Gingival margin

Gingival margin
The gingival margin (F) is the most coronal point of the gingiva, depicted as the zenith of the pink hill in this diagram. To the left lies the sulcular epithelium within the gingival sulcus (G), and to the right lies the oral epithelium (E).
Details
Identifiers
Latin	margo gingivalis
TA	A05.1.01.109
FMA	75112
*Anatomical terminology* [edit on Wikidata]

The free gingival margin is the interface between the sulcular epithelium and the epithelium of the oral cavity. This interface exists at the most coronal point of the gingiva, otherwise known as the crest of the marginal gingiva.

Because the short part of gingiva existing above the height of the underlying Alveolar process of maxilla, known as the free gingiva, is not bound down to the periosteum that envelops the bone, it is moveable. However, due to the presence of gingival fibers such as the dentogingival and circular fibers, the free gingiva remains pulled up against the surface of the tooth unless being pushed away by, for example, a periodontal probe or the bristles of a toothbrush.

Gingival retraction or recession

Gingival retraction or gingival recession is when there is lateral movement of the gingival margin away from the tooth surface.^[1]^[2] It is usually termed gingival retraction as an intentional procedure, and in such cases it is performed by mechanical, chemical, or electrical means in order to perform certain dental surgery procedures. It is usually referred to as gingival recession as a spontaneous or non-intentional presentation, and in such cases it may indicate an underlying inflammation, a pocket formation or displacement of the marginal gingivae away from the tooth by mechanical, chemical, or surgical means.^[1] It may expose the roots of the teeth, similarly to gingival recession.

References

1 2 Mondofacto medical dictionary > gingival retraction 05 Mar 2000
↑ Gingival Recession - Causes and treatment JADA, Vol 138. http://jada.ada.org. Oct 2007. American Dental Association

Dentistry involving supporting structures of teeth (Periodontology)

Anatomy

Disease

Diagnoses	Chronic periodontitis Localized aggressive periodontitis Generalized aggressive periodontitis Periodontitis as a manifestation of systemic disease Periodontosis Necrotizing periodontal diseases Abscesses of the periodontium Combined periodontic-endodontic lesions

Infection	A. actinomycetemcomitans Capnocytophaga sp. F. nucleatum P. gingivalis P. intermedia T. forsythia T. denticola Red complex

Other	Calculus Clinical attachment loss Edentulism Fremitus Furcation defect Gingival enlargement Gingival pocket Gingival recession Gingivitis Horizontal bony defect Linear gingival erythema Occlusal trauma Periodontal pocket Periodontal disease Periodontitis Plaque Vertical bony defect

Treatment and prevention	Periodontal examination Ante's law Brushing Bleeding on probing Chlorhexidine gluconate Flossing Hydrogen peroxide Mouthwash Oral hygiene Tetracycline Triclosan Host modulatory therapy

Treatment

Conventional therapy	Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement

Surgery	Apically positioned flap Bone graft Coronally positioned flap Crown lengthening Open flap debridement Gingival graft Gingivectomy Guided bone regeneration Guided tissue regeneration Enamel matrix derivative Implant placement Lateral pedicle graft Pocket reduction surgery Socket preservation Sinus lift Subepithelial connective tissue graft Tools Curette Membrane Probe Scaler

Important personalities

Other specialties

Endodontology
Orthodontology
Prosthodontology

Anatomy of the mouth

Lip	Upper Lower Vermilion border Frenulum of lower lip Labial commissure of mouth Philtrum

Cheek	Buccal fat pad

Roof	Hard palate Soft palate Palatine raphe Incisive papilla

Gums	Interdental papilla Gingival sulcus Gingival margin Gingival fibers Junctional epithelium Mucogingival junction Sulcular epithelium Stippling Periodontium Cementum Gingiva Periodontal ligament

Glands	Parotid gland duct Submandibular gland duct Sublingual gland duct

Teeth	see tooth anatomy

Tongue	Top Taste bud Median sulcus Terminal sulcus Foramen cecum Lingual tonsils Underside Frenulum Plica fimbriata Sublingual caruncle Glossoepiglottic folds Lingual septum

Back of mouth	Oropharynx fauces Plica semilunaris of the fauces Uvula Palatoglossal arch Palatopharyngeal arch Tonsillar fossa Palatine tonsil

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