Lecture Notes: Inflammation in Oral Health

Key Concepts:

• Inflammation: Characterized by redness and bleeding in the mouth.
  • Localized Inflammation: Less than 30% of the mouth is affected.
  • Generalized Inflammation: More than 30% of the mouth is affected.

Determining Localized vs. Generalized Inflammation:

• Localized Inflammation:
  • Example: Inflammation only in the anterior region.
  • Calculation: If 6 out of 32 teeth areas are inflamed, then:
    • (6/32) * 100 = 18.75%
    • Since 18.75% < 30%, it's considered localized.
• Generalized Inflammation:
  • Example: Redness and inflammation are widespread across various areas in the mouth.*

Types of Inflammation Locations:

• Papillary Inflammation (Papillary Gingivitis):
  • Inflammation on the papilla only.
• Marginal Inflammation:
  • Inflammation on both the papilla and the margin.
• Diffuse Inflammation:
  • Inflammation is pervasive, affecting the margin, papilla, and extending to the muco-gingival junction.

Visual Identification:

• Diffuse Inflammation:
  • Inflammation seen on margin, papilla, attached gingiva, up to muco-gingival junction.
• Papillary Inflammation Example:
  • Only papilla is inflamed, without redness on margins or attached gingiva.
• Marginal Inflammation Example:
  • Redness and puffiness along the margins, involving papilla and margin.

Recap of Inflammation Types:

• Papillary Inflammation: Only papilla is inflamed.
• Marginal Inflammation: Both papilla and margin are inflamed.
• Diffuse Inflammation: Papilla, margin, and attached gingiva are all inflamed and red.