d d d d d d dd
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d d d
periodontium
-functionaldsystemdofdTISSUESdthatdsurroundsdteethdanddattachesdthemdtodthedjawbone
-"supportingd tissuesd ofd teeth"d ord "attachmentd apparatus"
perid=daround.dodontosd=dtooth
tissuesdofdthedperiodontium
- gingiva
- cementum
- periodontald ligament
- alveolardbone
gingiva
thedpartdofdmucosadthatdsurroundsdCERVICALdportionsdofdteethdanddCOVERSdALVEOLARd
PROCESS:
-attacheddbydspecializeddepithelialdtissued(whichdmakesdupdthedjunctionaldepithelium)
- thindouterdlayerdofdepitheliumdanddunderlyingdlayerdofdCTd
functiondofdgingiva
- protectsdtooth-
supportingdstructuresdofdperiodontiumdfromdoraldenvironmentdthruddefensedmechani
smsd(salivadanddimmunedsystem)
gingivaldmargin
,- coronald edge
- followsdcontourdofdthedtoothdcreatingdadscallopeddoutlined
alveolardmucosa
- apicaldedge
- darkdreddcoloreddtissue
freedgingivaldgroove
d
shallowd lineard depressiond separatingd FREEd andd ATTACHEDd GINGIVAd
verydharddtodsee
mucogingivaldjunction
wheredthedpinkdattacheddgingivadmeetsdthedreddalveolardmucosad(clinicallydvisible)
fourdanatomicaldareasdofdgingiva
1. freedgingiva
2. attacheddgingiva
3. interdentald gingiva
4. gingivaldsulcus
freedgingiva
- UNATTACHED,dsurroundsdtoothdindthedregiondofdCEJ
- "unattachedd gingiva"d "marginald gingiva"
- turtleneck
- fitsdcloselydarounddthedtoothdbutdisdnotddirectlydattached
- locatedd ABOVEd CEJ
,freedgingivadisdattcheddbydjunction
aldepithelium
- formsdsoftdtissuedlateraldwalldofdthedgingivaldsulcus
attacheddgingiva
tightlydbounddtodthedunderlyingdcementumd(continuousdwithdfreedgingiva)
- ondthedcervical-thirddofdthedrootdanddondthedperiosteumdofdthedalveolardbone
- dimpled/stippled
attacheddgingivadlocateddbetweend
freedgingivadanddalveolardmucosa
- widestdindthedincisordanddmolardregions
- narrowestd ind premolard regions
dimpled/stippleddappearancedonlydseendond
attacheddanddinterdentaldgingiva
- NOTdondmarginal/freedgingva
- providesdmechanicaldreinforcement
purposedofdattacheddgingiva
, - withstanddforcesdduringdchewing,dspeakingdanddbrushing
- preventsdfreedgingivadfromdbeingdpulleddapicallydfromdthedtoothdwhendtensiondisdapplieddt
odalveolardmucosa
interdentald gingiva
- fillsdthedinterdentaldspace ͑embrasure͒d justdbelowdcontactdarea
- preventsdfooddbetweendteeth
- gingivaldcol
2dinterdentaldpapillae
- FACIALd &d LINGUAL
- lateraldborderdanddtipdformeddbydfreedgingivadofdadjacentdteeth
- centredisdformeddbydattacheddgingiva
gingivaldcol
- valley-
likeddepressiondapicaldtodthedcontactdareadofd2dadjacentdteethdthatdconnectsdfacialda
nddlingualdpapillae
- coldwilldNOTdbedpresentdifdthere'sdadlargedspacedbetweend2dteeth/gingivaldrecession
gingivaldsulcus
- v-shapeddshallowdspacedbetweendfreedgingivadanddtoothdsurface
- measureddbydprobed(1-3mm)