Gums
This point in the examination presents an opportune time to reinforce regular dental visits. If gum recession is noted, it can be a sign of improper brushing technique and a chance to advise the patient to use either a soft brush or electric oscillating brush in small circular strokes. It is also a good time to reinforce the value of regular flossing.
- Fold the lower lip down and upper lip up to see the anterior gums.
- Use a tongue blade to retract the cheeks and look at the lateral gums.
- Note inflammation, plaque or debris at the gumline, or gingival recession.
- If plaque is noted, this is a teachable moment about daily flossing and more frequent, proper brushing.
Upper
Plaque Along Gumline
Lower
Normal, hereditary pigmentation of the gingiva
Mark Deutchman, MD
Mark Deutchman, MD