GINGIVA OF THE PRIMARY DENTITION
Pale pink, but less pale than that of adult as the thinness of keratinized layer causesunderlying vessels more visible
Marginal gingival tissue around the primary dentition is more vascular and contains fewerconnective tissue than tissues around the permanent teeth. The epithelia are thinner with a lesser degree of keratinization, giving an appearance of increased redness that may be interpreted as mild inflammation, and
for marginal gingiva to be affected.
The width of attached gingiva is widest in the incisor area, narrowing over the cuspids andwidening again over posterior molars which also increases with age. The width of attached gingiva is lessvariable in the primary dentition, so there is less mucogingival problem in the primary dentition. It
maymaintain the sulcus depth, resist the functional stress during mastication, and resist the tensional stress byacting as a buffer between the gingival margin and the alveolar mucosa. The width of attached gingival is lessvariable in the primary dentition, so there is less mucogingival problem in the primary dentition. Stipplingappears at about 3 years of age and occurs in 35% of children between ages of 5 & 15 years.
Interdental gingiva, is broad bucco-lingually and narrow mesio-distally to conform to themorphology of deciduous dentition.
Gingival sulcular depth is shallower than in adult (mean depth is 2.1mm
The junctional epithelium of the primary dentition tends to be thicker than in thepermanent dentition, which is thought to reduce the permeability of the gingival structures to bacterial toxinsthat initiate the inflammatory response
Fig. 1: Normal gingiva in children