Fibrotic Gingiva: Seeing Healthy Tissue that is Actually Diseased

Sumary of Fibrotic Gingiva: Seeing Healthy Tissue that is Actually Diseased:

• Radiographs show generalized mild to moderate horizontal bone loss, and probing depths are generally 2-4 millimeters with localized 5-millimeter pockets..
• It was then I realized that this patient had a mouthful of calculus hiding under a set of fibrotic gingiva, causing active periodontal disease..
• The point is, we’ve got to do some thorough digging (sometimes literally!) to make a proper periodontal diagnosis and treatment plan..
• We often look for little spicules or large ledges, but entirely miss the kind that comes hand in hand with fibrotic gingiva – the grainy sheets covering entire root surfaces, oh so easily escaping our notice….

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From TodaysRDH - April 7, 2021