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Chapter 15 Clinical Examination: Gingival Assessment (Risk factors (Poor…
Chapter 15 Clinical Examination: Gingival Assessment
To evaluate the condition of the gingival tissue and to determine inflammation
personal statement
gingival assessment is essential to determine inflammation
Risk factors
Poor home care
Hormones
Systemic diseases
Eruption of permanent dentition
Certain drugs
personal statement
inflammation is host response to irritation
Clinical assessment procedures
personal statement
compare tissues to other tissues in the mouth when doing gingival description
Color
Examine whole mouth
Can look healthy but be diseased
Color varies in color between races
Contour
Shape and position of teeth
Alignment of teeth
Location and size of contact embrasure
personal statement
gingiva will look different in posteriors vs anterior
Marginal gingiva and interdental papilla
When healthy it is knife edge, no embrasur
Gingival clefts
V shaped slit
Can be caused from toothbrushing, flossing, pockets
Consistency
Refers to the firmness of connective tissue
personal statement
you want firm and resilient
Surface texture
Presence or absence of stippling
Size: gingival enlargement
Influenced by cellular, acellular and vascular supply
Hormonal and drug influenced gingivitis
Hormonal changes
Pregnancy
personal statement
usually not permanent
Puberty
Menstruation
Drug influenced gingival enlargement
Generalized throughout mouth
personal statement
can be prevented but usually needs surgery