A 26yearold woman came to ag dental care clinic, south sulawesi, indonesia, in october 2015 with a chief complaint that her. The gingival sulcus is an area of potential space between a tooth and the surrounding gingival tissue and is lined by sulcular epithelium. The sulcus is a unique space for chemotherapeutic treatment modalities because it is accessible topically, but the salient problem of overcoming gingival crevicular fluid flow tends to limit chemical contact in the gingival space. All different types of periodontitis, as outlined in chapter 4, share histopathologic features, such as tissue changes in the periodontal pocket, mechanisms of tissue destruction, and. The gingival index loe and silness, 1963 was created for the. Read development of the gingival sulcus, australian dental journal on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. In this case, multiple hairs were found at the gingival sulcus in the labial, buccal, lingual and palatal tooth surfaces in an 11yearold boy. Regarding the ability of the two optical coherence tomography.
The depth of this crevice, known as a sulcus, is in a constant state of flux due to microbial invasion. Although the equine gingival sulcus has been assumed to have a depth of up to 5 mm under healthy conditions 11, no morphometric. Fixed dental prosthesis, gingival retraction, gingival sulcus, subgingival finish line, tooth preparation how to cite this article. All ops showed a gingival sulcus depth of less than 3 mm. Expasyl make a great impression effective and atraumatic gingival retraction paste. The gingival sulcus was measured from the gingival margin to the suspected bottom of the gingival sulcus a.
It functions as a seal between teeth and gingival tissue, and includes protective defenses against diseasecausing bacteria. In more than 90% 1,2041,286, the depth was less than 1 mm incisors. Article pdf available in international journal of dentistry 201110. Gingival retraction using paste systems oral health group. Morphological changes in the attached and keratinized. The gingival sulcus is located between the tooth and the free gingival margin and is the crevice that surrounds the tooth. Comparative evaluation of three noninvasive gingival displacement systems. The gingival sulcus is an area of potential space between a tooth and the surrounding gingival. Expasyl benefits from an excellent riskbenefit balance. The response of the gingival sulcus to instrumentation.
Kumar, in molecular medical microbiology second edition, 2015. The gingival crevice journal of the american dental association. Comparative evaluation of three noninvasive gingival. Development of the gingival sulcus, australian dental. For clinical applicability in subjects with thin gingival biotype, care should be taken during extraction and immediate implant placement to prevent labial plate fracture. The clay like material can be aided into the gingival sulcus by compression using cotton pellets or specially designed caps which are available from. The journal of clinical dentistry perio protect for. The quality of opening is the same as this obtained with a cord. In addition, the gingival thickness and the gingival sulcus depth could be noninvasively measured, varying from 0. The interface between a tooth and the surrounding gingival tissue is a dynamic structure. Part of oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth.
The measurement of the state of oral hygiene by silnessloe plaque index is. Gingival sulcus definition of gingival sulcus by medical. Inside the gingival sulcus, the cementumcovered root surface and epithelia are available for microbial attachment. Pdf in vivo assessment of periodontal structures and.
Gingival sulcus through transudation of gingival crevice fluid. Gingival retraction is also helpful during cementation for easy removal of excess cement. It was designed to be slowly injected with a special gun into the sulcus of the tooth creating a dry clear opening between the margin of the tooth preparation and the gingival tissue fig. Nine hundred one respondents 81% soak the cord before placing it in the gingival sulcus. Gingival retraction is needed for adequate lateral displacement of gingiva, for adequate flow of low viscosity impression material into the sulcus and for accurate capturing of prepared finish line and a portion of apical uncut tooth structure 4,5.
Pdf keratinized gingiva determines a homeostatic behavior of. Pdf gingival enlargement is one of the frequent features of gingival diseases. Sulcus probing depth and keratinized gingiva were examined at the buccal aspect of the incisors, and either right or left. A thin gingival biotype is found associated with a thin alveolar. At the bottom of the sulcus, there is a specific epithelial structure, junctional epithelium, which, on one hand, plays an active role in the defence. Measuring its depth is a tool used by dentists to gauge oral health. Abstract a longitudinal study was undertaken to examine the changes in the sulcus probing depth, keratinized and attached gingiva during the mixed dentition period. The sulcus lining epithelium renews itself rapidly every 46 days compared to 612 days for oral epithelium. Nevertheless, when the margins of the crown or restoration should be placed subgingivally in few special cases, the sulcus depth and the level of. The sulcus is bathed in crevicular fluid, which contains many of the elements of immunity antibodies. The gingival tissue forms a crevice surrounding the tooth, similar to a miniature, fluidfilled moat, wherein food debris, endogenous and exogenous cells, and chemicals float.
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