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Concept
Gingival sulcus
Résumé
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.
The dentogingival tissues consist of many constituents, such as the enamel or cementum of the tooth and the connective tissue supporting epithelia like the junctional epithelium, the gingival epithelium and the sulcular epithelium. The junctional epithelium is developed during the eruption of teeth when the reduced enamel epithelium merges with the oral epithelium The reduced enamel epithelium forms the first junctional epithelium and is firmly attached to the enamel. In certain cases where gingival recession has occurred, the junctional epithelium will attach to the cementum instead.
The non-keratinised stratified squamous sulcular epithelium is thicker than the junctional epithelium and is attached coronally to the junctional epithelium but is not attached to the surface of teeth. Gingival sulcus, also known as gingival crevice, refers to the space between the tooth surface and the sulcular epithelium. At the free gingival margin, the sulcular epithelium is continuous with the gingival epithelium. Both the attached gingivae and the free gingivae are included as part of the gingival epithelium.
While the junctional epithelium is a stratified and thin epithelium that is attached to the tooth surface, the epithelium of the gingival sulcus is stratified squamous and thicker non-keratinised. Presence of Rete Pegs which may be prominent epithelial ridges can also be found in the gingival epithelium that is a stratified squamous, thick and para-keratinised epithelium.
Source officielle
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