Clinical Features Of Gingivitis

Gingivitis Definitions

Gingival bleeding
- It refers to bleeding from any part of the gingival
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

Gingival Recession

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

Gingival Recession Class 2:

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

Read And Learn More: Periodontics Question and Answers

Gingival Recession Class 3:

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

Gingival Recession 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:

Gingival Bleeding 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

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 Short Essays

Question 1. Clinical Features of Gingivitis.
Answer:

Changes Seen In Gingival:

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

Gingival Types:

Acute: Sudden onset
- Short duration, painful
Subacute: Less severe than acute
Recurrent: Reappears after treatment
Chronic: Slow in onset
- Longer duration
- Painless

Question 2. Gingival Bleeding.
Answer:

Gingival Bleeding Definition:

Gingival Bleeding 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:

Local causes
- Toothbrush trauma
- Food impaction
- Presence of plaque and calculus
- Biting into solid foods
- Aug
- Gingival burns
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

Gingival Recession 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

Gingival Recession Treatment:

Objectives:

Widening of attached gingival
Esthetic correction

Procedures:

Colonially repositioned flap
Guided tissue regeneration

Clinical Features Of Gingivitis Short Answers

Question 1. Classify gingival recession.
Answer:

Gingival Recession Classification:

Miller’s classification

Gingival Recession Class1:

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