Anomaly of the vestibulum oris, diastema, tremata

Anomaly of the vestibulum oris

 * Shallow vestibulum
 * 1) Primary shallow vestibulum


 * Congenital
 * High attachement of mentalis muscle


 * 1) Secondary shallow vestibulum


 * due to gingival recession (missing of attached gingiva)


 * Anomaly in attachement of labial frenulum


 * 1) Gingival attachment (normally the attachement is mucosal)


 * 1) Papillary attachment


 * 1) Through the papilla attachment

PULL SYMPTOM
 * The gingiva around the pathological attachment of the frenulum has whitish (pale) colour

PULL SYNDROME
 * Follows pull symptom
 * Results in opening of the interdental space between the two central incisors (diastema formation)

Diastema
Space between the two central incisors

Tremata

 * Single space --> trema
 * Many spaces --> tremata (spacing)