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This Concept Map, created with IHMC CmapTools, has information related to: GROUP 2 CONCEPT MAP DRAFT (LATEST 11 46PM), Gram Positivee Streptococci and Actinomyces with 15% Gram negative rod species, Established lesion without Apical epithelial migration, MICROBIAL COMPOSITION predominantly GRAM POSITIVE AEROBIC OR FACULTATIVE AEROBIC, Activation of cytotoxic T-cells produces high levels of GCF exudate, Early Lesion presents with Degeneration of fibroblasts, Increase in vascular structure in terms of size, teeth and other oral surfaces to form "acquired pellicle", 5% of the connective tissue volume composed of Lymphocytes, Inflammatory infiltrates comprised of Mostly plasma cells, PRISTINE GINGIVA progresses to CLINICALLY HEALTHY GINGIVA, Red/Bright Red color Not firm consistency Possible bleeding with gentle probing Bulbous interdental Papilla EARLY GINGIVITIS, Sparse neutrophil migration located at coronal part of junctional epithelium, 30-60 minutes after toothbrushing on teeth and other oral surfaces, MICROBIAL COMPOSITION Increased microbial load (10^4-10^6 microorganisms) Microbial load (10^4-10^6 microorganisms), weak attachment forces such as van der Waals force, inflammatory infiltrate at the junctional epithelium consists of very few plasma cells, Further migration of Epithelial rete pegs, fructans provide storage for energy, chemical mediators such as matrix metalloproteinases, Coral Pink Color Firm Consistency Scalloped Interdental Papilla Stippled/Orange-Peel Appearance CLINICALLY HEALTHY GINGIVA