1. 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

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

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

4. 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.

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

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

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

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

9. 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
days
Changes in color, size, etc

10. 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.

11. Gingivitis (Distribution)
Generalized:
Papillary
Marginal
Diffuse

12. Gingivitis (Distribution)
Localized:
Papillary Marginal Diffuse