DH 79 Chapter 5 Class Activity

Activity Instructions

In groups you will be assigned an activity slide

• Place your names in the note box below
• You have 10-15 minutes to complete
• For discussion, each group will present to the class your activity and answers

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Health Tina, Vianey Kiley Inflammation

Light pink gingiva

Stippled

Firm Consistency

No clinical attachment loss

Knife edged Papilla

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Bleeding on probing

Pain*

Edema

Erythema

Active disease

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Activity 1 LIST CHARACTERISTICS OF A PERIODONTITIS PATIENT WITH

Activity 1

Activity 2

• Find 2 different pictures showing inflamed gingiva (gingival disease with no CAL) online and copy/paste onto the slide.
• Create a precise verbal descriptor of each patient’s gingival condition for your clinical notes.
• Include any other information you have learned to describe your picture.

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Tissue: red, bulbous papilla, shiny

Generalized inflammation Marginally and localized diffused in posterior

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(Ally, Julianna & Rajya)

Activity 2

Generalized marginal inflammation with localized diffused 22-27

Tissue: shiny, dark red, bulbous papilla and rolled margins. Inflamed

Activity 3

A patient new to your dental team has been appointed with you for a dental prophylaxis. The patient has just relocated to your town. The patient tells you that he saw a dentist just before moving who told him that he has gingivitis. During your discussion with the patient, he asks if there is some way he can tell at home if he has gingivitis.

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How might you reply to this patient’s question?

Activity 3

Gingivitis is generally indicated by redness, swelling, pain, bleeding and could be from poor biofilm control or your immune host response.

The following are some questions you can ask yourself to self assess at home:

Do you bleed when you brush and or floss?

Do you have gum sensitivity when flossing?

Do you feel your gums are inflamed or swollen?

Do you think your gums look more red in color than pink?

Do you feel or see any of these symptoms generally throughout your mouth or in any specific areas?

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Stephanie C, Kelsie, Selena

Activity 4

• Find a picture of inflamed gingiva (gingival disease) online and copy/paste onto the slide.
• Create a precise descriptor of the gingival fibers potentially affected.
• Include any other information you have learned to describe your picture.

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Kelly, Sara, Gerardo

Activity 4

Activity 5

Reading through your patient’s treatment notes from the previous visit, you notice the clinician documented “presence of gingival inflammation.” explain why this statement is not adequate in order to provide quality patient treatment.

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What would you add to the description to provide another clinician with a clear verbal description of the clinical features of the patient’s gingival tissues?

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Jackalin, Andrea, Ashley

What extent is the inflammation Localized or generalized?

Where is it located?

Red, blue, the color?

marginal , papillary or diffuse?

Any texture of the tissue?

BOP? Probing depth?

Was the gingival inflammation there before hand or did it just happen?

What level of biofilm is it?

Activity 5

Activity 6

• Find a picture of healthy gingiva (with advanced CAL) online and copy/paste onto the slide.
• Create a precise descriptor of the gingival tissue and pathway of destruction.
• Include any other information you have learned to describe your picture.

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Generalized pink, stippled, firm, blunted papilla with generalized CAL due to severe bruxism and occlusal trauma. Generalized Health with reduced periodontium. Severe root exposure present.

Activity 6

Tahnee, Adriana, Aliyah

Activity 7

• Find a picture of a patient that shows signs of periodontitis online and copy/paste onto the slide
• Discuss in your own words the stages of the lesion your patient experienced to be where they are now.
• Include any other information you have learned to describe your picture.

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Periodontitis

Advance lesion stage IV visible alveolar bone loss with visible apical migration of JE

Activity 7

Activity 8- Your patient has advanced periodontal lesions

• Find a 2 pictures of a radiograph showing RBL. One showing horizontal and the second showing vertical online and copy/paste onto the slide.
• In your own words discuss the lesion and the path of destruction for both and posible bony wall defect for the vertical image.
• Include any other information you have learned to describe your picture.

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Activity 8

Jennifer, Stephanie D. , Valerie

Horizontal bone loss is described as the path of least resistance. The path it goes is :

1) gingival connective tissue

2) alveolar bone

3) PDL

Vertical bone loss is:

1) Gingival connective tissue

2) PDL

3) alveolar bone

Vertical is less common, and results in an uneven result in bone height.

Horizontal is the most common of bone loss.

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Vertical bone loss in photo is one wall intrabony defect because it has 2 walls missing.. B& L.

HORIZONTAL BONE LOSS

VERTICAL BONE LOSS