Clinical Features Of Gingivitis Question and Answers

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Clinical Features Of Gingivitis

Gingivitis Definitions

  1. Gingival bleeding
    • It refers to bleeding from any part of the gingival
  2. Gingival recession
    • The apical shift of the gingival margin to a position apical to the CEJ, with exposure of the root surface to the oral cavity

Clinical Features Of Gingivitis Important Notes

1. Gingival recession

Class 1:

  • Includes marginal gingival only
  • No loss of bone or soft tissue in the interdental area
  • It can be narrow or wide

Class 2:

  • Extension of recession beyond mucogingival junction
  • No loss of bone/soft tissue
  • Can be wide and narrow

Class 3:

  • Extension of marginal recession beyond the mucogingival junction
  • Loss of bone/soft tissue
  • Malpositioning of teeth

Class 4:

  • Extension of marginal recession beyond the mucogingival junction
  • Severe bone/soft tissue loss Severe
  • malpositioning of teeth

1. Two earliest signs of gingival inflammation are

  • Increased GCF production
  • Bleeding on probing

2. Etiological factors for gingival recession

  • Faulty tooth-brushing technique
  • High renal attachment
  • Gingival inflammation
  • Tooth malposition
  • Gingival ablation

Clinical Features Of Gingivitis Long Essays

Question 1. Define gingival bleeding. Describe its Suture around bleeding end causes and management.
Answer:

Gingival Bleeding:

  • It refers to bleeding from any part of the gingival

Gingival Bleeding Causes

1. Gingival Bleeding Local causes:

  • Toothbrush trauma
  • Food impaction
  • Presence of plaque and calculus
  • Biting into solid foods
  • Acute necrotizing ulcerative gingivitis
  • Gingival burns

2.  Gingival Bleeding Systemic causes:

  • Scurvy
  • vitamin K deficiency
  • Purpura
  • Hemophilia
  • Leukemia
  • Drug-induced like salicylates, heparin

Gingival Bleeding Significance:

  • It is the earliest sign of inflammation
  • It gives clues for the stage where
    • Active – readily bleeds
    • Inactive-no bleeding
  • Bleeding severity indicates the severity of inflammation

Read And Learn More: Periodontics Question and Answers

Gingival Bleeding Management:

  • Consult physician
  • Carry out blood tests to rule out bleeding disorders
  • Treat the cause
  • Operate gently and carefully
  • Use of sharp instruments
  • Application of pressure
  • Application of moist gauze soaked in sterile ice water for several minutes
  • Use of local anesthesia with vasoconstriction
  • Use of hemostatic agents
    • Gel foam
    • Oxidized cellulose
    • Surgical

Clinical Features Of Gingivitis Bledding Of Gingivitis

Clinical Features Of Gingivitis Short Essays

Question 1. Clinical Features of Gingivitis.
Answer:

Changes Seen In Gingival:

  1. Color: From coral pink to bright red
  2. Contour: rolled margins
    • Blunt papilla
  3. Consistency: Puffiness
    • Pits on pressure
    • Sloughing of gingival
    • Vesicle formation
  4. Size: Increased
  5. Surface Texture: Loss of stippling
  6. Position: Apically displaced – In the recession
    • Coronally displaced – In pseudo pockets
  7. Bleeding on probing: Present

Gingival Types:

  1. Acute: Sudden onset
    • Short duration, painful
  2. Subacute: Less severe than acute
  3. Recurrent: Reappears after treatment
  4. Chronic: Slow in onset
    • Longer duration
    • Painless

Question 2. Gingival Bleeding.
Answer:

Gingival Bleeding Definition:

  • It refers to bleeding from any part of the gingival

Gingival Bleeding Significance:

  • The earliest sign of inflammation
  • Clue for the stage where
  • Active-readily bleeds
  • Inactive – No bleeding
  • Bleeding severity indicates the severity of inflammation

Gingival Bleeding Etiology:

  1. Local causes
    • Toothbrush trauma
    • Food impaction
    • Presence of plaque and calculus
    • Biting into solid foods
    • Aug
    • Gingival burns
  2. Systemic causes
    • Scurvy
    • vitamin K deficiency
    • Purpura
    • Hemophilia
    • Leukemia
    • Drug-induced like salicylates, heparin

Question 3. Gingival Recession.
Answer:

Gingival Recession Definition:

  • The apical shift of the gingival margin to a position apical to the CEJ, with exposure of the root surface to the oral cavity

Gingival Recession Etiology:

1. Inflammatory:

  • Plaque-induced periodontal diseases
  • Toothbrush injury

2. Anatomic factors:

  • Development anomalies
  • Dehiscences

3. Iatrogenic factors:

  • Clasps and bars of partial dentures
  • Prolonged orthodontic treatment
  • Overhanging restoration

Classification: Miller’s classification

Class 1:

  • Includes marginal gingival only
  • No loss of bone or soft tissue in the interdental area
  • It can be narrow or wide

Class 2:

  • Extension of recession beyond mucogingival junction
  • No loss of bone/soft tissue
  • Can be wide and narrow

Class 3:

  • Extension of marginal recession beyond the mucogingival junction
  • Loss of bone/soft tissue
  • Malpositioning of teeth

Class 4:

  • Extension of marginal recession beyond the mucogingival junction
  • Severe bone/soft tissue loss
  • Severe malpositioning of teeth

Significance:

  • Gingival recession predisposes to
  • Accumulation of plaque
  • Exposure of root surface
  • Root caries
  • Hyperemia of pulp Unesthetic appearance

Treatment:

Objectives:

  • Widening of attached gingival
  • Esthetic correction

Procedures:

  • Colonially repositioned flap
  • Guided tissue regeneration

Clinical Features Of Gingivitis Treatment of Gingial recessions

Clinical Features Of Gingivitis Short Answers

Question 1. Classify gingival recession.
Answer:

Gingival Recession Classification:

  • Miller’s classification

1. Class1:

  • Includes marginal gingival only
  • No loss of bone or soft tissue in the interdental area
  • It can be narrow or wide

Class 2:

  • Extension of recession beyond mucogingival junction No loss of bone/soft tissue
  • Can be wide and narrow

Class 3:

  • Extension of marginal recession beyond the mucogingival junction
  • Loss of bone/soft tissue
  • Malpositioning of teeth

Class 4:

  • Extension of marginal recession beyond the mucogingival junction
  • Severe bone/soft tissue loss
  • Severe malpositioning of teeth

Question 2. Etiology of gingival recession.
Answer:

1. Inflammatory:

  • Plaque-induced periodontal diseases
  • Toothbrush injury

2. Anatomic factors:

  • Developmental anomalies
  • Dehiscences

3. Iatrogenic factors:

  • Clasps and bars of partial dentures
  • Prolonged orthodontic treatment
  • Overhanging restoration

Clinical Features Of Gingivitis Viva Voce

  1. Bleeding on probing is a more objective sign that requires less subjective estimation by the examiner
  2. In gingivitis, there is no true pocket formation
  3. Bacteria found in gingivitis are localized in the gingival sulcus
  4. Inflammation of the gingival margin and a portion of con-contiguous attached Gingival is regarded as marginal gin-gives
  5. The earliest symptoms of gingival inflammation are in-creased gingival reticular fluid production and bleeding on probing
  6. Most common cause of abnormal gingival bleeding on probing is chronic inflammation
  7. The severity of gingival recession is determined by the level of epithelial attachment
  8. Recession tends to be more frequent and severe in patients with good oral hygiene
  9. Bleeding on probing is a best clinical indicator for gingival inflammation

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