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DEFENSE
MECHANISM OF
GINGIVA
Why is defense mechanism
needed in gingiva????
Epithelial surface
-keratinisation
-turn over rate
GCF & SALIVA
GINGIVAL CREVICULAR FLUID
WAERHAUG
BRILL- continuous Transudate
others- inflammatory exudate
IS GCF A
COMPOSITION OF GCF
USING ABSORBING PAPER STRIPS
(Intrasulcular Method)
Brill Technique
((Loe & Holm-Pedersen)
Preweighed twisted thread
• Used by Weinstein
• Threads are placed in gingival crevice around the tooth & amount of
fluid collected estimated by weighing the sample thread
Capillary tubes/Micropipettes
Collected using capillary action
Since diameter is known volume of fluid collected is determined by measuring
the distance which GCF has migrated.
Ideal technique for undiluted sample of native GCF
Disadvantage
Difficulty in removal of complete sample from tubing
Crevicular washings
Other with use of peristaltic pump
A modification of the this
method is use of 2 injection
needles fitted one within the
other so that during sampling
the inside needle is at the
bottom of pocket and outside
needle is at gingival margin
The collection needle is
drained into a sample tube via
continuous suction.
Electronic method
• This measure the fluid collected on a blotter (periopaper) with help of an
electronic transducer( periotron)
3 models of periotron
600
6000
8000
Limitation –inability to measure volumes of GCF greater than 1.0μL
Problems with GCF collections & data
interpretation are
• Contamination
• Sample time
• Volume determination –evaporation
• Recovery from strips-binding of GCF protein to filterpaper.Complete
recovery difficult
Cellular & humoral immunity in GCF
• Cellular immunity
• Includes appearance of cytokines in GCF
• Eg IL-1α,IL -1β
• Role of antibodies is difficult to ascertain ….
• Reduction in antibody level is detrimental to periodontal health
Thank you….

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Defense mechanism of gingiva

  • 1.
  • 3. Why is defense mechanism needed in gingiva???? Epithelial surface -keratinisation -turn over rate
  • 6. BRILL- continuous Transudate others- inflammatory exudate IS GCF A
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. USING ABSORBING PAPER STRIPS (Intrasulcular Method) Brill Technique ((Loe & Holm-Pedersen)
  • 13.
  • 14. Preweighed twisted thread • Used by Weinstein • Threads are placed in gingival crevice around the tooth & amount of fluid collected estimated by weighing the sample thread
  • 15. Capillary tubes/Micropipettes Collected using capillary action Since diameter is known volume of fluid collected is determined by measuring the distance which GCF has migrated. Ideal technique for undiluted sample of native GCF Disadvantage Difficulty in removal of complete sample from tubing
  • 16.
  • 17. Crevicular washings Other with use of peristaltic pump A modification of the this method is use of 2 injection needles fitted one within the other so that during sampling the inside needle is at the bottom of pocket and outside needle is at gingival margin The collection needle is drained into a sample tube via continuous suction.
  • 18.
  • 19.
  • 20.
  • 21. Electronic method • This measure the fluid collected on a blotter (periopaper) with help of an electronic transducer( periotron) 3 models of periotron 600 6000 8000 Limitation –inability to measure volumes of GCF greater than 1.0μL
  • 22. Problems with GCF collections & data interpretation are • Contamination • Sample time • Volume determination –evaporation • Recovery from strips-binding of GCF protein to filterpaper.Complete recovery difficult
  • 23. Cellular & humoral immunity in GCF • Cellular immunity • Includes appearance of cytokines in GCF • Eg IL-1α,IL -1β
  • 24. • Role of antibodies is difficult to ascertain …. • Reduction in antibody level is detrimental to periodontal health
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.