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Because the palate is devoid of freely moveable alveolar mucosa, there is no mucogingival junction.
Without attached gingiva, the freely moveable alveolar mucosa, being more fragile, would suffer injury during eating and cleansing activities, such as brushing of the teeth.
The facial aspect of the attached gingiva extends to the relatively loose and movable alveolar mucosa, from which it is demarcated by the mucogingival junction.
Stippling only presents on the attached gingiva bound to underlying alveolar bone, not the freely moveable alveolar mucosa.
Although these "high risk" sites are recognized, statistically, leukoplakia is more common on the buccal mucosa, alveolar mucosa, and the lower labial mucosa.
The most common sites affected are the buccal mucosa, the labial mucosa and the alveolar mucosa, although any mucosal surface in the mouth may be involved.
Similar to the method of staining mentioned above regarding a colposcopy, alveolar mucosa has a high glycogen content that gives a positive iodine reaction vs. the keratinized gingiva.
Unlike plaque-induced inflammation it is a dusky red colour and extends beyond the marginal gingiva, often to the full width of the attached gingiva and sometimes onto the alveolar mucosa.
If the destruction continues unabated apically and reaches the junction of the attached gingiva and alveolar mucosa, the pocket would thus be in violation of the mucogingival junction and would be termed a mucogingival defect.
The epithelial lining of the cyst is separated from the alveolar mucosa by a thin layer of fibrous tissue with the epithelial tags of cystic epithelium facing those of the alveolar mucosa.