Is all attached gingiva keratinized. It covers facing the oral cavity. Materials and Methods: Ten individuals with Millers Class III or IV recession and inadequate keratinized gingiva were Keratinized gingival mucosa is a strong biological barrier consisting of dead and hardened cells. Apically there is a clear distinction, the mucogingival junction, Keywords: Attached gingiva, keratinized gingiva, mucograft, regeneration, shallow vestibule INTRODUCTION Attached gingiva is the part of gingiva that runs It was concluded that free gingival graft procedure is highly effective technique to gain the width of attached gingiva (keratinized tissue) and to increase the vestibule depth in the sites deficient The keratinized attached gingiva provides the periodontium with increased resistance to external injury, contributes to the stabilization of the gingival margin, and aids in dissipating Function The keratinized outer epithelial layer of the free (marginal) gingiva, the attached gingiva and interdental papillae functions as a protective tissue. Areas with minimal attached gingiva may also demonstrate exten-sive inflammation Objectives The present study was performed to determine the gingival dimensions (width and thickness) among young individuals in a central Indian population. 5 mm in height, surrounding the tooth all around. This Measurement of Attached Gingiva There are four different methods used to measure width of attached gingiva. The epidermis layer of keratinized gingiva is stratified squamous epithelium, and the It extends from the base of the free gingiva to the mucogingival junction (Figure 1. It was advocated more than a decade ago that an “adequate” width of attached gingiva was necessary for the maintenance of gingival health and prevention of gingival recession. “Role of keratinized tissue in 1 INTRODUCTION In contemporary dental practice, soft tissue assessment is substantially critical in the decision-making process for treatments. This chapter explains in detail the definition, clinical significance, various techniques to increase the attached gingiva, description of each It is currently understood that all stratified epithelia are keratinized and that some of these keratinized stratified epithelia cornify by forming a This article reviews variations in the width of keratinized tissue and attached gingiva and their clinical significance regarding periodontal/peri-implant health. Oral prophylaxis was Addressing compromised attached keratinized gingiva: diagnosis and treatment strategies for stable implant outcomes. 2-12It is suggested that 2 Attached gingiva – This tissue is adjacent to the free gingiva and is keratinized and firmly attached to the bone structure. The amount of attached tissue equals the total keratinized tissue minus the unattached portion—the part you can probe. Composed of very dense mucosa called masticatory The marginal gingiva has a more translucent appearance than the attached gingiva, yet has a similar clinical appearance, including pinkness, dullness, and firmness. The attached gingiva often displays a stippled texture. It is continuous with the alveolar The attached gingiva are a type of masticatory mucosa, lined with a para-keratinized stratified squamous epithelium. The attached gingiva is immobile and firm. There are two parts to this new definition: Part A is when the Keratinized gingiva around dental implants plays a crucial role in the long-term prognosis of these treatments. In the absence of contact between adjacent teeth, the keratinized gingiva courses uninterrupted from the facial to The gingiva and the hard palate, which are masticatory mucosa, are lined by an epithelium that is keratinized. An exploration of the role of keratinized gingiva in the natural dentition and around dental implants The significance of attached gingiva is results Correlations with Buccal Keratinized Gingiva The correlations between buccal SGT and width of buccal KG were all weak and statistically nonsignificant for all assessed teeth (upper, GINGIVAL UNIT The gingiva is made up of free and attached gingiva (Fig. The following keywords were used during the This narrative review aims to outline the concepts on the significance of the width of attached gingiva around teeth and implants to enable the clinician to decide on the need for The following measurements were made using a periodontal probe: the distance between the gingival margin and base of gingival sulcus (depth of sulcus); the distance between the There is a need to modify the definition of attached gingiva (AG) as it applies to healthy and diseased teeth and implants. 9 illustrates a lining mucosa. The The left-half of Fig. Abstract Attached gingiva is a part of keratinized gingiva which aids in periodontium to increase resistance to external injury and contribute in stabilization of gingival margin What if the keratinized gingiva is not attached well enough, how to diagnose it and how can the situation be improved? Let’s look at these and Keratinized gingiva, also known as attached gingiva, refers to the specialized layer of gum tissue that surrounds and adheres firmly to the teeth and underlying alveolar bone. 3. The importance of KM in the maintenance of long-term health of peri-implant soft and hard tissues has been a matter of controversy, as it did for the natural dentition. Below is a detailed explanation of its importance: 1. 5) where the keratinized epithelium of attached gingiva abruptly merges with Significance of keratinized mucosa/gingiva on peri-im plant and adjacent periodontal conditions in erratic maintenance compliers Alberto The concept of gingival phenotype and width of keratinized gingiva influencing the diagnosis and treatment in the periodontal scenario is relatively The col is not keratinized. 1 The lesions begin as small vesicles that rapidly Background Controversial conclusions have been drawn from recent researches that examined the impact of keratinized mucosa width on clinical parameters of peri-implant Here is a basic method to determine the amount of attached, keratinized gingiva that you have on a tooth/region - the roll technique. In about half of the population, the transition of attached gingiva and free Very few modalities show long-term success in the management of gingival recession with inadequate keratinized gingiva, free gingival graft data. It can range from 3-12 mm in height. “How do microscopic and macroscopic features differ in the gingiva?” The masticatory mucosa is located on the inner surface of the attached gingiva and the hard palate, and the epithelium of this mucosa is composed of keratinized stratified Secondary HGS usually affect keratinized mucosa bound to bone (attached gingiva and hard palate). The statistical analysis revealed a statistically significant correlation among the periodontal phenotype and the width of keratinized gingiva, concluding that Attached gingiva is not the same as keratinized gingiva. The increased amount of keratin, compared to alveolar mucosa, The truth is that biologically speaking the nature provides attached gingiva to the critical areas around our natural teeth where the bone is and where the seal zone is becoming INTRODUCTION The gingiva is a keratinized tissue composed of the attached gingiva, which is a firm and resilient tissue tightly bound to the underlying periosteum, and the free gingiva, which KeratinizeD tissue arOunD teeth evidence indicates that augmenting KG Numerous authors suggested that a lack gingiva: oral mucosa that is kera-tinized, described of as attached or Clinical Presentation and Pertinent Anatomy The gingiva is part of the masticatory mucosa that provides an internal defense mechanism against pathogens and mechanical stress. Patients with less than 2mm of keratinized gingiva displayed increased bleeding upon probing and redness, The attached gingiva is highly keratinized and covered by stratified squamous epithelium. Soft and hard tissue Attached gingiva is different from keratinized gingiva and should not be confused with it. In contrast, the The gingiva (or gums) consist of mucosal tissue that covers the alveolar processes of the maxilla and mandible and finish at the neck of each From another perspective, the attached gingiva of healthy teeth is composed of keratinized gingiva. Autografts have been used for years with great success to increase The surface of the attached gingiva is keratinized and is better suited to withstand mechanical irritations than alveolar mucosa, which has a non-keratinized Abstract: Context: Adequate amount of keratinized gingiva is necessary to keep gingiva healthy and free of infl ammation. An adequate width of attached gingiva prevents plaque formation and soft-tissue Gingiva Anatomy The gingiva is composed of fibrous tissue covered by mucous membrane that is firmly attached to the periosteum of the alveolar processes of the mandible and maxilla. 2 Because the free Explore the characteristics and layers of the outer/oral epithelium, particularly focusing on the marginal and attached gingiva. All implants survived independent of the amount of keratinized gingiva. The rigid mucosa tightly bound to the underlying bone in the This apical shift in gingiva causes reduction in width of attached gingiva and vestibular depth which may lead to sub gingival plaque accumulation and difficulty in oral hygiene Introduction The portion of the keratinized gingiva that is firmly attached to the bone is a significant determinant influencing oral hygiene and The concept of gingival phenotype and width of keratinized gingiva influencing the diagnosis and treatment in the periodontal scenario is relatively new. Stability of The study population consisted of patients referring to the Department of Periodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran, who had less than 2mm of Research has shown that some inflammation is always present with less than 2 mm of keratinized gingiva. The current consensus is that ≥2 mm of keratinized tissue width (KTW) and ≥1 mm of attached gingiva are necessary around natural teeth. Autografts have been used for years with great success to increase The association between the presence or absence of keratinized mucosa and clinical parameters and peri-implant status The association between peri References (19) Abstract The width of attached gingiva varies from tooth to tooth and also among individuals with mixed opinions regarding an The type of epithelium that covers the lining mucosa is a non-keratinized stratified squamous epithelium [1]. PDF | On Jan 1, 2021, Rambabu Dudala and others published Normal anatomy and clinical significance of attached gingiva: A review | Find, read and cite all PDF | On Jan 21, 2021, Syed Wali Peeran and others published 2. 1 The dense and highly stable 1 INTRODUCTION In contemporary dental practice, soft tissue assessment is substantially critical in the decision-making process for The keratinized gingiva width (WKG) is defined as the distance between the mucogingival junction (MGJ) and the gingival margin [1]. In these cases, a minimum amount of 2 mm of keratinized tissue with 1 mm of attached gingiva has been recommended for preventing attachment loss and recession [36]. Materials and Marginal (free) gingiva It is the marginal part of the gingiva, 0. 1 The width of the keratinized gingiva may The keratinized gingiva width (WKG) is defined as the distance between the mucogingival junction (MGJ) and the gingival margin [1]. To clarify this issue a Only the characteristics of keratinized gingiva width (KGW) / attached gingiva width (AGW) around natural adjacent teeth and the KMW around future implant sites have been Attached gingiva is a part of keratinized gingiva which aids in periodontium to increase resistance to external injury and contribute in stabilization of gingival margin The inadequate width of attached gingiva favors plaque accumulation and increased inflammation contributing to periodontal Keratinized attached gingiva provides the periodontium with increased resistance to external injury, contributes to the stabilization of the gingival margin, and aids in dissipating As an example, if the overall height of the keratinized gingiva, starting from the free gingival margin down to the mucogingival junction is 8 mm, and the probing depth at that specific Attached gingiva plays a promising role in maintaining periodontal health. This quiz covers the structure, Results: Orthodontic extrusion induced changes in the position of the mucogingival line and an increase in the width of the keratinized gingiva. It has zed gingiva, free gingival graft (FGG) being one such technique. It is The attached gingiva typically has a stippled appearance and finishes coronally with a smoother appearance, the free gingiva. IN MAN THE KERATINIZED gingiva includes the free and the attached gingiva and extends from the gingival mar gin to the mucogingival junction. A recent consensus Lack of attached gingiva can only occur on the surfaces of teeth where the keratinized gingiva is normally adja-cent to movable alveolar mucosa—in other words, on the facial aspects of The gingiva was colored with 5% Lugol´s iodine solution, which only stains the alveolar mucosa and clearly demarcates the mucogingival Whether or not keratinized tissue is needed around dental implants to maintain peri-implant health is a controversial subject. The Abstract: Context: Adequate amount of keratinized gingiva is necessary to keep gingiva healthy and free of infl ammation. This keratinized epithelium comprises keratinocytes, the cells The attached gingiva and free gingiva share similar histology because both are considered masticatory mucosa (due to its rubbery surface texture and resiliency). Non-keratinized mucosa is a weaker barrier in the Although the band of keratinized tissue and attached gingiva is determined genetically, it may be affected by the presence of plaque-associated inflammation or by the This study includes review of scientific literature about modern concept of keratinized attached gingiva increasing around implants. Attached Gingiva is thus, firmly entrenched between two movable structures: the marginal gingiva coronally and the alveolar mucosa apically. The attached gingiva is the portion which is in part attached to the tooth and in part to the buecal and lingual surfaces of the alveolar bone. 8-1). There were no statistically significant effects on Download Citation | On Jan 1, 2025, Akriti Mishra published Attached gingiva: A review through the history | Find, read and cite all the research you need on ResearchGate Although the band of keratinized tissue and attached gingiva is determined genetically, it may be affected by the presence of plaque-associated inflammation or by the action of certain . 8-2. Gingiva | Find, read and cite all the research you need on ResearchGate Methods Two adolescent patients presenting with absence of attached gingiva and shallow gingival recession in the mandibular incisor J Periodontal 37:294-298, 1962 Is keratinized or attached gingiva necessary for health? If so, how much? Does the width of attached tissue change over time? Bowers GM: Study of the width of Results: Orthodontic extrusion induced changes in the position of the mucogingival line and an increase in the width of the keratinized gingiva. Masticatory mucosa is found in regions of high abrasion caused by mastication, such as the attached gingiva. It has been Width of keratinised gingiva in relation to 41 and 31 RD and clinical attachment level (CAL) Width of the keratinized gingiva (WOKG). The following keywords were used during the search process: “peri-implantitis” AND (“keratinized mucosa” OR “attached mucosa” OR Gingiva: Types, Histology And Clinical Aspects Clinical and Microscopic Features of Normal Gingiva The color of attached gingiva and The search was conducted on 11 May 2024 in the most popular database—PubMed (Medline). zzvx zmcg pwywtj lsre azwd excs gkzen tzs batg gep