Candice and Ashley
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PLAQUE-INDUCED GINGIVAL DISEASE Gingivitis associated with dental plaque only- Without local contributing factor With local contributing factors
  1. What this type of gingival disease would look like clinically
  2. What this type of gingival disease would look like radiographically
  3. Specific organism assoicated with the gingival disease
  4. How would you diagnosis this- what would your differential diagnosis be?

*Gingivitis is characterized by the presence of clinical signs of inflammation confined to the gingiva and associated teeth showing no attachment loss or on periodontium with attachment loss that is stable and not in progress.
*Plaque induced gingivitis is a result of an interaction between microorganisms found in dental plaque and the tissues and inflammatory cells of the host.

Without Local Contributing Factors: Bacterial plaque is the cause of the most common form of gingivitis, factors that influence the oral hygiene status of individuals would likely influence the prevalence of gingivitis. Gingivitis is a completely reversible provided that all local irritants are eliminated.

Local Contributing Factors: there are four subgroups
1.Tooth Anatomic Factors- are associated with malformations of tooth development or tooth location.
2.Dental Restoration or Appliances-are associated with the development of gingival inflammation, especially when located subgingivally
3.Root Fractures- may lead to periodontal involvment through an apical migration of plaque along the fracture when it originates coronal to the clinical attachment and is exposed to the oral environment
4.Cervical Root Resorbtion and Cemental Tears-may lead to periodontal destruction when the lesion communicates with the oral cavity and allows bacteria to migrate subgingivally.
Clinically : it would look erythmatous at the gingival margin, loss of stippling and edematous
Radiographically: No related manifestations
Specific organism associated: gram positive rods and cocci including Streptococcus mitis, S. sanguis, Actinomyces viscouse, A. naeslundii and Eubacterium species.
How to diagnose Inflammation of gingival tissues, loss of stippling and bleeding on probing Differential: Gingival diseases of specific bacterial origin, gingival diseases of viral origin, gingival diseases of fungal origin, gingival lesions of genetic origin and gingival manifestations of systemic conditions