She now has a maxillary arch expander and a mandibular retainers. Your records indicate that HH usually has excellent oral hygiene. In the past, the gingival tissue has been pink and firm with no bleeding. Today, however, HH presents with generalized red, inflammed gingival tissue. The tissue bleeds easily especially in the anterior region.
Plaque control is very poor with significant soft deposit and some localized hard deposits.
The retainers have a coating of plaque and soft debris on the palatal surface.