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What is the cause of a stippled appearance on dental tissues?

  1. Deep CT extensions

  2. Shallow CT extensions

  3. Uniform CT density

  4. Absence of CT

The correct answer is: Deep CT extensions

A stippled appearance on dental tissues is primarily caused by deep connective tissue (CT) extensions. This stippled look arises from the way the underlying connective tissue connects with the surface epithelium in the oral cavity. When the connective tissue extends deeply, it forms irregularities that create a textured surface. The deep extensions allow for more surface area interaction between the epithelium and the CT, resulting in the characteristic stippling. The structure and density of the connective tissue play a crucial role in the overall aesthetics and functional aspects of the gums and other oral tissues. Such stippling is often visible in healthy gingival tissues and can serve as an indicator of tissue health. In contrast, shallow connective tissue extensions would have less impact on the surface texture, leading to a smoother appearance. Uniform connective tissue density would result in a consistent texture without the variability needed for stippling. Lastly, the absence of connective tissue would eliminate any support for the stippling altogether, resulting in a completely different appearance. Thus, the recognition of deep connective tissue extensions is key to understanding the stippled appearance in dental tissues.