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Year : 2011  |  Volume : 9  |  Issue : 6  |  Page : 600-606

Associations Between Bleeding and Visual Signs of Interdental Gingival Inflammation

Department of Periodontology & Oral Implantology, National Dental College & Hospital, Gulabgarh, Derabassi, Distt. SAS nagar, Mohali (Punjab), India

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Background: In periodontal disease, detection of inflammatory lesions in gingival tissues is essential for diagnosis and monitoring therapeutic effectiveness. Both visual signs of inflammation and bleeding on stimulation are clinically used for evaluating interdental gingival status and have been shown to be correlated with the presence of an inflammatory cell infiltrate in gingival tissue. Objective: The objective of the study was to explore the associations between bleeding and visual signs of interdental gingival inflammation and to evaluate which bleeding index i.e. Eastman interdental bleeding index (EIBI) and Papillary bleeding index (PBI) is more sensitive for detecting these interdental lesions. Materials and Method: The study population consisted of 50 male dental students aged 18 through 30 years. Each interdental site on the facial and lingual/palatal (excluding third molars) was examined for visual signs of inflammation and gingival bleeding by utilizing two bleeding indices (EIBI, PBI) which were performed on alternate sides of the mouth on every other subject. Results: In our study visual examination, EIBI, PBI detected 58.6%, 86.07%, 79% of inflamed interdental gingival sites respectively. In comparative assessment of different regions of oral cavity, EIBI has detected higher percentage of inflamed interdental sites in lingual and posterior locations in oral cavity than visual examination and PBI method. Conclusion: The results of the present study emphasize the importance of bleeding determinations for assessing interdental gingival status and EIBI found to be more sensitive indicator for detecting interdental inflammatory lesions than PBI.

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