A method (500) for localizing gingival inflammation using an oral care device (10), the method comprising: (i) emitting (520) light at a first intensity by a light emitter (42); (ii) obtaining (530) first reflectance measurements by a light detector (40) from locations within the user's mouth to generate first reflectance data; (iii) determining (540), by a controller (30) from the first reflectance data, whether the location comprises gingiva; (iv) automatically adjusting (550), based at least in part on the first reflectance data, the intensity of a light emitter to a second intensity different from the first intensity, and/or automatically adjusting (550) a gain of a light detector; (v) obtaining (560) a second plurality of reflectance measurements by the light detector of the oral care device for at least some of the locations; and (vi) determining (570), using the second plurality of reflectance measurements, whether gingiva at the location is inflamed.