Treatment Planning of Gingival and Periodontal Diseases Flashcards
Describe the appearance of the gingivae in health
Pink stippled gingivae with good tone and absence of bleeding on brushing or probing
Describe the appearance of the gingivae in gingivitis
Plaque-induced inflammation of the gingivae characterised by red, swollen tissues which bleed on brushing or probing
Define “plaque induced gingivitis”
An inflammatory response of the gingival tissues resulting from bacterial plaque accumulation located in or below the gingival margin
What are the clinical signs of gingivitis?
- Bleeding on probing
- High plaque scores
- High bleeding scores
- Gingival swelling and redness
- Probing depths <3mm
Describe the appearance of the teeth and supporting structures in periodontitis
Inflammation of the supporting structures of the teeth. Loss of attachment, recession, bleeding on brushing and bone loss
Define “periodontitis”
An inflammatory disease initiated by bacteria which, in susceptible people, causes severe inflammation and loss of bone around the teeth.
What are the clinical signs of periodontitis?
- Bleeding on probing
- Radiographic bone loss
- Gingival recession
- Probing depths >4mm (clinical attachment loss)
A patient reports the following symptoms: black triangles on teeth, bad breath (halitosis), blood in saliva and tooth movement. Which condition does the patient likely have?
Periodontitis
What is the Basic Periodontal Examination (BPE)?
- A screening tool for periodontitis
- Mouth divided into sextants
- A WHO CPTN probe is walked around the gingival margin of the teeth
- Indicates what further assessment and periodontal the patient requires
What size is the ball on a WHO CPTN probe?
0.5 mm
What depth does the black band on a WHO CPTN probe represent?
3.5-5.5 mm
What are the 6 sextants the mouth is divided into during a BPE?
Upper right (17 to 14) Upper anterior (13 to 23) Upper left (24-27) Lower right (47 to 44) Lower anterior (43 to 33) Lowe left (34 to 37)
Where is the normal position of the gingival margin in healthy individuals?
At the amelocemental junction
If the gingival margin is apical to the amelocementral junction, what is this referred to as?
Gingival recession
What are the problems associated with receding gums?
- Patients may be concerned as to the appearance of receding gums
- Exposed root surfaces may be sensitive