Gingivitis: Etiology and Classification

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Questions and Answers

What is one characteristic of normal gingiva?

  • Pale yellow appearance
  • Soft and spongy consistency
  • Choral pink appearance (correct)
  • Bright red coloration

Which clinical finding indicates inflammation in gingiva?

  • Redness (correct)
  • No pain reported
  • Pale color
  • Firm texture

What classification of gingivitis is characterized by limited distribution?

  • Acute
  • Localized (correct)
  • Chronic
  • Generalized

Which stage of gingival inflammation is described as the initial lesion?

<p>Stage 1 (C)</p> Signup and view all the answers

Which clinical feature relates to the consistency of normal gingiva?

<p>Firm and resilient (C)</p> Signup and view all the answers

What type of gingivitis is characterized by diffuse inflammation throughout the gums?

<p>Generalized diffuse gingivitis (D)</p> Signup and view all the answers

In what stage of gingival inflammation would you expect to see established lesions?

<p>Stage 3 (B)</p> Signup and view all the answers

Which of the following is NOT a clinical finding of normal gingiva?

<p>Severe bleeding on probing (C)</p> Signup and view all the answers

Flashcards

Course-based Gingivitis

Gingivitis can be categorized based on how long it lasts. Acute gingivitis comes on suddenly and is short-lived, whereas chronic gingivitis persists for a long time.

Distribution-based Gingivitis

Gingivitis can affect localized areas of gums or spread across the entire mouth.

Localized Gingivitis

A localized form of gingivitis affects a specific part of the gum, such as the gum margin, papilla, or a specific tooth.

Generalized Gingivitis

Generalized gingivitis affects the gums throughout the entire mouth.

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Localized Marginal Gingivitis

A form of localized gingivitis where the inflammation is confined to the gum margin, the area where the gum meets the tooth.

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Generalized Marginal Gingivitis

A form of generalized gingivitis where the inflammation is spread across the gum margins of all teeth.

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Localized Papillary Gingivitis

A form of localized gingivitis where the inflammation affects the gum papilla, the small triangular-shaped tissue that fills the spaces between your teeth.

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Generalized Papillary Gingivitis

A form of generalized gingivitis where the inflammation affects the gum papilla across all teeth.

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Study Notes

Gingivitis: Etiology and Classification

  • Gingivitis is the inflammation of the gums (gingiva).
  • Healthy gingiva is coral pink, knife-edged, and scalloped, firm and resilient with stippling.
  • Gingivitis gingiva is red, rolled (bulbous papillae), edematous, loss of stippling.

Classification of Gingivitis

  • Course-based: Acute (2-4 days, initial lesion), chronic (4-10 days, early lesion), (more than 2-3 weeks, established lesion), (final stage, advanced lesion)
  • Distribution-based: Localized (affecting specific areas) and Generalized (affecting most areas). Subtypes include: Marginal, diffuse, and papillary.

Clinical Findings of Gingivitis

  • Normal gingiva:
    • Coral pink, knife-edged, scalloped, and firm.
    • No inflammation, no signs of bleeding (even with gentle probing).
    • Attached gingiva shows stippling.
  • Abnormal findings (gingivitis):
    • Redness
    • Shift in gingival position/enlargement
    • Bleeding
    • Recession on lower
    • Pigmentation (melanin)
    • Blunt edges (loss of stippling), color change.

Treatment of Gingivitis

  • Plaque Control: Customized oral hygiene instructions.
  • Scaling: Supra and sub gingival scaling.
  • Correction: Plaque retentive factors.
  • Surgery: Correction of gingival deformities.

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