Gingival Diseases

 Dental Plaque Induced Gingival Diseases-Accumulation of plaque

 Non- Dental Plaque Induced Gingival Lesion

Page and Schroeder

Stage 1 Gingival Inflammation: The Initial Phase or Subclinical Phase- early bacterial accumulation and
not seen clinically but can only be seen in microscope. Not apparent. Dilated capillaries and increasing
blood flow.

-Dental plaque starts pellicle formation from supragingival plaque and further on the deeper part
especially on subgingival plaque.

Stage 2 of Gingival Inflammation: The Early Stage- one week after beginning of plaque accumulation
cytokines, prostaglandins, mmp- cause destruction of connective tissue; swelling and erythema in the
area, and bleeding probe. Thinning and ulceration of the sulcus. Mild to moderate

Stage 3 of Gingival Inflammation: Subgingival Plaque Phase or Established Gingivitis- erythema due to
proliferation of capillaries, 70% collagen is destroyed, PMNS warming