Lecture Notes on Gingival Conditions

Types of Papilla

Blunted Papilla

• Definition: Papilla is flat; the typical pointed structure is gone.
• Example: The papilla should occupy certain areas between the teeth but appears flat.

Bulbous Papilla

• Definition: Papilla is inflamed and protrudes outward.
• Example: Clearly visible swelling and outward protrusion of the papilla.

Cratered Papilla

• Definition: Papilla has a small dip or depression (known as a crater).

Saddle-Shaped

• Definition: Area where the tooth is missing, creating a saddle-like appearance in the gum area.

Normal/Within Normal Limits

• Definition: Also known as knife-edge or pointed papilla; papilla is tight, snug, and pointed.

Rounded Papilla

• Definition: Papilla has lost its peak and appears rounded instead of pointed.

Gingival Margins

Rolled Margins

• Definition: U-shaped outline around the tooth, creating a rolled appearance.
• Considerations: Rolled gums can be healthy or indicate disease.

Festooned Margins

• Definition: Protrusion or excess gum tissue around the gingival margin, sometimes resembling a "lifesaver" or donut shape.

Cleft Margins

• Definition: Presence of a notch going down the margin, often found in periodontitis.

Flat Gums

• Definition: Gums that lack pronounced rolls at the margins, which can also be normal.

Important Notes

• Rolled gums can be either healthy or diseased.
• Understanding these terms and conditions requires visual familiarity with various mouths.

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These notes summarize the different conditions and appearances of papilla and gingival margins as discussed in the lecture. Understanding these conditions is crucial in assessing oral health and diagnosing issues.