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The gingival tissue between teeth #25 and #26 is erythematous and bleeds easily on probing. The client says it has been "very tender" the past couple of days. Which of the following BEST describes this condition?

User Dunc
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1 Answer

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Final answer:

The tender, erythematous, and bleeding gingival tissue described is indicative of gingivitis, an early stage of periodontal disease. It requires good oral hygiene and possibly professional dental care to prevent progression to periodontitis, which may lead to tooth loss if untreated.

Step-by-step explanation:

The condition described where the gingival tissue between teeth #25 and #26 is erythematous and easily bleeds upon probing, accompanied by tenderness, is indicative of gingivitis. Gingivitis is the inflammatory stage of periodontal disease, where microbial infection from bacteria such as Porphyromonas and Streptococcus causes the gums to become inflamed and irritated, leading to symptoms like redness, swelling, and bleeding. Without adequate dental hygiene, this condition can progress to periodontitis, a more severe form of gum disease. This involves the recession of the gums and potential damage to structures that support the teeth, such as the cementum and alveolar bone. If left untreated, it can cause tooth mobility and loss due to the destruction of these supporting tissues.

Managing gingivitis involves good oral hygiene practices, such as regular brushing and flossing, and professional dental cleanings. In more severe cases, such as those classified as periodontitis or trench mouth, a regimen of antibiotics including tetracycline, doxycycline, or macrolides may be necessary to combat the bacterial infection. Addressing gingivitis promptly is crucial to prevent its progression to more serious conditions that could lead to tooth loss.

User UncleZeiv
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