Observations on the initial stages of healing following human experimental gingivitis. A clinical and morphometric study.
The aim of the present study was to investigate stereologically the histologic alterations occurring during gingival healing after experimental gingivitis and to compare clinical parameters with histological findings. 8 dental students volunteered for the investigation. After a prophylaxis, they performed optimal oral hygiene to reach mean plaque and gingival indices approaching zero. They then abolished all oral hygiene procedures for a period of 21 days. After this experimental gingivitis phase, they again performed optimal oral hygiene for 8 days to restore gingival health. At days 0, 1, 2, 4 and 8 after experimental gingivitis, the plaque index (PlI), the gingival index (GI) and the gingival exudate flow rate (GEFR) were assessed and their buccal gingiva was biopsied. Point counting procedures were performed at 2 different levels of magnification on light microscopic sections to estimate the volume fractions of epithelium, infiltrated and non-infiltrated connective tissue, and collagen. The relative numbers of fibroblasts, polymorphonuclear neutrophils, lymphocytes, plasma cells and macrophages were estimated by counting the number of profiles of these cells in a specific connective tissue area adjacent to the apical end of the junctional epithelium. A rapid drop in the PlI was noted with increasing time after oral hygiene, followed by a slower decrease in the GI and GEFR scores. The histological picture during the entire experiment was that of an initial gingival lesion. At day 0, no chronic inflammation of the gingiva characterized by a predominance of plasma cells was observed.(ABSTRACT TRUNCATED AT 250 WORDS)
Brecx
M C
MC
School of Dental Medicine, University of Berne, Switzerland.
Lehmann
B
B
Siegwart
C M
CM
Gehr
P
P
Lang
N P
NP
D000328:Adult; D003773:Dental Plaque / Q000517:prevention & control; D003774:Dental Plaque Index; D005881:Gingiva / Q000033:anatomy & histology*; D005883:Gingival Crevicular Fluid; D005891:Gingivitis / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007958:Leukocyte Count; D009910:Oral Hygiene; D010512:Periodontal Index; D014945:Wound Healing