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Microscopic examination: -Leucocyte(mainly Lymphocyte-75%T Cells)infilterate in CT below JE -Some neutrophils,macrophages,plasma cells&mast cells -JE densely infilterated with neutrophils&show development of rete pegs/ridgesħ STAGE II GINGIVITIS(EARLY LESION)Contd.ħ0%collagen destruction around cellular infilterate Circular&Dentogingival group fibers mostly affected PMNs reach in to pocket(chemotactic stimuli) PMNs-phagocytosis(release of lysosomes to engulf bacteria) MMPs-extracellular matrix remodelling(7days)Ĩ STAGE III GINGIVITIS(ESTABLISHED LESION)Ģ/3wk after accumulation of plaque Predominance of plasma cells&B lymphocyte Creation of small gingival pocket lined with pocket epithelium B cells predominently IgG1&IgG3 subclasses Vessels engorged ,congested&venous return impaired&blood flow sluggish Result localized gingival anoxemia-bluish hue on the reddened gingivaĩ STAGE III GINGIVITIS(ESTABLISHED LESION contd.Įxtravastion of erythrocyte in to CT&brekdown in to component pigments can deepen the color of inflamed gingiva Collagenolytic activity increased in inflammed gingival tissue Increased level of ALP,β-glucuronidase,glactosidase,glucocidase,esterase,aminopeptidase&cytochrome oxidase Decreased neutral mucopolysaccharideġ0 STAGE III GINGIVITIS(ESTABLISHED LESION contd. Microscopically: -widening of small capillaries/venules -adherence of neutrophils to vessle walls (margination)-1wk/early as 2 days after plaque accumulation -PMNs(diapedesis,emigration) –CT,JE&GS -Exudation of fluid from GS&extravascular protein are presentĮvolves from the initial lesion After 1wk of plaque accumulation Erythema Bleeding on Probing Gingival fluid flow Transmigrating leukocyte maximum-6&12daysĦ STAGE II GINGIVITIS(EARLY LESION)Contd… Stage II Gingivitis(Early lesion) Stage III Gingivitis(Established lesion) Stage IV Gingivitis(Advanced lesion)įirst manifestation Vascular changes Dilated capillaries Blood flow increased Initial inflammatory changes due to microbial activation of resident leukocytes & subsequent stimulation of endothelial cells Subclinical gingivitisĤ STAGE I GINGIVITIS(INITIAL LESION) Contd…
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One of the accreditation functions is the assessment of the knowledge, clinical skills and professional attributes of overseas trained dental practitioners who are seeking registration with the DBA to practise in Australia.Presentation on theme: "GINGIVAL INFLAMMATION"- Presentation transcript:Ģ INTRODUCTION Stage I Gingivitis(Initial lesion) MCQs in DentistryĪmazon Advertising Find, attract, and engage customers.

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