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Gingival Index

This document provides instructions for calibrating examiners on the Gingival Index, a tool for assessing gingivitis. It emphasizes using light probing pressure to detect bleeding rather than measuring pocket depth. Examiners should evaluate gingival color, consistency, and contour and assign a score of 0-3 for each tooth based on inflammation level, with a score of 2 indicating bleeding upon probing. The principles section describes using 20 grams of force, sensed by pressing the probe tip under the thumbnail, and examining all teeth before recording scores.

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851 views10 pages

Gingival Index

This document provides instructions for calibrating examiners on the Gingival Index, a tool for assessing gingivitis. It emphasizes using light probing pressure to detect bleeding rather than measuring pocket depth. Examiners should evaluate gingival color, consistency, and contour and assign a score of 0-3 for each tooth based on inflammation level, with a score of 2 indicating bleeding upon probing. The principles section describes using 20 grams of force, sensed by pressing the probe tip under the thumbnail, and examining all teeth before recording scores.

Uploaded by

Juwita Tiara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Oral Health

Training & Calibration Programme

Gingival Index

1
Calibration Challenge

 Probing by the first examiner increases likelihood of bleeding


found by next examiner

 Therefore the training will focus on the technique rather than


actual score

2
Principles

Sensing force - 20 grams


test this by placing the probe tip under the thumb nail and
press until blanching occurs

3
Gingival index: Index teeth

7 6 543 2 1 12 3 4 567

7 6 5 4 321 1 23456 7

No substitutes except deciduous teeth for permanent


(55 52 64 75 72 84)

Permanent teeth take precedence

4
Gingival index
Gingival Examination
Evaluate tissue changes in terms of:
Color
coral pink vs. deep red

Consistency
firm, resilient vs. edematous/fibrotic

Contour
knife-edge margins vs. rolled margins
Scalloped papilla vs. bulbous/thickened papilla

5
Gingival index
 No substitutes allowed

 The index assesses the severity and prevalence of gingivitis by examining


only the qualitative changes

 Use the probe as a sensor


(do not probe the pocket/sulcus depth)

 Assess the mesial, distal, facial and lingual

 Consider sensing all teeth in an arch then recording the score


allows time for bleeding to occur

6
Gingival Index – On All Ages

 Dry lightly with cotton rolls

 Use Williams probe

 20g pressure (blanch nail bed)

 Do not probe around implants

 Angle of probe tip to follow anatomical configuration of


tooth – follow the long axis of the tooth

7
Gingival Index (Loe & Silness 1963)
0. Absence of inflammation

1. Mild inflammation; slight change in colour and little


change in texture. No bleeding on probing

2. Moderate inflammation; moderate glazing, redness,


oedema and hypertrophy; bleeding on sensing

3. Severe inflammation; marked redness and oedema;


tendency to spontaneous bleeding; ulceration

4. Permanent and primary tooth missing

8
Stages of Inflammation

0. Absence of
inflammation

1. Mild inflammation;
slight change in
colour and little
change in texture

9
Stages of Inflammation

2. Moderate inflammation; moderate


glazing, redness, oedema and
hypertrophy; bleeding on pressure

3. Severe inflammation; marked


redness and hypertrophy; tendency
to spontaneous bleeding; ulceration

10

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