Gingival sulcus

Gingival sulcus
Gingival sulcus (G). Other letters: A, crown of the tooth, covered by enamel. B, root of the tooth, covered by cementum. C, alveolar bone. D, subepithelial connective tissue. E, oral epithelium. F, free gingival margin. H, principal gingival fibers. I, alveolar crest fibers of the PDL. J, horizontal fibers of the PDL. K, oblique fibers of the PDL.
Details
Identifiers
Latin	sulcus gingivalis
TA	A05.1.01.111
FMA	74580
*Anatomical terminology*

The gingival sulcus is an area of potential space between a tooth and the surrounding gingival tissue and is lined by sulcular epithelium. The depth of the sulcus (Latin for groove) is bounded by two entities: apically by the gingival fibers of the connective tissue attachment and coronally by the free gingival margin. A healthy sulcular depth is three millimeters or less, which is readily self-cleansable with a properly used toothbrush or the supplemental use of other oral hygiene aids.

Pathology

When the sulcular depth is chronically in excess of three millimeters, regular home care may be insufficient to properly cleanse the full depth of the sulcus, allowing food debris and microbes to accumulate, forming dental biofilm. This poses a danger to the periodontal ligament (PDL) fibers that attach the gingiva to the tooth. If accumulated microbes remain undisturbed in a sulcus for an extended period of time, they will penetrate and ultimately destroy the delicate soft tissue and periodontal attachment fibers. If left untreated, this process may lead to a deepening of the sulcus, recession, destruction of the periodontium, including the bony tooth socket, tooth mobility, and tooth loss.^[1] A periodontal pocket is a dental term indicating the presence of an abnormally deepened gingival sulcus.

References

↑ Antonio Nanci, Ten Cate's Oral Histology, Elsevier, 2007, page 3

Rickne C. Scheid (2012). Woelfel's Dental Anatomy. Lippincott Williams & Wilkins. p. 200. ISBN 978-1-60831-746-2.

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 Fimbriated fold 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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