Clinical Gingivitis: A Case Study

Overview

• Focus on a classic case of chronic generalized gingivitis with acute features.

Key Features of Gingivitis

Marginal Gingiva

• Loss of Scalloping: Marginal gingiva appears rolled out.
• Interdental Gingiva: Appears blunt with increased size.
  • Papilla Tip: Blunt.
  • Size Increase: Due to increase in cellular and intercellular elements.

Gingival Consistency

• Nature: Soft and edematous.

Surface Texture

• Loss of Stippling: Gingiva looks smooth and shiny.

Color

• Appearance: Very reddish.

Gingival Position and Inflammation

• Position: Coronal to the cementoenamel junction (CEJ).
  • Note: CEJ not visible, indicating gingivitis not progressed to periodontitis.

Bleeding on Probing

• Method: Probe in a walking fashion and check for bleeding on different sides for 10-30 seconds.
• Result: Positive; evident bleeding on probing on all sides.

Probing and Pocket Depth

• Probing Depth: 3 mm around; considered normal.
  • Conclusion: No significant pocket depth, so pocket has not set in.

Conclusion

• Diagnosis: Acute features of chronic generalized gingivitis with no progression to periodontitis.
• Indicators: Consistency, surface texture, color, position, and bleeding on probing are key diagnostic features.