The parodontium & probing - Periodontium
4 important questions on The parodontium & probing - Periodontium
What are the sings of a healthy gingiva?
Attached gingiva = stippled
On the picture you see a gingiva after pocket reduction periodontal surgery. What are the differences between a healthy gingiva?
- The gingival margin is significantly apical to cementoenamel junction
- Exposure of the root surface and root concavities
- The embrasures (space) between teeth is no longer filled by the papillae
Name the different changes in disease (8p)
- Inflammatory changes
- loss of stippling, with smooth, shiny surface
- Hyperkeratosis
- leathery, hard, or nodular surface
- Chronic disease
- tissue may be hard and fibrotic, with a normal pink color and normal or deep stippling
- Gingival enlargement
- Bleeding
- healthy gingiva tissue does not bleed during probing
- Sulcular epithelium becomes a diseased pocket epithelium
- The ulcerated pocket wall bleeds spontaneously or during periodontal probing
- Exudate (pus)
- there is no exudate in health
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Which factors are important to teach the patient?
- The significance of bleeding; healthy tissue does not bleed
- Relationship of what we find to their daily oral self-care routines at home
- The special attention needed for an area to prevent inflammation
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