Checking for Minimally Attached Gingiva

Importance

• Part of oral cancer screening.
• Evaluate the amount of attached gingiva.

Procedure

Step 1: Examine Frenum

• Action: Check the poles of the frenum.
• Technique: Pull the lip firmly down with two hands.

Step 2: Identify Mucogingival Junction

• Objective: Locate where attached and unattached gingiva meet.
• Action: Use a probe to start on the unattached gingiva and slide up to where the tissue becomes immobile.

Step 3: Measurement

• Measure: Determine the distance from the gingival margin to the mucogingival junction.
• Example Provided:
  • Total measured distance: 4 millimeters.
  • Probe depth: 1 millimeter.
  • Calculated attached gingiva: 3 millimeters.
  • Formula: Total distance - Probe depth = Attached gingiva.

Clinical Evaluation

• Criteria: If attached gingiva is 2 millimeters or less, refer to a dentist.
• Possible Referral: May need evaluation by a periodontist for a gum graft.

Conclusion

• Measure carefully to ensure appropriate gum health and potential need for further treatment.