clinical assessment

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GINGIVAL ASSESSMENT

1. COLOR

THICKNESS OF EPITHELIUM

AMOUNT OF KERATINIZATION

CT VASCULARITY

PIGMENTATION

SUBGINGIVAL DEPOSITS

HEALTH=PINK OR MELANIN

NOT HEALTH= RED, BLUISH RED, DIFFUSE REDNESS

TO DETERMINE COMPARE MARGINAL GINGIVA TO ATTACHED GINIGVA

2. CONTOUR (SHAPE)

HEALTHY MARGIN =

FLAT AGAINST TOOTH (KNIFE LIKE EDGE

SCALLOPED

NOT HEALTHLY MARGIN=

ROLLED/ROUNDED MARGIN

RETRACTABLE

HEALTHY PAPILLA=

FLAT AGAINST TOOTH

MIGHT BE POINTED

UNHEALTHY PAPILLA=

BULBOUS

MIGHT BE BLUNTED

MIGHT BE CRATERED

3. CONSISTENCY

HEALTHY=

FIRM

RESIIENT

NOT HEALTHY=

SOFT

SPONGY

CHRONIC INFLAMMATION=

FIBROTIC

4. TEXTURE

HEALTHY=

STIPPLED

ORANGE PEEL

NOT HEALTHY=

SMOOTH

SHINY

NO STIPPLING

CHRONIC INFLAMMATION=

FIBROTIC

5. BLEEDING

HEALTHY=

DOES NOT BLEED

NOT HEALTHY=

BLEEDS ON PROVOCATION= ULCERATION OF SUCULAR EPITHELIUM

6. EXUDATE

HEALTHY= NO PURULENT EXUDATE

DISEASE=

PUS VISIBLE ON DIGITAL PRESSURE OR PROBING

AMOUNT IS UNRELATED TO POCKET DEPTH

7. POSITION OF GINIGVAL MARGIN

HEALTHY=

GINGIVAL MARGIN = 1/2-2MM CORONAL TO CEJ

JUNCTIONAL EPITHELIUM= 1.0-1.5MM CORONAL TO ALVEOLAR BONE

DISEASE=

GINGIVAL MARGIN= MAY MOVE CORONALLY= EDMATOUS OR ENLARGED TISSUE

GINGIVAL MARGIN= MAY MOVE APICAL TO CEJ= EXPOSURE OF ROOT SURFACE & RECESSION

8. MUCOGINIGVAL EXAM