PLAQUE INDUCED GINGIVITIS:-

STAGES ----------- FINDINGS ------------- CELLS INVOLVED
---------------------------------------------------------------------------
INITIAL GCF ----- 1ST sign of gingivitis --- PMNL or neutrophils

ACUTE ------------ bleeding on probing, definitive sign of gingivitis ---- T - lymphocytes

CHRONIC / ESTABLISHED ----- edematous or fibrous – smokers plasma / B – lymphocytes (7-
21 days)

ADVANCED -------- onset of PDL destruction plasma/B lymphocytes


CONDITIONAL GINGIVITIS :-
 All these plaque induced gingivitis
 Systemic conditions — pregnancy, DM, Leukemia, puberty
 PREGNANCY GINGIVITIS:-
 P.intermedia – orange complex
 Begins 2nd/3rd
 Disappears in 9th month.

 PREGNANCY TUMOUR
 EPULIS GRAVIDIUM:— kind of Angio-granuloma or pyogenic granuloma (old name) ie bleeding on touch
o Irritation of interdental papilla results in tumor like growth at papilla
 Rx
o Scaling  best time is 2nd trimester (remove irritant)

NB: safest antibiotic in pregnancy – Amoxycillin *