Chapter 5 Flashcards
How is gingival health described?
Tissue free of inflammation that has not been altered by disease or trauma and no bleeding upon probing
What is the ideal color of gingival tissue?
Coral pink w/ or w/o the presence of melanin pigmentation
Describe the gingival contour in health
Fits snuggly around tooth
Smooth and evenly scalloped
Knife edged, flat or slightly rounded
Papilla are pointed and fill embrasures
Healthy tissue consistancy
Firmly bound to cementum and bone
Resilient and springs back when pressed gently (diff from fibrotic and leathery)
Does not retract from tooth when air is blown into sulcus
Health tissue texture
Firm and dimpled like an orange peel (stippled, not pebbled)
Or
Firm and smooth, no stippling
Describe gingival disease
Plaque biofilm at GM triggers host immune response
Inflammation results in signs and symptoms
Confined to gingival tissue, no attachment loss
Pain usually absent
What is acute gingivitis?
Short duration
May develop in a matter of days
Resolves w/ adequate oral hygiene
What is chronic gingivitis?
May exist for years without progressing to periodontitis
Color changes in slight/early gingivitis
Light pink, darker pink, red
Color changes in chronic gingivitis
Bluish-red, purplish-red
Color change may not be apparent in chronic, fibrotic or smokers
Marginal tissue change in gingivitis
Swelling may cause thickened or rolled margins, or coronal migration of margins
Papillary tissue change in gingivitis
Enlarged, blunted, bulbous, cratered
Change in gingival margin location in gingivitis
Swelling can cause coronal movement of GM
Bleeding upon probing: ulceration of sulcular epithelium, BV engorgement, direct relationship btw degree of inflammation and amt of bleeding
What does extent of inflammation mean?
How much of the tissue is inflamed
Generalized- >30%
Localized- <30%
What does distribution of inflammation mean?
What area of the gingiva is inflamed
Papillary
Marginal (may include papilla)
Diffuse- margin, papilla, attached gingiva, extending to MGJ
