Risk factors include:
Other Factors:
Calculus Caries/restorations Trauma Ortho appliances Malocclusion Mouthbreathing
Systemic diseases Metabolic eg diabetes, pregnancy Environmental eg drug induced gingival overgrowth DIGO Behavioural eg smoking
Codes and what to do:
0 - healthy gingivae
1 - black band visible BOP - OHI
2 - black band visible Calculus - OHI and supra PMPR
3 - black band partial (shallow pocket 3.5-5.5) - OHI, supra PMPR, sub PMPR
4 - black band not visible (deep pocket >5.5) - Refer to specialist. Do things stated in code 3 whilst waiting for referral.
Define:
Necrotising gingivitis - rare. in developing countries. Painful ulceration at tips of interdental papillae. Halitosis and submandibular lymphadenopathy
Can progress to necrotising periodontitis - caused by fusiform-spirochaetal microbials