Plaque induced
Not plaque induced (bac...
Gingival erythema, edema, and bleeding
Gingiva is tender to touch but otherwise painless.
Bleeding of gingiva when brushing, flossing, or eating
Inquire about HIV risk, pregnancy, nutrit...
Stop any contributing medications.
Remove irritating factors (plaque, calculus, faulty dental restorations, or partial dentures).
Good oral hygiene (see “General Prevention”)
Re...
Well-balanced diet that includes fruits, vegetables, vitamin ...
Dental Infection; Glossitis
Algorithm: Bleeding Gums
K05.10 Chronic gingivitis, plaque induced
K05.11 Chronic gingivitis, non-plaque induced
K05.00 Acute gingivitis, plaque induced
K05.01 Acute gingivitis, non-plaque induced
A69.1 Other Vincent’s...
Gingivitis may be prevented and treated with regular dental cleanings, good oral hygiene, and use of certain mouth rinses including chlorhexidine.
Untreated, gingivitis may progress to ...
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<bold>FIGURE 8-4.</bold><bold>Severe gingival recession</bold> on a patient with previous periodontal disease. The gingival margin no longer covers the cementoenamel junction, and there is severe root exposure. Interproximally, the interdental papillae no longer fill the interdental embrasures. Recession may result in tooth sensitivity and alterations in speech (phonetics).
<bold>FIGURE 8-4.</bold><bold>Severe gingival recession</bold> on a patient with previous periodontal disease. The...
<bold>FIGURE 8-6.</bold><bold>Gingivitis. A.</bold> A periodontal probe is inserted into the gingival sulcus and gently "walked" around the tooth. <bold>B.</bold> The examiner looks for <bold>gingival bleeding</bold> that occurs within 30 seconds. (Note the generalized physiologic melanin pigmentation [dark regions] on the attached gingiva common in persons with some ethnic heritages.) <bold>C. Inflamed gingiva:</bold> Note the contour changes (bulbous papillae, rolled margins); increased size; and glazed (not stipple...
<bold>FIGURE 8-6.</bold><bold>Gingivitis. A.</bold> A periodontal probe is inserted into the gingival sulcus and g...
<bold>COLOR PLATE 11.</bold><bold>Gingivitis. A. Mild to moderate gingivitis</bold> with rolled margins and bulbous papilla; smooth, shiny surface texture (loss of stippling); and increased red color. <bold>B. Severe gingivitis</bold> with severely rolled margins and bulbous papilla, no stippling, and spontaneous bleeding (without even probing). Air from the air–water syringe would easily retract this tissue.
<bold>COLOR PLATE 11.</bold><bold>Gingivitis. A. Mild to moderate gingivitis</bold> with rolled margins and bulbou...
<bold>COLOR PLATE 12.</bold><bold>Gingival recession and mucogingival defects. A.</bold> Areas of gingival recession. The gingiva no longer covers the cementoenamel junction, and the root surface is exposed on teeth #24 and 25. There is no keratinized gingiva on these central incisors compared with lateral incisors. <bold>B.</bold> Severe gingival recession. There is very little keratinized gingiva and no attached gingiva over the canine root. The root prominence, thin tissue, and lack of attached gingiva...
<bold>COLOR PLATE 12.</bold><bold>Gingival recession and mucogingival defects. A.</bold> Areas of gingival recessi...
Smooth Tongue (Atrophic Glossitis) A smooth and often sore tongue that has lost its papillae suggests a deficiency in riboflavin, niacin, folic acid, vitamin B12, pyridoxine, or iron. Specific diagnosis is often difficult. Anticancer drugs may also be responsible.
Smooth Tongue (Atrophic Glossitis) A smooth and often sore tongue that has lost its papillae suggests a deficiency in riboflavin, niacin,...