Gingival Conditions Flashcards
When documenting what do you record in gingival assessment?
ABNORMAL conditions
Inflammation= increased what? (3)
Blood flow, permeability of capillaries, collection of defense cells and tissue fluid
The main difference between perio and gingivitis?
Junctional epithelium has migrated
Record what 3 clinical characteristics about gingiva?
Color, contour (shape), consistency (tone)
Terms for extent:
Localized
Generalized
1 or few teeth (group or area)
Throughout the sextant arch or mouth
Terms for Degree of distribution:
Marginal-
Papillary-
Diffuse-
Change in free or marginal gingiva
Involving papilla but not free gingiva
Attached gingiva is involved as well as free, frequently located
Normal gingival color
Pale pink or coral
*melanin pigmentation- based on skin color
Healthy contour (shape and size):
Marginal-
Papilla-
Attached-
Knife life, close to tooth
Triangle, fills embrasure space, flat
Follows alv bone
Abnormal marginal gingival contour
Rounded
Rolled
Clefting
Abnormal papillary contour
Enlarged
Bulbous
Blunted
Cratered
Healthy gingival consistency
Firm and resilient when probed, smooth, snug, stippled
Abnormal gingival consistency :
Edematous-
Fluid filled tissues, loose and enlarged, shiney, sensitive
Purposes of periodontal charting
Aid in diagnosis of periodontal condition like gingivitis or periodontitis, baseline, treatment planning, legal reasons, evaluating success
SBI=sulcular bleeding index
of areas bleeding divided by (#of teeth X 4)
PCR= plaque control record steps
Pcr formula
of surfaces with plaque/(# of surfaces available X 4)
Disclose,
Examine 4 areas-m,d,f,l
Record areas with dot