1989 Periodontics Flashcards
Evolution of the classificaton systems of periodontal disease over the last 50 years
1977
Juvenile periodontitis
Chronic periodontitis
Evolution of the classificaton systems of periodontal disease over the last 50 years
1986
Juvenile periodontitis
- prepubertal
- localized juvenile
- generalized juvenile
Adult periodontitis
Necrotizing ulcerative gingivo-periodontitis
Refractory periodontitis
Evolution of the classificaton systems of periodontal disease over the last 50 years
1989
Early onset periodontitis
A. Perpubertal
- localized
- generalized
B. Juvenile periodontitis
- localized
- generalized
- rapidly progressive
C. Rapidly periodontitis
Adult periodnotitis
NUP
Refractory periodontitis
Periodontitis associated with systemic disease
Evolution of the classificaton systems of periodontal disease over the last 50 years
1999
Gingival disease
A. Dental plaque induced
B. Non-plaque induced
Aggressive periodontitis
A. Localized
B. Generalized
Chronic periodontitis
Necrotizing periodntal disease
A. Necrotizing ulcerative gingivitis
B. Necrotizing ulcerative periodontitis
Periodontitis as a manifestation of systemic disease
Abscesses of the periodntium
Periodntitis associated with endodontic lesions
Developmental or acquired deformities and conditions
Evolution of the classificaton systems of periodontal disease over the last 50 years
2018
Gingival diesease and conditions
Periodontiotis classified according tog to a 2-vector system on the basis of stage and grade
Necrotizing periodntal disease
Periodontitis as a manifestation of systemic disease
Other conditions affecting the periodontium
A most prevalent form of periodontitis
Clinically significant after age 30
Adult periodontitis
Early onset periodontitis
A. Prepubertal
- localized
- generalized
B. Juvenile periodontitis
- localized
- generalized
C. Rapidly aggressive periodontitis
Extremely rare category of periodontits
During or soon after the eruption of deciduous teeth
Perpubertal periodontitis
Causes of prepubertal periodontitis
Abnormalities in host defense
Family history of periodontitis
Microorganisms predominating in the gingival pockets
Localized attachment loss of alveolar bone loss ONLY in the primary dentition in an otherwise healthy child
Appears to arise around or before 4 years of age
Abnormal cementumformation and defective PDL attachment
Localized prepubertal periodontitis
During or soon after te eruption of the primary teeth
Results in severe gingival inflammation and generalized attachment loss, tooth mobility and rapid alveolar bone loss
Generalized prepubertal periodontitis
Primary teeth in generalized prepubertal periodontitis may be lost by __ years of age
3
Treatment for localized and generalized prepubertal periodontitis
Dental curttage
Root planing
Oral hygiene instruction
Restoration of decayed teeth
Removal of primary teeth that have lost bony support
Antibiotics
Uncommon form of periodontitis seen in children and adolescents
Juvenile periodontitis
Characterized by rapid and severe loss of alveolar bone around more than one permanent tooth, USUALLY FIRST MOLARS AND INCISORS
Localized juvenile periodontitis
Etiology of localized juvenile PerioD
Colonization of atinobacillus actinomycetemcomitans
Neutrophil dysfunction
Familial distribution
The treatment for localized juvenile periodontitis
Patient ED
Oral hygiene instructions
Selective extraction
Scaing and root planning of teeth
Surgical curettage odf PDL pocket
Tetracycline
Occurs at or around puberty in older juveniles and young adults
All or most of teeth are affected
Generalized juvenile perioD
Etiology of generalized juvenile periodontitis
Microorganism associated ( porphyromonas gingivalis )
Neutrophil dysfunction
Familial distribution
Two phaes of generalized juvenile perioD
Destructive phase and non destructive phase
Generalized juvenile perioD is frequently associated with ____ syndrome
Down syndrome
Papillon lefevre syndrome
Systemic condiiton may predispose patient to generalized juvenile perioD, include:
Chronic neutrophil defect
Leukocyte adherence deficiency
Treatment for GJP
Medical histories updated and reviewed
PE
Oral hygiene instruction
Periodic scaling and curettage
Antibiotic therapy
Surgical pocket elimination
Extraction of al teeth and replacement with CD
Follow up
Extensive bone loss in a short period of time
May begin in puberty and 30-35years of age
Rapidly progressive periodontitis
