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Mr. and Mrs. Jones have been patients in the dental office for several years. Mr. jones...

Mr. and Mrs. Jones have been patients in the dental office for several years. Mr. jones has mild gingivitis while Mrs. Jones has chronic periodontitis that is slowly progressive. Today you are seeing Mrs. Jones for her 3- month maintenance visit. You show mrs. Jones areas of the mouth that exhibit increased attachment loss. Mra. Jones begin to cry and ask : “my husband only comes every 6 months and only gives his teeth a quick brush. I come every 3 months and spend a lot of time on every single day of flossing, using that tiny brush (interdental brush)and carefully brushing. You tell me that I have more bone loss and yet, my husband has NO bone loss. How can this be?!!”

How would you answer Mrs. Jones?

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Answer #1

Healthy gums constitute lack of inflammation, stippling, proper location of free gingival margin. Gingivitis is the inflammation of the gingiva. The cause of gingivitis is plaque accumulation, other factors can modify the development of gingivitis such as endocrine, use of oral contraceptives, Ascorbic acid deficiency gingivitis. But in peridontal disease pappillla, juunctional epithelium, gingival connective tissue and gingival pocket. Gingivitis is a reversible condition, however in dome individuals it progress to destructive form of peridontis. The primary fzctors of peridontal disease are plaque, type of bacteria length of time and patient response to bscteria.

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