To compare effectiveness of surgical blade, electrosurgery, free gingival graft fgg, and diode laser for. Jan 15, 2015 chapter 4 gingival colour changes generalised aim. This is strictly a clinical description of the condition and avoids the erroneous pathologic connotations of terms used in the past such as hypertrophic gingivitis or gingival hyperplasia. Study 16 gingival descriptors flashcards from ben l.
Shape the shape of the gingiva varies considerably depending on the shape of the teeth, their alignment in the arch, the location and size of the area of the proximal contact, the dimensions of the. Gingival contour article about gingival contour by the. Free gingival graft tamizi et al 1996 used free gingival auto graft treatment of pigmentation and obtained successful results. Additional instructions and trouble shooting are included with the game. Gingival hyperpigmentation usually occurs due to the abnormal accumulation of melanin in the gingival tissue and confers a dark appearance to the gingiva. May 28, 20 parotidectomy for large facial tumor removal. May 28, 20 depigmentation of gingiva using zolar diode laser video part 3 chinthamani laser dental implant. Pigmented gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium.
The gingivas densely collagenous lamina propria is composed of the supraalveolar fiber apparatus, blood supply, lymphatic vessels, and nerves. Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique. This chapter aims to identify those conditions that may produce widespread colour changes of the gingivae. The increase of fluid in the inflamed tissue may also cause the gums to be soft, porous, and inelastic fig. The aim of this study is to compile a comprehensive database on color range and color distribution of healthy human gingiva by age, gender and ethnicity. Evaluation of patient response and recurrence of pigmentation. Alveolar mucosa moveable tissue loosely attached to underlying bone. Chronic desquamative gingivitis was first recognized and reported in 1894.
Gingival depigmentation is a periodontal plastic procedure which has been carried out by various techniques. Request pdf gingival depigmentation by free gingival autograft. It surrounds each tooth to form a collar of tissue with a. Abstract cosmetic expectations have increased with time and current trends speak volumes about gingival esthetics and smile designing. It is surrounded by the tooth in a turtleneck or cufflike way. Gingival pigmentation occurs in all races of man and it varies from one race to another. Aesthetic depigmentation of gingival smokers melanosis. The free gingiva is that portion of the unattached gingiva around the cervical region of each tooth.
Gingival contour article about gingival contour by the free. The gingiva is an important intraoral tissue which when affected particularly by pigmentation is. The doctors tv showosborne head and neck institute duration. Int j cur res rev vol 9 issue 3 february 2017 14 black to pink. Most games i play are just a remake of another, few are actually.
Color range and color distribution of healthy human gingiva. Nicholas 1981 reported a case of amalgam tattoo of the labial gingiva in the maxillary anterior region treated by palatal gingival auto graft successfully. Sep 15, 2015 gingival depigmentation is a treatment to remove melanin hyperpigmentation of the gingiva and various methods have been used for this procedure with different degrees of success including gingivectomy, gingivectomy with free gingival autografting, electrosurgery, cryosurgery, chemotherapy with 90% phenol and 95% alcohol and abrasion with. Download free adobe acrobat reader dc software for your windows, mac os and android devices to view, print, and comment on pdf documents. Beginning at the gingival margin, the zones include the free gingiva and interdental papilla, the free gingival groove when present, attached gingiva highly keratinized and rich in collagen, and the mucogingival junction. A clinical study harpreet singh grover, himanshu dadlani, amit bhardwaj, anil yadav, sanjay lal department of periodontics, sgt dental college, hospital and research institute, gurgaon, haryana, india. A smile expresses a feeling of joy, success, sensuality, affection and. Gingival hyperpigmentation is a common esthetical concern in patients with gummy smile or excessive gingival display.
Although there are many techniques to treat this unaesthetic condition the results of most of the techniques have not been stable for long term. Topographic maps use symbols and coloring, with particular attention given to the shape and elevations of terrain. Free gum is an unincorporated part of the gums surrounding the teeth in the region fac fig. Covers free gingiva and attached gingiva hard palatemostly attached keratinized free gingival margin is parakeratinized the hard palate, hard palate is keratinized the free gingival is parakeratinzed 2. Gingival descriptors at dalhousie university studyblue. Desquamative gingiva diseases and disorders medical. Dec 22, 2015 the aim of this study is to compile a comprehensive database on color range and color distribution of healthy human gingiva by age, gender and ethnicity. A comparative evaluation of the gingival depigmentation by using tetrafluoroethane cryosurgery and the gingival abrasion technique 2 years of follow up. Smooth shiny surface non keratinized thin epithelium. Color range and color distribution of healthy human. Fibroma pyogenic granuloma peripheral giant cell granuloma giant cell epulis peripheral ossifying fibroma ossifying fibroid epulis epulis fissuratum congenital epulis of the newborn gingival cyst of the adult gingival cyst of the newborn fibroma etiology. Id really love if there were more guys doing games like this one. Gingival hyperpigmentation is removed by using different procedures of gingival depigmentation. Depigmentation of gingiva using zolar diode laser video.
Free gingiva definition of free gingiva by medical dictionary. Anatomical relationship of normal gingiva in facial view a. Gingiva can be divided into several zones as shown in figure 75. Tissue consistency and texture in gingivitis foundations. A case report of treating gingival hyperpigmentation also, the healing period for scalpel wound is faster than oth er techniques. Gingival description dentistry 104 with clossen at. Children and adolescents are subject to a wide variety of gingival. Desquamative gingiva free download as powerpoint presentation.
Chronic desquamative gingivitis was first recognized and reported. Tissue consistency and texture in gingivitis foundations of. Introduction gingiva is part of oral mucosa that covers the alveolar. Pigmented gingiva read the description and select the correct image. Pigmented gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Hence, it is obligatory to cover the surgical site with periodontal dressing for 1 week. Recognition of normal gingiva, gingival infection, deeper periodontal involvement depends on disciplined, stepbystep examination dictate what we need to do, reversed on healthy tissue back to healthy state. Hence the aim of case series was to compare four different depigmentation techniques for removing melanin pigmentation of gingiva. This article is from european journal of dentistry, volume 8. Feb 01, 20 each and every patient wants a beautiful smile. Composed of thin outer epithelium and underlying connective tissue. Gingival colour changes generalised pocket dentistry. The use of free gingival grafts for aesthetic purposes.
Gingival pigmentation cause, treatment and histological. Free marginal gingiva is near cej and adheres closely to the tooth. The colour of the pigmented gingiva varies from light to dark brown or black. Rounded free gingiva forming a sulcus between tooth and gingiva. Most games i play are just a remake of another, few are actually original like this one, i mean, few games actually have a different art, music, these kinds of things. Preoperative view showing miller class ii recession associated with tooth 41. Free gingiva definition of free gingiva by medical. Treatment of gingival hyperpigmentation by diode laser for.
Jul 23, 2015 free gingival graft tamizi et al 1996 used free gingival auto graft treatment of pigmentation and obtained successful results. Alveolar gingivae, palatal mucosa where the tumour is most commonly seen 80%, other sites include mandibular gingiva, retromolar trigone, buccal mucosa and floor of mouth. Clinical stomatology gingival swellings columbia ctl. Free gingiva the zone closest to the tooth crown is the free gingiva, which is the tissue that is not firmly attached to the tooth or alveolar bone. Kaleli, quantitative changes in palatal donor site thickness after. Depigmentation of gingiva using zolar diode laser video part 3 chinthamani laser dental implant.
For depigmentation of gingiva, different treatment modalities have been reported, such as scalpel. Numerous procedures have been developed for depigmentation of the gingiva, such as scalpel method, bur abrasion 4, free gingival graft 5, gingivectomy 6, cryosurgery 7, and laser surgery 8. Introduction gingiva is part of oral mucosa that covers the alveolar processes of jaws and surrounds the neck of the tissue. It results from melanin granules, which are produced by melanoblasts. The latter consists of gingiva, periodontal ligament, alveolar bone, and cementum. Anatomical relationship of normal gingiva in facial view a and in crosssection b. Gingival enlargement and its treatment authorstream. In this procedure, sulcular or inverted beveled incisions are. Health, general gingiva physiological aspects gums pigmentation.
Nicholas 1981 reported a case of amalgam tattoo of. Free gingival grafts are used to create a widened zone of. Melanin, a nonhemoglobinderived brown pigment, is the most common of the endogenous pigments and is produced by. Gingival depigmentation by free gingival autograft. The guy who did this game probably did it during an acid trip. A case series a pleasing smile is desired by all, and forms the main focus of aesthetic dentistry. Management of gingival hyperpigmentation 2 case reports. Esthetical clinical crown lengthening, lip repositioning. Maps employing contour lines are called contour, or relief, maps although they are popularly called topographic maps see topography topography, description or representation of the features and configuration of land surfaces. Rolled gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Adobe acrobat reader dc downloaden gratis pdfviewer voor. A gingivectomy was performed to elevate the level of the free gingival margin developing a more proportion ate form for the teeth, as well as removing an excessive display of gingiva below the inferior border of the upper lip. Gingival pigmentation definition of gingival pigmentation. The consistency of the gingiva varies on the degree of health, density, and firmness of the tissue.
One of the most common causes of oral pigmentation is smoker melanosis, a. A case report of treating gingival hyperpigmentation renganath m. For the flapless esthetic clinical crown lengthening procedure, an adequate band of keratinized tissue and a thin bone should be present. Depending upon the smile line, mouth opening in the normal smile position and the visibility of the teeth, the surgical area in maxilla, mandible or both were demarcated. Typically begins months after start rx pink and firm if inflamed, red and edematous may completely cover crowns of teeth phenytoininduced. Comparative evaluation of gingival depigmentation using.
Affordable and search from millions of royalty free images, photos and vectors. Gingival pigmentation is presented as a diffuse deep purplish discoloration or as irregularly shaped brown and light brown or black patches, striae or strands. Gingivae article about gingivae by the free dictionary. Laser ablation has been recognized recently as the most effective. Gingival depigmentation as an aesthetic procedure, improves the smile and the overall appearance of an individual. Melanic pigmentation results from melanin produced by the melanocytes present in the basal layer of the oral epithelium. Study 36 gingival description flashcards from brieona b. The present study was undertaken to evaluate patient response and recurrence of pigmentation following gingival depigmentation carried out with a surgical blade and diode laser. Gingival lesions may extend into the free gingiva and adjacent mucosa or involve the frena. Free gingival graft as a single step procedure for treatment of. Having read this chapter, the reader should have a working knowledge of the various conditions that can cause generalised red, white and pigmented areas on the gingivae. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Health, general gingiva physiological aspects gums pigmentation disorders care and treatment causes of.
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