Gingival Retraction
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The free gingival margin is the interface between the sulcular epithelium and the
epithelium Epithelium or epithelial tissue is one of the four basic types of animal tissue, along with connective tissue, muscle tissue and nervous tissue. It is a thin, continuous, protective layer of compactly packed cells with a little intercellul ...
of the oral cavity. This interface exists at the most coronal point of the
gingiva The gums or gingiva (plural: ''gingivae'') consist of the mucosal tissue that lies over the mandible and maxilla inside the mouth. Gum health and disease can have an effect on general health. Structure The gums are part of the soft tissue lini ...
, 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 The alveolar process () or alveolar bone is the thickened ridge of bone that contains the tooth sockets on the jaw bones (in humans, the maxilla and the mandible). The structures are covered by gums as part of the oral cavity. The synonymous ter ...
, 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 A toothbrush is an oral hygiene tool used to clean the teeth, gums, and tongue. It consists of a head of tightly clustered bristles, atop of which toothpaste can be applied, mounted on a handle which facilitates the cleaning of hard-to-reach are ...
.


Gingival retraction or recession

''Gingival retraction'' or ''gingival recession'' is when there is lateral movement of the gingival margin away from the tooth surface. 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 Dental surgery is any of a number of medical procedures that involve artificially modifying dentition; in other words, surgery of the teeth, gums and jaw bones. Types Some of the more common are: * Endodontic (surgery involving the pulp or root ...
procedures. It is usually referred to as
gingival recession Gingival recession, also known as receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth.pocket formation or displacement of the
marginal gingivae The gums or gingiva (plural: ''gingivae'') consist of the mucosal tissue that lies over the mandible and maxilla inside the mouth. Gum health and disease can have an effect on general health. Structure The gums are part of the soft tissue lini ...
away from the tooth by mechanical, chemical, or surgical means. It may expose the roots of the teeth, similarly to
gingival recession Gingival recession, also known as receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth.haemostasis In biology, hemostasis American and British English spelling differences#ae and oe, or haemostasis is a process to prevent and stop bleeding, meaning to keep blood within a damaged blood vessel (the opposite of hemostasis is Bleeding, hemorrhage). ...
at the sulcus.


References

Gingiva {{dentistry-stub