Stippling in the gingiva, or gums, refers to the textured surface resembling an orange peel. This characteristic appearance is due to microscopic depressions and elevations created by connective tissue projections within the gingival tissue.
Understanding Gingival Stippling
- Texture: The stippled texture is a result of the underlying connective tissue's structure. The projections create a bumpy, pitted surface.
- Location: Stippling is typically found on the attached gingiva, the gum tissue firmly bound to the underlying bone and cementum. It's commonly seen in the central portion of the gingiva and interdental papillae (the gum tissue between teeth). It is not present on the free gingiva.
- Significance: The presence of stippling is often associated with healthy gums. Loss or diminution of stippling can be a sign of gingival disease.
- Variations: Stippling patterns can vary in number, size, and location, even exhibiting gender-specific differences according to some studies. The degree of stippling can also differ from person to person.
Clinical Significance of Stippling
The presence or absence of stippling can provide clues to the overall health of the gingiva. While it's not a definitive diagnostic tool, it aids dentists in assessing gum health. Changes in stippling could indicate inflammation, disease, or other underlying issues requiring further investigation.
