Lecture # 7 CLINICAL FEATURES 0F GINGIVITIS Presented by Dr Lecture # 7 CLINICAL FEATURES 0F GINGIVITIS Presented by Dr. Aljoharah AL-Sinaidi Date: 02/4/08

Lecture Outline Quick Review Gingivitis Periodontal terms Anatomical gingival parts Gingivitis Stages Course & duration Distribution Clinical features

Periodontium Definition: Tissues that invest & support the teeth. Parts: Attachment apparatus including: periodontal ligament, cementum & alveolar bone. Gingiva

Gingiva Definition: Function: Protection of the underlying tissues. It is part of the oral mucosa covering the alveolar processes of the jaws. Function: Protection of the underlying tissues.

Gingiva It is divided anatomically into: Interdental gingiva. Marginal gingiva. Attached gingiva.

Normal Gingiva Color: Coral pink-pale pink/physiologically pigmented. Contour: Collar like scalloping fashion. Consistency: Firm & resilient. Surface texture: Stippling.

Normal Gingiva Shape: Narrow & pointed or broad interdental papillae & knife edge gingival margins Position: Covers the entire root surface

Gingivitis Definition: It is the inflammation in the gingiva associated with the presence of oral microorganisms in the gingival sulcus.

Stages of Gingivitis Stage I: Initial lesion 2-4 days Gingival fluid flow (subclinical) Stage II Early lesion 4 - 7 days erythema & BOP Stage III Established lesion 14- 21 days Changes in color, size, etc

Gingivitis (Course & Duration) Acute gingivitis: Sudden onset, short duration & pain. Its less severe phase called sub-acute gingivitis. Recurrent gingivitis: Reappears after being eliminated by treatment or disappearing spontaneously. Chronic gingivitis: Is of slow onset, long duration & is painless.

Gingivitis (Distribution) Generalized: Papillary Marginal Diffuse

Gingivitis (Distribution) Localized: Papillary Marginal Diffuse