The retrocuspid papilla is considered to be a normal anatomic structure and should not be mistaken for a fibroma. Labial gingiva article about labial gingiva by the free. The increase of fluid in the inflamed tissue may also cause the gums to be soft, porous, and inelastic fig. Consequently, multiple depigmentation techniques have been employed, including bur abrasion, surgical scraping, and electro surgery 68. The importance of keratinized gingiva surrounding dental.
Recognition of normal gingiva, gingival infection, deeper periodontal involvement depends on disciplined, stepbystep examination dictate what we need to do, reversed on healthy tissue back to healthy state, chemotherapeutic agents. These findings led to their conclusion that at least 2 mm of keratinized gingiva is required for stability of the periodontium lang and loe, 1972. In most cases, the enlargement results because of local irritations. Start a free trial of quizlet plus by thanksgiving lock in 50% off all year try it free. Click add files and select the files you want to include in your pdf. These appear as single or multiple pinkishwhite nodules or papules on the labial gingiva of the maxillary or mandibular arches. Pigmented gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Gingival description dentistry 104 with clossen at.
Attached gingiva is a part of keratinized gingiva which aids in increase resistance to external injury and contribute in stabilization of gingival margin. Can be separated form the tooth by a probe depth of gingival sulcus crevice. The attached gingiva is the most common intraoral site of such pigmentation, where it appears as a bilateral, welldemarcated, ribbonlike, dark brown band that usually spares the marginal gingiva1 fig. Dissipating physiological forces exerted by the muscular fibers of the alveolar mucosa on the gingival tissues. Gingival margin is 1 to 2 mm above cej marginal gingivae is knife edge, flat and fall is a current line around the tooth and fits snugly around the tooth. The segmented teeth and gingiva region images are the basis for extraction of several parameters of. How to merge pdfs and combine pdf files adobe acrobat dc.
One hundred and twenty individuals in good oral health were divided into six groups according to age. A 56yearold white woman presented with discolored and worn anterior teeth, as well as a blackish area directly adjacent to the attached gingiva on 1 of her front teeth. Similar to the variations seen in bowers study, the widest zone of attached gingiva was found in the incisors and the least. It covers the alveolar processes of the jaws and surrounds the portions of the teeth near where the root and crown join cervical portion. The periodontium 1 the gingiva and perio ligament at. Click, drag, and drop to reorder files or press delete to remove any content you dont want. The retrocuspid papilla is a circumscribed nodule resembling a fibroma located on the gingiva lingual to the mandibular cuspid. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Pigmented lesions of oral mucosa oral and perioral pigmentation may be physiologic or pathologic in origin. There is difficult control of penetration and risk for excessive tissue. A pigmented lesion of the mandibular facial gingiva. The health workers and family planning field workers are expected to play an active role in increasing the awareness of fertile age couples by providing a sustainable extension to the community in order to increase their participation in using tubectomy.
Primary malignant melanoma of maxillary gingiva a case. Studi kasus article pdf available july 2019 with 412 reads how we measure reads. Prevalensi hiperpigmentasi gingiva pada pasien perokok di klinik periodonsia rsgm fkg unpad. Pengukuran dilakukan pada gigi indeks 16, 12, 24, 36, 32, 44. Gingival enlargements are quite common and may be either inflammatory, non inflammatory or a combination of both. Clinical pigmentation in the gingiva may cause aesthetic problems 4,5. Labial gingiva definition of labial gingiva by the free. The gingival fibrous nodule most commonly affects the mandibular labial gingiva at the mucogingival zone. The two patients presented in this report had primary involvement of the gingiva by aphthous stomatitis, with multiple recurrent ulcers arising at various sites along the gingiva. Surgical esthetic correction for gingival pigmentation. Hiperpigmentasi gingiva pdf republic of fenerbahce. This entity is observed more frequently in young children and seems to regress with age. Stippling used to be thought to indicate health, but it has since been shown that smooth gingiva is not an indication of disease, unless it is smooth due to a loss of.
The various methods that have been employed for depigmentation are. Discoloration of the oral mucosa or gingiva is associated with several exogenous and endogenous factors. Explanations are useful to guide through learning process and confirm that the correct answer is indeed correct. Their lesions began on the marginal gingiva and enlarged to form v or ushaped ulcers on attached gingiva, as illustrated in fig. Free gingiva definition of free gingiva by medical dictionary. Measurements were made on the depth of the gingival sulcus, and the distance from the margin of the free gingiva to the mucogingival junction on the lingual.
Histology and surgical augmentation article pdf available in general dentistry 574. Gingival pigmentation is the coloringstaining of the gingiva in the form of a dark purplish color or irregular light brown spots. Measurements were made on the depth of the gingival sulcus, and the distance from the margin of the free gingiva to. U2 elevation download germany wendehorst bautechnische zahlentafeln download adobe life after life download mulva zombie ass kicker download deutsch book club rules regulations marsupilami season 2 jamaican steam fish and crackers silent fall barbara freethy book download electric field due to a dipole pdf bandung kota kreatif pdf files jeff. Dublin core, pkp metadata items, metadata for this document. Pdf penatalaksanaan perawatan hiperpigmentasi pada gingiva. Pigmented gingiva read the description and select the correct image. Mar 14, 2019 download full text bahasa indonesia, 9 pages. Study 110 the periodontium 1 the gingiva and perio ligament flashcards from sara g. The gingiva often possess a textured surface that is referred to as being stippled engraved points. T he oral cavity is a common site for various pigmented lesions. Pdf joiner allows you to merge multiple pdf documents and images into a single pdf file, free of charge. Just upload files you want to join together, reorder them with draganddrop if you need and click join files button to merge the documents. Jaringan sekitar tiap gigi dibagi ke dalam empat unit penilaian gingiva, papila distallabial, margin gingiva labial, papila mesiallabial dan margin gingiva lingual keseluruhan.
Pdf gingival hyperpigmentation and the condition known as gummy smile are very common. An unusual case of gingival hyperpigmentation medscape. Labial teeth and gingiva color image segmentation for. The health workers and family planning field workers are expected to play an active role in increasing the awareness of fertile age couples by providing a sustainable extension to the community in order to. Additional instructions and trouble shooting are included with the game. The gingiva is the only visible part of the periodontium that can be seen in the mouth. Pigmentation of the buccal mucosa, hard palate, lips and tongue may also be seen as brown patches with less wellde. Attached gingiva extends from the fgg to the mucogingival junction mgj attached. Marginal gingiva the marginal, or unattached, gingiva is the terminal edge or border of the gingiva surrounding the teeth in collarlike fashion 6. These color changes often occur due to deposition,production or increased accumulation of various endogenous or exogenous pigmented substances.
You can merge pdfs or a mix of pdf documents and other files. Excision of the lesion involved a substantial amount of labial gingiva for which a modified partial thickness triangular flap was reflected on both the sides and superiorly up to mucogingival. Fig2 bleeding was controlled with a sterile gauze pressure. Pdf penatalaksanaan perawatan hiperpigmentasi pada. Free gingiva definition of free gingiva by medical. Tissue consistency and texture in gingivitis foundations. We aim to explain the effects of using a laser on the gingiva and discuss the. Tissue consistency and texture in gingivitis foundations of. Gingival pigmentation and its treatment modalitites download as pdf file. It is the part of gingiva that fills the area between two adjacent teeth apical to the contact area. Pasien perempuan umur 18 tahun mengeluh gingiva berwarna gelap dan mahkota gigi tampak pendek yang mengganggu penampilan dan ingin diperbaiki. Nadhia anindhita harsas, yuniarti soeroso tinjauan pustaka i. Dec 11, 2016 the retrocuspid papilla is a circumscribed nodule resembling a fibroma located on the gingiva lingual to the mandibular cuspid. The importance of keratinized gingiva surrounding dental implants.
Assessment of the width of attached gingiva using different. Hiperpigmentasi gingiva terjadi karena deposisi pigmen melanin. Laser assisted gingival depigmentation is a single step pro cedure, with fast healing process. Gingiva the gingiva jin je va is the part of the oral tissue oral mucosa covered by keratinized epithelium.
From gingival margin to the free gingival groove fgg at the level of the cej. The gingiva is considered the most frequently pigmented tissue in the oral cavity 7. Pdf treatment of oral hyperpigmentation and gummy smile using. Gingival pigmentation cause, treatment and histological. Unduh sebagai docx, pdf, txt atau baca online dari scribd. Anatomical relationship of normal gingiva in facial view a and in crosssection b. Hiperpigmentasi gingiva terjadi karena penumpukan melanin yang disintesis. In 1932, prinz described it as a peculiar condition characterized by intense erythema, desquamation and ulceration of the free and attached gingiva. Desquamative gingiva diseases and disorders medical. Hiperpigmentasi melanin pada gingiva biasanya bukan masalah medis tetapi keluhan pasien yang menginginkan terapi perbaikan estetik. Penatalaksanaan hiperpigmentasi gingiva dan mahkota gigi. Failure to complete all the steps will result in a loss of this test score, and you will not receive credit for this course. In advanced stages, it is aggressive and it has easy access to infratemporal fossa 6.
The subcrevicular physiologic space is analogous to the biologic width described by gargiulo et al. The blade was held parallel to the long axis of the teeth with minimum pressure. Interactionsbetweenthegingiva andthemarginofrestorations. In the present study, the range of the mean width of attached gingiva varied from 1 mm to 4 mm. Feb 01, 2017 marginal gingiva the marginal, or unattached, gingiva is the terminal edge or border of the gingiva surrounding the teeth in collarlike fashion 6. Perubahan warna pada mukosa di rongga mulut seperti pigmentasi gingiva ini dapat merupakan bukti diagnostik adanya penyakit lokal maupun sistemik. In health, attached gingiva the oral mucosa covering the base of the alveolar bone maintenance care for a patient treated for periodontal disease includes periodic assessment of 1. When pressure is applied to the inflamed gums on the part of the probe, fabrics easily compressed and can retain the imprint of the probe for. Marginal gingiva free gingival groove shallow linear depression that demarcates fmarginal gingiva from the adjacent attached gingiva about 50% of cases usually about 1mm wide, the marginal gingiva. Chronic desquamative gingivitis was first recognized and reported in 1894. Fig 1, 2, 3 after administering local anesthesia, the uppermost layer of the gingiva was scraped using 15 numbers. Aphthous stomatitis with involvement of attached gingiva.
Gingival pigmentation is a discoloration of the gingiva due to a variety of lesions and conditions associated with several endogenous and exogenous etiologic features 8. A total of 48 patients 27 male, 21 female with a chief complaint of black gums were selected in this study and treated by surgical depigmentation procedure over a period of 3 years 20042007. The consistency of the gingiva varies on the degree of health, density, and firmness of the tissue. Stippling only presents on the attached gingiva bound to underlying alveolar bone, not the freely moveable alveolar mucosa. Please click continue below to return to your previous page to complete the process.
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