there you go okay we're doing lab activity number nine which is gingival descriptions so you should have updated your patient's health history and obtained the necessary signatures we're going to be using the clinic manual to chart our gingival specifics on your patient's assessment form which is the yellow one you're going to be looking at the following color size contour consistency and surface texture so the first thing that you should do is look fully at your patient's tissue i am looking at my patient's tissue one of the first looks i'm going to take is to see if there's any reason i shouldn't work in this mouth today any open sores that i'm concerned about and as i'm looking through i'm seeing that my patient has just a small red mark right here um just to the lingual of tooth number 15 in this area okay so we are going to start by marking anything that is a localized condition so we're going to start on quad 2 and we are going to note any color changes in quad 2 from the general mouth okay as i'm looking in quad two i see that the color uh is the same on all of this area through here as it is on the right side if i compare it so the color description is going to be i'm going to say it's a nice light pink okay then we're looking at the size of the tissue the size of the tissue i'm looking at how thick that is between the tooth and the outside of the world and so i can see that this tissue is fairly flat and bound down and so i'm going to say that that tissue is firm and tight perfect now what's really nice is that your yellow paper actually has this lovely little box that walks you through this we are looking at six descriptors and it gives you an example for both healthy tissue and disease tissue and we're just walking down this list so if you ever get um like hung up and you can't figure out your word a lot of times it gives you one where like where we just said it fits it's nice and tight well it fits snugly around the tooth that's a great descriptor okay so now on quad two we're going to look at our gingival contour we have to have two things on gingival contour we're looking at the margin and then we're also looking at the papillary mark so i'm looking at the margin and that's just this free gingival margin here as i'm looking along that i'm seeing that those are all tight flat snug i don't see any areas with swelling that's going along the edges here and so what are some suggestions of words i could use for that one from the sheet so our margins we if we want to say they're healthy we've got knife edged flat against the tooth it's scalloped and then if we talk about the papillary we're talking about pyramid shape it fills the inner dental space it may be felt with a diastoma okay so as i'm looking on my patients i can see that this is all nice and flat it's got a little bit of rounding but that's natural it's supposed to have a little bit as i'm looking at the the papilla i'm looking for any descriptors that look abnormal and i'm seeing that everything is coming up to a nice sharp point it's not rounded so as i'm coming up to these i'm looking for that knife edged point along that scalloping all right we're also then looking for consistency some words we look for consistency are like firm or resilient to pressure and if it's diseased we're looking more at a denim test which is like fluid filled or fibrotic it's soft and spongy dense with pressure so on this patient as i'm pressing into the tissue the tissue is popping right back up it's it's resilient i'm not sinking far into the tissue if i were pushing and sinking far into the tissue i would consider that to be edematous and swollen so this is resilient and firm tissue it's in good shape if for example this patient had been a smoker or if perhaps they were a mouth breather i might see maybe some fibrotic tissue across some of those all right and the last thing we look for is surface texture stippling is a great indicator of healthy tissue um if we're looking at diseased it might be smooth or shiny loss of stippling nodular [Music] so as i'm looking at this tissue i'm seeing that there are just little tiny dots that look a little bit like orange peel i'm going to find those just along the attached gingiva here just to the level of where my q-tip my cotton tipped applicator stops so in this area i'm watching for that stippling and i'm not seeing a ton of it but that could be because of the lighting and but this looks like really good healthy tissue okay perfect now that we have looked at our patients gingiva and we have got some really great descriptors we only have one localized condition