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Introduction to Gingivitis and Periodontitis

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Introduction to Gingivitis and Periodontitis

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Questions and Answers

What is the primary defining feature of gingivitis?

Presence of deep pocketing in the periodontal tissue

Irreversible destruction of the periodontal structure

Bacterial infection confined to the gingiva (correct)

Absence of any bacterial infection

Which histological change is most characteristic of periodontitis?

Reversible inflammation of gingival tissues

Irreversible destruction of supporting structures (correct)

Presence of healthy epithelium

Thickening of the epithelial layer

What is 'true pocketing' in periodontal assessment?

A condition where there is no attachment loss

A space between the tooth and the tissue resulting from attachment loss (correct)

A pocket that is caused by gingival enlargement

A normal space found in healthy gums

Which symptom is most commonly associated with gingivitis?

Consistent bleeding during brushing Signup and view all the answers

What most accurately describes the relationship between gingivitis and periodontitis?

Gingivitis is a reversible condition while periodontitis is not Signup and view all the answers

Which clinical feature is indicative of periodontal health?

Absence of bleeding upon probing Signup and view all the answers

What is NOT a characteristic of periodontitis?

Only affects the gingiva Signup and view all the answers

Which clinical appearance is commonly observed in gingivitis?

Swollen, red gingiva Signup and view all the answers

Study Notes

Gingivitis

Inflammation of the gingiva (gums)
Primary defining feature: Reversible inflammation of the gingiva, not involving the periodontal ligament or alveolar bone

Periodontitis

Most characteristic histological change: Bone loss
Progressive disease, caused by bacteria.
Leads to destruction of the tooth-supporting structures such as the periodontium.

True Poketing

True pocketing: The formation of a periodontal pocket when the junctional epithelium migrates coronally along the tooth root surface, resulting in a space or pocket. This is a hallmark of periodontitis.

Symptoms of Gingivitis

Most common symptom: Bleeding upon probing

Gingivitis and Periodontitis

Relationship: Gingivitis can progress to periodontitis if not treated

Periodontal Health

Clinical feature: Stable, firm gingiva with no bleeding on probing

Characteristics of Periodontitis

Not a characteristic: Tooth mobility, sensitivity
The above characteristics might be present due to the inflammation of supportive structures.

Clinical Appearance of Gingivitis

Common appearance: Red, swollen, and bleeding gums

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