Clinically normal gingivae were taken from adult human (male and female, aged 20 to 54-year old) for the electron microscopic specimen, and were treated to fixing and embedding with routine methods.
In spite of clinical feature, microscepic observation showed inflammatory changes, and there were some differences between specimens in degree of inflammation. Fifteen specimens were emploied accordinng to the following conditions.
a) the gingival sulcus less than 1 mm depth.
b) the inflammatory changes (such as inflammatory cell infiltration and dilatation of capillaries) located within underlying connective tissues.
Fifteen specimen were cut with ultramicrotome, and observed electron microscopically.
The results were as follows:
A) On the enamel surface located at the coronal part of sulcus, a few epithelial cells, which had a electron lucent layer and hemi-desmosomes between cuticle and those cell membranes, were observed.
B) Toward the apical end of epithelial attachment, cuticle decreased gradually in width and disappeared finally.
C) It was observed in four cases of fifteen specimens that cuticles formed irregular figure, showing particular convex and concave figure.
D) The most apical end of epithelial attachment was made of one or several cell layers. The epithelial cell located at the most apical end had a cellular projection toward apical direction on the cemental surface.
The cellular projection was noticed in the several cells located coronally adjacent to the most apical cell.
E) On the cell membrane of the most apical epithelial cell, there were observed two fine structures. One was a structure of the epithelial attachment between the epithelial cell and the cemental surface, having an electron lucent layer and hemi-desmosomes. The other was a structure of the basement membrane between the epithelial cell and connective tissue, having lamina lucida, lamina densa and hemi-desmosomes. In some cases it was confirmed that these two fine structures were coalescent on the apical surface of the cell membrane.
F) From the cemental surface located more apically, some collagen fibers run into connective tissue, forming irregular arrangement. Some cases of cemental surface were denuded without anchoring the collagen fiber. There were some differences between specimes in the degree of irregularity, but the collagen fivers arranged regularly from the surface of cementum at a distance of 300 microns away from the apical epithelial cell.
From those results, author discussed about the origin of cuticle and the process of epithelial cell migration in the apical direction in early stage of inflammed gingiva.
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