Plaque-Induced Gingivitis
Description
A periodontal disease that involves inflammation of the gingiva in response to the bacteria that is located at the margins. Plaque induced gingivitis is the most
common form of gingival disease. Studies are showing that the amount of plaque
that accumulates on individuals teeth can differ from individual to individual
based on the host related factors such as genetics. Gingival bleeding is used as a primary outcome to determine the severity of the inflammation.
Diagnostic Factors
Some factors that help to diagnoses Plaque-Induced Gingivitis are:
> Mild Inflammation of the gums due to plaque build up
> Red or swollen gums
> Gums that bleed easy
Classification Using AAP
There are many classification of plaque induced gingivitis:
A) Plaque induced gingival disease
1) Gingivitis associated with dental plaque biofilm only
a) Without local and contributing factors
b) With local contributing factors
2) Gingival disease modified by systemic factors
a) Associated with endocrine system
1) Puberty associated gingivitis
2) Menstrual cycle associated gingivitis
3) Pregnancy associated gingivitis
a) Gingivitis
b) Pyogenic granuloma
c) Associated with blood dyscrasias
1) Leukemia associated gingivitis
2) Other
Etiology and Prevalence
Pathogens associated with this disease are streptococcus mutans and fusobacterium and actinobacteria. It is more common in men than women, because men have less desire for oral hygiene, particularly around puberty at about the age of 12-17. There is also another component to the disease called non plaque induced gingivitis, this is not caused by bacterial plaque or biofilm, but can result from:
> Viral infections
> Fungal Infections
> Allergic reactions
> Mechanical Trauma
Gingival disease of specific bacterial orgin is becoming more common, especially those associated with STD’s.
Patient Education
In order to educate this patient its important to take into consideration the demographics of the patient. How old is the patient, how are they doing with there oral hygiene at home, is the main issue just plaque alone, or are there other factors involved. If it is just the plaque alone causing the gingivitis the first step is to do DI-S, have the patient show you how they brush there teeth, and go over some methods to help them improve their oral condition. Educate the patient on the importance of their oral health, and discuss how gingivitis can only get worse if left untreated.
Treatment
To treat this patient, I would do a prophylaxis and put them on a six month recall. It is important in keeping the patient mindful that the condition can only be improved if they follow up with proper up keeps at home.
APA
References
Trombelli, L., Scapoli, C., Calura, G., & Tatakis,
D. (2006). Time as a factor in the identification of subjects with different
susceptibility to plaque-induced gingivitis. Journal Of Clinical
Periodontology, 33(5), 324-328.
A periodontal disease that involves inflammation of the gingiva in response to the bacteria that is located at the margins. Plaque induced gingivitis is the most
common form of gingival disease. Studies are showing that the amount of plaque
that accumulates on individuals teeth can differ from individual to individual
based on the host related factors such as genetics. Gingival bleeding is used as a primary outcome to determine the severity of the inflammation.
Diagnostic Factors
Some factors that help to diagnoses Plaque-Induced Gingivitis are:
> Mild Inflammation of the gums due to plaque build up
> Red or swollen gums
> Gums that bleed easy
Classification Using AAP
There are many classification of plaque induced gingivitis:
A) Plaque induced gingival disease
1) Gingivitis associated with dental plaque biofilm only
a) Without local and contributing factors
b) With local contributing factors
2) Gingival disease modified by systemic factors
a) Associated with endocrine system
1) Puberty associated gingivitis
2) Menstrual cycle associated gingivitis
3) Pregnancy associated gingivitis
a) Gingivitis
b) Pyogenic granuloma
c) Associated with blood dyscrasias
1) Leukemia associated gingivitis
2) Other
Etiology and Prevalence
Pathogens associated with this disease are streptococcus mutans and fusobacterium and actinobacteria. It is more common in men than women, because men have less desire for oral hygiene, particularly around puberty at about the age of 12-17. There is also another component to the disease called non plaque induced gingivitis, this is not caused by bacterial plaque or biofilm, but can result from:
> Viral infections
> Fungal Infections
> Allergic reactions
> Mechanical Trauma
Gingival disease of specific bacterial orgin is becoming more common, especially those associated with STD’s.
Patient Education
In order to educate this patient its important to take into consideration the demographics of the patient. How old is the patient, how are they doing with there oral hygiene at home, is the main issue just plaque alone, or are there other factors involved. If it is just the plaque alone causing the gingivitis the first step is to do DI-S, have the patient show you how they brush there teeth, and go over some methods to help them improve their oral condition. Educate the patient on the importance of their oral health, and discuss how gingivitis can only get worse if left untreated.
Treatment
To treat this patient, I would do a prophylaxis and put them on a six month recall. It is important in keeping the patient mindful that the condition can only be improved if they follow up with proper up keeps at home.
APA
References
Trombelli, L., Scapoli, C., Calura, G., & Tatakis,
D. (2006). Time as a factor in the identification of subjects with different
susceptibility to plaque-induced gingivitis. Journal Of Clinical
Periodontology, 33(5), 324-328.