from the periodontal ligament and alveolar bone and drains into local lymph nodes.
The document provides an overview of examining the periodontium. It discusses the four tissues that make up the periodontium - gingiva, periodontal ligament, alveolar bone, and cementum. It describes inspecting and palpating the gingiva and assessing tooth mobility. Periodontal probing and x-rays are also examined to evaluate the depth of pockets, level of attachment, and bone involvement which can help determine if the periodontium is healthy or diseased.
The oral mucosa lines the inner surface of the mouth and consists of two layers - an epithelial layer and an underlying connective tissue layer. The epithelial layer is stratified squamous epithelium that is keratinized in areas like the gingiva and hard palate but non-keratinized elsewhere. The connective tissue layer contains papillae that extend into the epithelium. There are three types of oral mucosa - lining, masticatory, and specialized mucosa found on parts of the tongue. The oral mucosa develops from the embryonic stomatodeum and foregut and its structure is fully formed by 17-20 weeks of gestation.
The gingiva is divided into the marginal, attached, and interdental gingiva. The marginal gingiva forms the border around the teeth. The attached gingiva is firmly bound to the underlying bone. The interdental gingiva occupies the spaces between teeth. Microscopically, the gingiva contains stratified squamous epithelium and underlying connective tissue. The connective tissue contains collagen fibers, fibroblasts and ground substance. Gingival fibers brace the gingiva against tooth movement during function. Blood supply and innervation provide nutrients and sensation to the gingiva.
This document discusses the development of occlusion from the neonatal period through adulthood. It covers the following key points:
1. Occlusion develops through four periods: neonatal, primary dentition, mixed dentition, and permanent dentition. Each period has characteristic features and relationships between the teeth.
2. During the neonatal period, the gum pads have an anterior open bite relationship. As the primary teeth erupt, different molar relationships can form that influence the permanent dentition.
3. In the mixed dentition period, the first permanent molars erupt and can cause early or late shifts to a class I molar relationship through mechanisms like leeway space. Anterior teeth are also exchanged.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
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Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
2. Contents
• Introduction.
• Definition.
Anatomy of gingiva.
1.Macroscopic feature.
a. Marginal gingiva.
b. Attached gingiva.
c. Interdental gingiva
2.Microscopic feature of gingiva.
a. Epithelium
b. Connective tissue
3. • Clinical feature of gingiva
a. Applied aspects
• Conclusion
• References
4. Definition-
The gingiva is the part of the oral
mucosa that covers the alveolar
prosses of the jaw & surronds the
neck of the teeth. ~carranza
Anatomically divided into :
1.Macroscopic feature of gingiva
a. Marginal gingiva
b. Attached gingiva.
c. Interdental gingiva.
6. Marginal gingiva
• The marginal gingiva
(unattached gingiva) is the
terminal edge or border of
The gingiva surrounding the
teeth in collar-like fashion.
• It is demarcated from the a
shallow linear depression , the
FREE GINGIVAL GROOVE.
8. • Definition:
The sulcus consists of the shallow
space that is coronal to the
attachment of the junctional
epithelium & bounded by the tooth
on one side & sulcular epithelium
on the other. ~Carranza’s
The coronal extent of the
gingival sulcus is the gingival
margin.
9. • It is ‘V’ shaped.
• Depth of gingival sulcus:
-In ideal condition- 0 mm
[Gottlieb B 1933]
-Histologically- 1.8mm with variations from 0-
6mm
[Orban,Kohler 1924]
-Clinically- 2-3 mm.
10. Development of gingival
sulcus
• This process takes between 1 & 2
years. ~Schroeder & Listgarten (
1968 ).
• It is formed when the tooth erupts
into the oral cavity.
• The junctional epithelium & REE
form a broad band attached to the
tooth surface from near the tip of
the crown to CEJ.
11. Gingival fluid ( sulculsr fluid)
• It may be either transudate/exudate in
manner.
• It contains:
Inflammatory cells
Serum
Epithelial cells
Connective tissue components
12. Diffusion of the sulcular fluid
Basement membrane.
Intracellular space of
junctional epithelium
Gingival sulcus.
13. Function of sulcular fluid
• Cleanse material from the sulcus.
• Improve adhesion of the epithelium
to the tooth.
• Antimicrobial properties.
• Antibody activity to defend the
gingiva.
15. • It is firm, resilient & tightly bound to the
underlying periosteum of the alveolar bone.
• It is continuous with marginal gingiva.
• It extends to the relatively loose & movable
alveolar mucosa & is demarcated by the
mucogingival junction.
• The width of the attached gingiva on the facial
aspect differs in different areas of the
mouth.[Bowers 1963]
16. • Greatest in incisior region:
- 3.5-4.5 mm in maxilla.
- 3.3-3.9mm in mandible.
• Narrower in posterior segments:
- 1.9mm in maxilla
- 1.8mm in mandible (premolar region)
[Ainamo J,Loe 1966]
• The width of the attached gingiva increases
with age & in supraerupted teeth.
18. • It is occupies the gingival
embrasure, which is the
interproximal space beneath the
area of tooth contact.
• Can be pyramidal or col shaped
• The shape depends on the contact
point between the two adjoining
teeth & the degree of recession.
• If a diastema is present, the gingiva
is firmly bound over the interdental
bone & form, rounded surface
without interdental papillae.
20. 1.Gingival epithelium
• Stratified squamous epithelium.
Functions-
• It provides a physical barrier to
infection
• Mechanical , chemical, water &
microbial barrier
• It acts as an innate defense
response to gingival health &
disease. ~Caffesse RG (1966)
24. Keratinocytes
• Most of the gingiva covered with
parakeratinized or nonkeratinized
epithelium.
• Orthokeratinized –some areas
present.
• These areas are progress to
maturity/ differentation under
different physiological /
pathological condition.
25. • It is activated by,
1.Proliferation
2.Differentiation
26. 1.Proliferation
• By mitosis in the basal layer.
• Less frequently in the suprabasal
layer.
• Larger number of cells begin to
migrate to the surface from basal
layer.
27. 2.Differentiation
• It consists of progressions of
biochemical & morphologic events
that occur in the cell as they migrate
from basal layer.
• Morphological changes:
1. Progressive flattening of the cell.
2. Increasing prevalence of
tonofilaments
3. Production of keratohyalin granules.
4. Disappearance of the nucles.
28. Orthokeratinized epithelium
• It is produced by complete process
of keratinization.
• No nucleus in stratum corneum.
• Well defined nucleus in stratum
granulosum.
• It is present in some areas of the
gingival epithelium.
29. Parakeratinized epithelium
• Most of the gingiva covered by
parakeratinized epithelium.
• The stratum corneum retains
pyknotic nuclei.
• The keratohylin granules are
dispersed.
• Not giving rise to a stratum
granulosum
30. Nonkeratinized epithelium
• It has granulosum / corneum strata,
whereas superficial cells have viable
nuclei.
• The epithelial cell connections are
tight junctions (zonae occludens)
32. Melanocytes
• These are dendritic cells.
• Located in the basal & spinous layer
of the gingival epithelium.
• They synthesize melanin
• Also called premelanosomes /
melanosomes.
• Melanin granules are phagocytosed
in cells of epithelium & connective
tissue.
34. Langerhans cells
• These are dendritic cells.
• Located in keratinocytes at all
suprabasal levels.
• They are modified monocytes.
• They also act as antigen presenting
cells.
• Absent in junctional epithelium.
35. Merkel cells
• Located in deep layer of the
epithelium, nerve endings.
• Tactile perceptors.
36. Basal lamina
• The epithelium is joined to the
underlying connective tissue by a
basal lamina. Stern IB (1965)
• It is 300 – 400 A thick
• The basal lamina consists of:
1. Lamina lucida
2. Lamina densa
38. 2.Lamina densa
• Composed of type IV collagen.
• The fibrils are 750nm in length from
epithelium end to connective tissue
end.
• PAS +ve.
39. • The gingival epithelium different
from the morphologically &
functionally, there are;~ Karring T,
Loe H (1975)
1. The oral or outer epithelium
2. Sulcular epithelium
3. Junctional epithelium
40. I. Oral [outer] epithelium
• Covers the crest & outer surface of
marginal gingiva & surface of the
attached gingiva.
• Average thickness of the oral
epithelium is 0.2 to 0.3mm
• It is keratinized or parakeratinized
or various combinations of these
conditions.
42. Composition of oral
epithelium
• The oral epithelium composed of 4
layers:
1. Stratum basale.
2. Stratum spinosum.
3. Stratum granulosum.
4. Stratum corneum
43. • The degree of keratinization
diminishes with age & the onset of
menopause.
• It is parakeratinized or
orthokeratinized.
• Keratinization of the oral mucosa
varies in different areas (in
descending order palate, gingiva,
ventral aspect of the tongue,&
cheek)
44. 2. Sulcular epithelium
• The sulcular epithelium lines the
gingival epithelium.
• It is thin & extends from the
junctional epithelium to the crest of
the gingival margin.
• It is act as a semi permeable
membrane.
48. • The junctional epithelium consists of a
collar like band of stratified squamous
non keratinizing epithelium.
• It is 3-4 layers thick in early life, but
the number of layers increases with
age to 10 or even 20 layers.
• The junctional epithelium taper from
its coronal end.
• The length of the junctional
epithelium ranges from 0.25-1.35mm
49. • The junctional epithelium is formed by the
oral epithelium & the reduced enamel
epithelium, during tooth eruption.
• The junctional epithelium attached to the
tooth surface by internal basal lamina & it
attached gingival connective tissue by
external basal lamina.
• The junctional epithelium attachment to the
tooth by gingival fibers, which brace the
marginal gingiva against the tooth surface. it
is referred to as the dentogingival unit.
• The internal basal lamina consists of lamina
densa & lamina lucida, which hemi
desmosomes are attached.
50. Renewal of gingival
epithelium
• The mitotic rates is higher in
nonkeratinized areas.
• Is increased in gingivitis.
• Without significant gender
defferences.
• The mitotic rate is increased /
decreased with age.
51. • The mitotic rate varies of the oral
epithelium in descending order:
Buccal mucosa.
Hard palate.
Sulcular epithelium.
Junctional epithelium.
Outer surface of the marginal
gingiva & attached gingiva.
52. • Varies turnover time of the oral
epithelium.
• Palate, tongue, & cheek ~ 5-6days.
• Gingiva ~10 -12days.
• Junctional epithelium ~1-6days.
54. Cuticler
• A thin, acellular structure with a
homogeneous matrix.
• Classified into: ~Listgarten (1963 ).
1. developmental origin.
2. Acquired coatings.
55. Development origin
• Coatings of normally formed as
part of tooth development.
• They include the REE, coronal
cementum, & dental cuticle.
56. Coronal cementum
• It deposit a thin layer of the
cementum on the enamel.
• A thin patches of afibrillar
cementum may be seen in the
cervical half of the crown.
57. Dental cuticle
• It consisting of a layer of
homogeneous organic material.
• Variable thickness [ ~0.25Um].
• It overlying the enamel surface.
• It is nonmineralized.
• Not always present.
• Near the CEJ, it is deposited over a
layer of afibrillar cementum, which
in turn overlies enamel.
59. Gingival connective tissue
• The major components of the gingival
connective tissue are collagen fibers ,
fibroblasts, vessels, nerves & matrix.
• The connective tissue of the gingiva is
known as the lamina propria.
• it is consists of 2 layers, there are,
1. Papillary layer.
2. Reticular layer.
• Connective tissue has a cellular &
extra cellular compartment,
composed of fibre & ground
substance.
60. Connective tissue fibers
They are 3 types.
1. Collagen
2. Reticular
3. Elastic
• Collagen type I forms the bulk of
lamina propria & provide the tensile
strength to gingival tissue.
• Type IV collagen fibres branches
between collagen type I & fibres of
basement membrane & blood
vessels walls.
61. Ground substance
• It is fills the space between fibre &
cells, is amorphous,& has a high
content of water.
• It is composed of proteoglycans,
hyaluronic acid & condroitin sulfate,
& glycoproteins, fibronectin.
• Laminin, another glycoprotein
found in basal lamina, serves to
attach it to epithelial cells.
64. Blood supply
1. Vessels of
periodontal
ligament.
2. Arterioles from
alveolar bone.
3. Supraperiosteal
arteries.
65. Nerves & Lymphatics supply
• The nerve fibers arising from the
periodontal ligament,& labial,
buccal, palatal nerves.
• Neural elements are distributed
throughout the gingival tissues.
• Most nerve fibers are mylinated &
are closely associated with the
blood vessels.
• The lymphatic drainage of the
gingiva into the regional lymph
nodes.