Question

Which of the following conditions is MOST likely to exist for a client with type 1 diabetes mellitus, generalized gingival inflammation, localized 4-mm probe readings due to pseudopockets, and no clinical or radiographic evidence of bone loss?

1) Periodontitis
2) Gingivitis
3) Pericoronitis
4) Dental caries

Answer 1

The condition most likely present in the client with generalized gingival inflammation without bone loss is gingivitis, which is inflammation of the gums and can be treated with good oral hygiene and professional dental care.

Step-by-step explanation:

In the case of a client with type 1 diabetes mellitus, generalized gingival inflammation, localized 4-mm probe readings due to pseudopockets, and no clinical or radiographic evidence of bone loss, the condition most likely present is gingivitis. Gingivitis is characterized by inflammation and irritation of the gums, which may lead to occasional bleeding, as per Figure 24.10 (b). The absence of bone loss helps to differentiate gingivitis from periodontitis, which involves recession of the gums and potential damage to the cementum and jawbone.

Effective treatment for gingivitis includes maintaining good dental hygiene and professional dental cleaning, which may include antibiotics for severe cases as highlighted in Figure 24.9.