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In dental anatomy, 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 .
In biological morphology and anatomy, a sulcus (pl.: sulci) is a furrow or fissure (Latin fissura, pl.: fissurae). It may be a groove, natural division, deep furrow, elongated cleft, or tear in the surface of a limb or an organ, most notably on the surface of the brain , but also in the lungs , certain muscles (including the heart ), as well as ...
The epithelial attachment does not migrate, it simply remains at the same attachment level found in pre-pathological health. The only anatomical landmark experiencing migration is the gingival margin in a coronal direction. In a gingival pocket, no destruction of the connective tissue fibers (gingival fibers) or alveolar bone occurs.
The oral epithelium (E) exists on the other side of the free gingival margin. In dental anatomy, the sulcular epithelium is that epithelium which lines the gingival sulcus. [1] It is apically bounded by the junctional epithelium and meets the epithelium of the oral cavity at the height of the free gingival margin.
In dental anatomy, the junctional epithelium (JE) is that epithelium which lies at, and in health also defines, the base of the gingival sulcus (i.e. where the gums attach to a tooth). The probing depth of the gingival sulcus is measured by a calibrated periodontal probe.
The gingival cavity microecosystem, fueled by food residues and saliva, can support the growth of many microorganisms, of which some can be injurious to health. Improper or insufficient oral hygiene can thus lead to many gum and periodontal disorders, including gingivitis or periodontitis, which are major causes for tooth failure.
A non-diseased, healthy gingival sulcus is typically 0.5-3mm in depth, however, this measurement can increase in the presence of periodontal disease. The gingival sulcus is lined by a non-keratinised layer called the oral sulcular epithelium ; it begins at the gingival margin and ends at the base of the sulcus where the junctional epithelium ...
In theory, gingival fibers are the protectors against periodontitis, as once they are breached, they cannot be regenerated.When destroyed, the gingival sulcus (labelled G in the diagram) increases in depth apically, allowing more debris and bacteria to remain in intimate contact with the delicate sulcular and junctional epithelia for longer times.