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Keratinized gingiva

Width of keratinized gingiva and the health status of the supporting tissues around dental implants Increased width of keratinized mucosa around implants is associated with lower mean alveolar bone loss and improved indices of soft tissue health The amount of keratinized gingiva was measured and divided into two groups; less than 2mm and greater than 2mm. The amount of keratinized gingiva was compared to clinical parameters such as bleeding upon probing, redness, and pocket depths to determine whether implant success was related to the amount of keratinized gingiva

Fifty-eight teeth in 26 individuals were selected and then divided into two groups according to the width of the keratinized gingiva at the midfacial aspect of the tested tooth. Group I consisted of 30 teeth with greater than or equal to 2.0 mm, and Group II consisted of 28 teeth with less than 2.0 mm of keratinized gingiva The facial keratinized gingiva was widest in the area of upper and lower incisors and narrowest adjacent to the maxillary and mandibular canines and first pre­molars (Figure 2). The lingual gingiva of the lower jaw exhibited its greatest width in the area of the pre­molars and molars. The incisors showed the narrowest lingual gingiva (Figure 2). In the maxilla the facia

The keratinized gingiva is the part of the oral mucosa which covers the gingiva and hard palate. It extends from the free gingival margin to the mucogingival junction and consists of the free gingiva as well as the attached gingiva. One may also ask, what is Keratinized gum tissue The gingiva is the pink-colored keratinized mucosa that surrounds the teeth. Pericoronitis is a local infection of the gingiva surrounding an erupting tooth

Width of keratinized gingiva and the health status of the

Gingiva

Significance of the width of keratinized gingiva on the

The keratinized gingiva width (WKG) is defined as the distance between the mucogingival junction (MGJ) and the gingival margin. It has been suggested in the past, that to ensure periodontal health, the width of the keratinized gingiva should be at least 2 mm while the attached gingiva should measure 1 mm Marginal gingiva epithelium is keratinized? Yes (it's a masticatory mucosa) Does marginal gingiva has rete pegs? Yes. Lining of the gingival sulcus on tooth side. Sulcular epithelium. Marginal gingiva is the same thing as: Free gingiva _____ characterizes attached gingiva histologically Importance of Keratinized Attached Gingiva Reconstruction of keratinized mucosa in implant sites is an important facet of today's dental implant surgical pro-cedures. The establishment of healthy pink tissue around implants results in more predictable maintenance and improved aesthetics. Keratinized attached gingiva pro-tects the tissue. Both the apical and coronal widening of attached gingiva enhance oral hygiene procedures, but only the latter can correct an esthetic-problem. l or preprosthetic purposes, the combination ot widening keratinized gingiva apical and coronal to the recession would satisfy this objective. Consideration ol the objectives as apical, coronal, or both. Since the presence of keratinized gingiva is so important for peri-implant outcome, the aim of this study is to describe a partial thickness flap design to increase the amount of keratinized peri-implant tissue as well as its thickness

Is interdental gingiva Keratinized? - TreeHozz

  1. Insufficient was defined as <2 mm of keratinized gingiva. (4) Patients who underwent a surgical procedure to increase keratinized tissue around implant-supported overdentures. 2.3
  2. Without the attached keratinized gingiva, food impaction may occur as well as bacterial penetration and tissue shrinkage—all of which may affect the long-term prognosis and esthetics of implants. In addition, keratinized tissue is critical in areas of the mouth where plaque control may be compromised
  3. After a rigorous search in major electronic databases, the results of the included studies indicated that the width of keratinized gingiva seems to be associated with the periodontal phenotype, with thick biotypes being characterized by a more pronounced keratinized gingival width
  4. Sufficient keratinized gingiva surrounding an implant restoration's emergence has been recognized as important to the long-term success and maintenance of implants. Frequently, a loss of keratinized tissue width occurs following the extraction of a tooth, and this loss can increase when the period of time prior to implant placement is increased
  5. The Relationship Between the Width of Keratinized Gingiva and Gingival Health. Niklaus P. Lang, Research Associate, Department of Periodontology, Royal Dental College, Aarhus, Denmark. Search for more papers by this author. Harald Löe
  6. 3.2. Autogenous grafts. As for the augmentation of keratinized tissue amount, the free gingival graft (FGG) and the connective tissue graft (CTG) have been proposed to increase soft tissue volume .Askin et al. suggested in their clinical, immunological, and radiographic longitudinal study that FGG performed around dental implants lacking keratinized tissue is a reliable method, leading to.

Assessment of Keratinized Gingiva With and Without PRF Application in Patients With Dental Implant. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government Keratinized gingiva width (KGW) is measured from the mucogingival junction (MGJ) to the lowest point of the gingival margin in the middle of the crown of the tooth with gingival recession. In a healthy and intact periodontium, the length of keratinized attached gingiva includes coronally from the bottom of gingival sulcus.

between width of keratinized mucosa and gingival inflammation and plaque accumulation that is in line with the present findings.20 The findings of the pre-sent study also are supported by Warrer et al,11 who demonstrated that implants placed in areas lacking keratinized gingiva had a higher susceptibility to tis-sue breakdown due to plaque. Corpus ID: 24761858. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. @article{Bouri2008WidthOK, title={Width of keratinized gingiva and the health status of the supporting tissues around dental implants.}, author={A. Bouri and N. Bissada and M. Al-Zahrani and F. Faddoul and I. Nouneh}, journal={The International journal of oral. The keratinized gingiva is the part of the oral mucosa which covers the gingiva and hard palate. It extends from the free gingival margin to the mucogingival junction and consists of the free gingiva as well as the attached gingiva

Data were analyzed using SPSS. Results: The mean GI, PI and marginal gingival recession around implants with <2 mm width of keratinized gingiva were greater than the corresponding values around implants with keratinized tissue width of ≥2 mm. However, this difference was not statistically significant (P>0.05) The gingiva is the highly keratinized epithelium and underlying connective tissue lamina propria that surrounds the teeth. The extensive interdigitation with the lamina propria increases the surface area for epithelial attachment to the connective tissue. On one side of the section you can trace the transition from keratinized gingiva to. Keratinized Areas of Oral Mucosa: Masticatory mucosa - Gingiva and Hard palate. Vermillion border of lip. Oral or Outer Epithelium. Non Keratinized Areas of Oral Mucosa: COL. Junctional epithelium. Sulcular epithelium. Lining mucosa - Lip, cheek, vestibular fornix, alveolar mucosa, floor of mouth and soft palate A negative correlation was found between keratinized mucosa width and mucosal recession and periodontal attachment level. When data were dichotomized by keratinized mucosa width, the mean gingival index score, plaque index score, and bleeding on probing were significantly higher for those implants with a narrow zone (<2 mm) of keratinized mucosa keratinized gingiva (7,29), and they may be used when a soft tissue correction of more than 1 mm is required. For minor soft tissue corrections (in which a total of less than 1 mm of the soft tissue needs to be augmented), a second stage approach may be used at the time of implant uncovery. Technique

Gingiva - an overview ScienceDirect Topic

keratinized gingiva was measured and divided into two groups; less than 2mm and greater than 2mm. The amount of keratinized gingiva was compared to clinical parameters such as bleeding upon probing, redness, and pocket depths to determine whether implant succes if keratinized tissue was needed to maintain periodontal health. Clinical trials indicated that sites with a minimal amount of KG 9 or attached gingiva 14-17 could remain healthy and that increasin

Since the attached gingiva is a fraction of keratinized gingiva and extends up to the boundaries of the mucogingival junction, these areas must be capable of neutralizing the tension transmitted by the alveolar mucosa under muscle action in such a way that marginal gingival mobility is prevented What is it? The Free Gingival Graft (FGG) is a surgical procedure frequently used in periodontics to increase the amount of keratinized tissue surrounding a tooth or a dental implant. Keratinized tissue plays a major role around teeth and dental implants, helping in maintaining and facilitating oral hygiene. This surgical technique was originally introduced in 1966, by Dr. Nabers Keratinized Gingiva. The band of keratinized gingiva expands via the gingival margin to the mucogingival junction. An increased vulnerability to tissue breakdown might exist when pulling of the lip or cheek lead to movement of the free gingival margin or papilla that is measured by the favorable pull test Widths of the keratinized gingiva were determined from photographic slides. Crown lengths were measured from the study casts, and measurements were performed on the cephalograms. Data were collected and analyzed in three categories: 1) The overall changes in the width of the keratinized gingiva and the lengths of the clinical crowns during the. Width of Keratinized Gingiva (WKG) was measured as the distance from the most coronal point on the gingival margin to the mucogingival junction, measured at the midpoint of the facial surface of the tooth. Probing Depth (PD), was measured on the mid-facial aspect from the gingival margin to the base of the sulcus/periodontal pocket and clinical.

3. Lang NP, Löe H. The relationship between the width of keratinized gingiva and gingival health. Journal of periodontology. 1972;43(10):623-7. 4. Hangorsky U, Bissada NF. Clinical assessment of free gingival graft effectiveness on the maintenance of periodontal health. Journal of periodontology. 1980;51(5):274-8. 5. Dorfman HS, Kennedy JE. The need for keratinized tissue around endosseous implants is a controversial topic. Wennström et al 1 reported that no adverse effects of implant survival occurred in implants that lack keratinized tissue. However, gingival augmentation procedures to increase the width of keratinized tissue are being performed

Is gingival col Keratinized? - AskingLot

Therefore, to maintain proper circulation and prevent ischemia in the keratinized gingiva, it is suggested to avoid vertical incisions in the marginal gingiva [5, 38]. The scar tissue formation directly correlates with the tissue hypoxia and delayed revascularization [ 5 , 38 , 39 ] the gingiva: an increased number of keratinized cells has been found in the gingiva of smokers. Changes in the epithelium were described as keratotic, hyperkera-totic and hyperplastic (26). Smoking has long been considered an etiologic fac-tor in acute necrotizing ulcerative gingivitis (ANUG). Rowland (27) in a series of studies determined that to

Abstract A longitudinal study was undertaken to examine the changes in the sulcus probing depth, keratinized and attached gingiva during the mixed dentition period. 54 children aged 7 to 9 years at t.. sue of the attached gingiva and subdivide into smaller branches, forming a vascular network in the keratinized gingiva [26, 27]. e aims of the present human study are i) to charac-terize the mucogingival vasculature in maxillary esthetic zone mucosa by utilizing latex milk injection in cadav Periodontal parameters, including probing depth and width of keratinized and attached gingiva, were measured at baseline and 3 months after surgery. A histologic evaluation was also performed on the healed grafted sites. RESULTS: Comparison of width of keratinized and attached gingiva in control and test sites showed that the mean width of.

Attached gingiva and its significance - SlideShar

Lack of Keratinized Gingiva The presence of adequate attached gingiva around implants helps to maintain the health of the soft and hard tissue. Lack of attached gingiva appears to be associated with increased inflammation, difficulty in plaque control, and increased plaque accumulation, recession, and bone loss. Smokin Preserving Keratinized Gingiva After Multiple Extraction Attached gingiva is a type of masticatory mucosa, lined with a para-keratinized stratified squamous epithelium ←. The increased amount of keratin, compared to alveolar mucosa , obscures the underlying blood supply, creating a lighter appearance (which can be described as whitish in the absence of melanin) 3- Gingival Recession: gingival margin position to the CEJ in 3 points of each surface of the tooth. 4- Keratinized gingival: the distance from Mucogingival Junction to free gingival margin. It was measured in 3 areas at each surface of the tooth. 5- Closed horizontal probing depth (CHPD): the distance from deepest area of probe penetratio

Anatomy of the Periodontium An Overview of Dental

Keratinized tissue extends from the gingival margin to the mucogingival junction. Peri-implant tissues lack the perpendicular arrangement of the supracrestal collagen fibers, thereby creating a much weaker mechanical attachment compared to natural teeth. Hence, a wider keratinized tissue zone ensures a long-term success of the dental implant keratinized gingiva in 95.3% of patients (81 of 85 patients; P <0.001 versus a 50% predefined standard). As expected, the FGG generated more keratinized gingiva than the LCC (4.57 - 1.0 mm versus 3.2 - 1.1 mm, respectively). The gingiva regenerated with the LCC matched the color and texture of the adjacent gingiva. All patients achieved ‡1m

How do you increase attached, keratinized gingiva? Tire

the Width of Keratinized Gingiva? A Systematic Revie

Keratinized tissue is a specialized mucosa covered with keratin or parakeratin which includes the free and attached gingiva and extends from the gingival margin to the mucogingival junction. However, The need and significance of keratinized tissue around dental implants is a controversial issue gingiva [jin-ji´vah, jin´jĭ-vah] (pl. gin´givae) (L.) the part of the oral mucosa covering the tooth-bearing border of the jaw; called also gum. Anatomical relationship of normal gingiva in facial view (A) and in cross-section (B). From Darby and Walsh, 1994. alveolar gingiva attached gingiva. areolar gingiva the portion attached to the alveolar. Gingival fibromatosis-5 is an autosomal dominant benign overgrowth disorder characterized by slowly progressive fibrous enlargement of the keratinized gingival tissues. Affected individuals may have diastema, malposition of the teeth, and prolonged retention of primary teeth. Onset is in the first decade

Periodontal Grafting in Patients With Inadequate

Keratinized Gingiva Determines a Homeostatic Behavior of

Gingival keratinization ppt - SlideShar

Keratinized gingiva near the crowns is pink stippled tissue. This tissue should fill the entire space between the crowns. The gingiva farther from the crowns, called alveolar mucosa, is nonkeratinized, highly vascular, red, movable, and continuous with the buccal mucosa. A tongue depressor should express no blood or pus from normal gingiva In free gingival grafts, when connective tissue is transplanted from the keratinized to the nonkeratinized site, it becomes covered by keratinized epithelium 201. Contour The normal contour of the gingiva is scalloped with knife-edge gingival margins In addition, a between the width of keratinized mucosa and alveolar recent study showed that areas lacking keratinized bone loss around dental implants.27 Also, recent gingiva had a higher susceptibility to tissue break- longitudinal studies37,38 have demonstrated that loss down due to plaque accumulation.29 In fact, good oral of alveolar bone.

Relationship of Attached Gingiva and Implant Success

The term keratinized tissue refers to the keratinized free gingiva and the keratinized attached gingiva together. This is the tissue coronal to the mucogingival junction. Some dental consultants haveexpressed concern that many soft tissue graft claims do not differentiate between attached gingiva and keratinzed gingiva, noting that there. 1. Gingival/soft tissue recession a. facial or lingual surfaces b. interproximal (papillary) 2. Lack of keratinized gingiva 3. Decreased vestibular depth 4. Aberrant frenum/muscle position 5. Gingival excess a. pseudopocket b. inconsistent gingival margin c. excessive gingival display d. gingival enlargement (See I.A.3. and I.B.4.) 6. Abnormal.

he width of keratinized mucosa (KM) around natural teeth is defined as the distance be-tween the mucogingival junction and the free gingival margin. Whether it is required to maintain periodontal health has been a topic of interest. Clini-cally, a narrow band of KM is often observed together with gingival recession and inflamed periodontium The width of keratinized gingiva for tooth numbers 13 and 23 was narrower in the severe crowding group than in the moderate and mild crowding groups. The relationship of gingival thickness and width of keratinized gingiva with Angle classification was not found to be significant. Conclusion: Although it is thought that there is a relationship.

What is the difference between keratinized and non

Since the presence of keratinized gingiva is so important for peri-implant outcome, the aim of this study is to describe a partial thickness flap design to increase the amount of keratinized peri-implant tissue as well as its thickness. A total of 131 implants were placed in 85 patients: 103 implants (78.63%) in the mandible and 28 implants (21. Attached gingiva is a type of masticatory mucosa, lined with a para-keratinized stratified squamous epithelium. The increased amount of keratin, compared to alveolar mucosa, obscures the underlying blood supply, creating a lighter appearance (which can be described as whitish in the absence of melanin) The free gingival graft (FGG) is a surgical procedure frequently used in periodontics to increase the amount of keratinized tissue surrounding a tooth or a dental implant. Keratinized tissue plays a major role (around teeth and dental implants), helping to maintain and facilitate oral hygiene. Dr. Nabers introduced this surgical technique almost 50 years ago in 1966 The gingival sulcus and attached gingiva regions appear as keratinized, stratified squamous epithelial cell layers with numerous rete pegs and underlying dense connective tissue layer Keratinized gingiva width (KGW) is measured from the mucogingival junction (MGJ) to the lowest point of the gingival margin in the middle of the crown of the tooth with gingival recession. In a.

Mucogingival junction - Wikipedi

Implants with a narrow zone of keratinized mucosa also were more likely to bleed upon probing, even after adjusting for Plaque Index, smoking, thickness of the gingiva, and time since implant placement (adjusted odds ratio, 2.37; 95% confidence interval, 1.04 to 5.83) The primary goal was to compare the amount of keratinized tissue width (KTW) gain after free gingival graft (FGG) procedures around implants and teeth after 6 and 12 months of healing. Patients with mucogingival defects (<2 mm of KT) around teeth and implants underwent a gingival augmentation procedure by means of a FGG The story: Patient with existing dental implant and no zone of keratinized / attached gingiva over it. Treatment: Gum (gingival) tissue graft to augment attached gingiva on buccal aspect of implant to provide thicker and stable tissue over implant The keratinized gingival width and gingival thickness of the maxillary anterior teeth according to Angle classification and amount of crowding are shown in Tables 4 and 5, respectively. The width of keratinized gingiva of tooth numbers 13 and 23 was determined to be narrower in the severe crowding group than in the mild and moderate crowding. Stratified squamous keratinized epithelium 40X (Palmar skin) Although stratified squamous keratinized epithelium covers the entire surface of the body, most of it also includes hair, which makes the basic tissue structure harder to see. If we just want to look at stratified squamous keratinized epithelium, we look at skin from one of the few.

What are the 2 kinds of cementum? - Mvorganizing

INCREASE KERATINIZED TISSUE Free gingival graft Since the 1960s, the free gingival grafting technique has been the most predictable and popular method of increasing the band of keratinized tissue around teeth with mucogingival defects. Nabers,'' in 1966, oudine Role of keratinized gingiva for gingival health Role of keratinized gingiva for gingival health Wennström, J.; Lindhe, J.; Nyman, S. 1981-08-01 00:00:00 Abstract The present study was carried out in the Beagle dog in order to determine if variations of the width of the zone of keratinized gingiva occur in the canine dentition, if the width alters during the development of destructive.

Overview. This study is to compare the two techniques to achieve change in the tissue quality at areas of lack of Keratinized Tissue (KT) using soft tissue grafting with autogenous graft material (Free Gingival Graft)(FGG) vs Strip gingival graft with acellular dermal matrix (ADM) (SGG+ADM) BibTeX @MISC{Luiza_clinicalstudy, author = {Maria Luiza and P. Lagos and Adriana Campos Passanezi Sant'ana and Sebastião Luiz and Aguiar Greghi and Euloir Passanezi}, title = {Clinical Study Keratinized Gingiva Determines a Homeostatic Behavior of Gingival Sulcus through Transudation of Gingival Crevice Fluid}, year = {} Collagen graft 3D rendering→ https://youtu.be/Y221J876A6sYou can find everything you need inhttp://www.clinicaldentium.com/mai Introduction: Gingival biotype is defined as the faciolingual thickness of keratinized gingiva which plays an important role in periodontal health. Moreover, it affects the periodontal response to physical trauma, the result of periodontal and implant surgery, and restorative and orthodontic treatment. In this regard, the present study aimed to investigate the relationship of gingival biotype. Keratinized gingival width selected from among the outpatient department of can normally vary from 1-9 mm. Histologically, the Annoor Dental College and Hospital, Muvattupuzha. keratinized gingiva, in particular attached gingiva is The sites selected were the facial aspect of mandibular more adapted to withstand mechanical irritations than.

Introduction. The need for a supposedly adequate zone of keratinized gingiva before tooth movement is a controversal subject in the orthodontic and periodontic literature. 10,14,30 It has been suggested that a certain ammount of attached gingiva is necessary for the maintenance of the integrity of the dento-gingival junction. The amount of attached gingiva - if any - required to minimize. Clinical parameters, such as gingival recession depth, clinical attachment level, gain in gingival tissue thickness, and width of keratinized gingiva were recorded at baseline, and at third month, sixth month, and 12th month postoperatively. The mean changes in gingival recession from months 3 to 6 and months and 6 to 12 were significant ( Attached gingiva definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up now Keratinized gingiva = pocket depth + attached gingiva (mucogingival junction) o oMeasure pocket depth, mark it to cause it to bleed. Incision is apical to bleeding point, 45 bevel to root o Healing Initially - acute PMN infiltrate and some necrosis, formation of initial protective clo The grafted gingiva had been well maintained throughout the healing period. Table 1 lists the changes in the width of the keratinized tissue after specific periods of healing. The width of keratinized buccal gingiva had increased to 4 mm, and the buccal vestibule was deeper than in the preoperative condition

(8 of 30) Parakeratinized Epithelium. This is another section through gingiva. Note the connective tissue papillae (A).The overlying epithelium is keratinized, but it differs in appearance from the non-keratinized stratified squamous epithelium seen elsewhere in the oral cavity Gingival fibromatosis-5 is an autosomal dominant benign overgrowth disorder characterized by slowly progressive fibrous enlargement of the keratinized gingival tissues. Affected individuals may have diastema, malposition of the teeth, and prolonged retention of primary teeth. Onset is in the first decade The relationship between the width of keratinized gingiva and gingival health. J Periodontol. 1972 Oct;43(10):623-7. Miyasato M, Crigger M, Egelberg J. Gingival condition in areas of minimal and appreciable width of keratinized gingiva The main distinguishable feature of this approach from the classical apically repositioned flap-FGG technique is the preservation of pre-existing keratinized gingiva. An FGG is adapted to the periosteal bed apically to widen the residual keratinized gingiva around the recession defects after an incision is placed at the MGJ

Gingiva | definition of gingiva by Medical dictionaryThe modified apically repositioned flap to increase the1 hyperplasia of oral mucosaNormal Periodontium (Gingiva) - periobasicsCOM November 2010-UW School of Dentistry