Gingivitis Categories Overview

Introduction

• Gingivitis is inflammation of the gums.
• Plaque is often a cause, leading to what is known as plaque-induced gingivitis.

Categories of Gingivitis

1. Plaque-Induced Gingivitis on an Intact Periodontium

   • Clients with inflamed gums and possible bleeding and redness.
   • Radiographs show intact bone level; no bone loss has occurred.
   • Classified as a gingivitis client with an intact periodontium.

2. Gingivitis on a Reduced Periodontium in a Non-Periodontal Client

   • Presence of gum recession but intact bone level.
   • Recession possibly due to previous orthodontic treatment (e.g., braces).
   • Classified as having gingivitis without periodontitis.
   • Recession is present, but no bone resorption is noted, making this a reduced periodontium.

3. Gingivitis on a Reduced Periodontium in a Successfully Treated Periodontitis Patient

   • Client has a history of periodontitis, but is now stable.
   • Bone loss is evident, but stable without further resorption.
   • Presence of gingivitis symptoms including bleeding and inflammation.
   • Classified as having gingivitis on a reduced periodontium in a previously treated periodontal patient.

Key Observations

• Recession vs. Bone Loss:
  • Recession does not always indicate periodontitis.
  • Bone loss previously treated can indicate a stable periodontitis patient now showing gingivitis.

Conclusion

• Correct classification is crucial for identifying the appropriate treatment and understanding the patient's periodontal health.
• Understanding the history of orthodontic treatments and previous periodontal conditions is important for accurate diagnosis.