Intraoral examination The soft tissue examination of the gingiva revealed spontaneous bleeding on slightest provocation. Red, soft, edematous gingiva was present with loss of stippling. There was generalized gingival enlargement. Rest of the oral mucosa including palate and tongue were normal on inspection and palpation. There was caries in relation to 24, 26, and 28. Grade III calculus and extrinsic stains were present because of absence of tooth brushing due to the fear of uncontrolled gingival bleeding during the same.