Podcast
Questions and Answers
What is the primary distinction between gingivitis and periodontitis?
What is the primary distinction between gingivitis and periodontitis?
Which clinical feature is characteristic of gingivitis?
Which clinical feature is characteristic of gingivitis?
What are the histological changes in gingivitis compared to healthy gingiva?
What are the histological changes in gingivitis compared to healthy gingiva?
What does the term ‘true pocketing’ refer to in periodontal assessment?
What does the term ‘true pocketing’ refer to in periodontal assessment?
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Which symptom is most commonly associated with periodontitis?
Which symptom is most commonly associated with periodontitis?
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What is a key element to monitor periodontal health effectively?
What is a key element to monitor periodontal health effectively?
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What is an indicator of advancing periodontitis?
What is an indicator of advancing periodontitis?
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Which clinical sign suggests that gingivitis has progressed to periodontitis?
Which clinical sign suggests that gingivitis has progressed to periodontitis?
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Study Notes
Learning Outcomes
- Students should be able to describe the clinical features of healthy gingiva, gingivitis and periodontitis
- Students should be able to explain the basic histological presentation of healthy gingiva, gingivitis and periodontitis
- Students should be able to define the terms ‘false pocketing’, ‘true pocketing’ and ‘clinical attachment loss’
- Students should be able to explain symptoms that the patient may experience with gingivitis and periodontitis
- Students should be able to explain the differences between gingivitis and periodontitis
Safe Practitioner Framework
- Domain: Clinical Knowledge and Skills
- Learning Outcome: C 2.6.1 Assess and manage the health of periodontal and soft tissues taking into account risk, lifestyle factors, plaque control/self-care and compliance/ response to advice
- Domain: Clinical Knowledge and Skills
- Learning Outcome: C 2.6.3 Monitor and record changes in periodontal health using appropriate methods
Revision of Inflammation
- "Itis" means inflammation
- Classical signs of acute inflammation include redness, swelling, heat and pain
- Acute inflammation occurs rapidly and has a short duration
- Chronic inflammation occurs slowly and has a long duration
- The four patterns of inflammation are serous, fibrinous, purulent and granulomatous
Revision of Gingival Histology
- Gingiva is comprised of epithelial tissue and underlying connective tissues
- Epithelial tissues include:
- Oral epithelium
- Junctional epithelium
- Sulcular epithelium
Consideration of Health vs Disease
- Clinical appearance is important in assessing gingiva health
- Histological understanding provides a deeper insight into gingiva health
- Patient symptoms are crucial for diagnosis and treatment
Three Basic States of the Periodontium
- Health, gingivitis and periodontitis are the three basic states of the periodontium
- Periodontal diseases include gingivitis and periodontitis
Gingivitis versus Periodontitis Definition
- Gingivitis is a bacterial infection confined to the gingiva
- Gingivitis is reversible
- Periodontitis is a bacterial infection of all parts of the periodontium
- Periodontitis is irreversible
Clinical Appearance
- Color: Observe changes in gingiva color in healthy, gingivitis and periodontitis
- Margin: Examine the position of the gingival margin in healthy, gingivitis and periodontitis
- Bleeding: Assess bleeding upon probing in healthy, gingivitis and periodontitis
- Consistency: Analyze the texture of the gingiva in healthy, gingivitis and periodontitis
- Texture: Identify changes in surface texture of the gingiva in healthy, gingivitis and periodontitis
Bleeding – is it okay?
- Bleeding upon probing is a key indicator of gingivitis and periodontitis
- Bleeding on probing is not acceptable in healthy gingiva
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Description
Test your knowledge on the clinical features of healthy gingiva, gingivitis, and periodontitis. This quiz will cover histological presentations, definitions related to pocketing, and symptoms experienced by patients. Gain insights into the differences between gingivitis and periodontitis as part of your clinical skills in periodontal health.
