Chapter 5 - The classification of periodontal disease Flashcards
Why is it useful to give a classification of periodontal disease?
to collect clinical information together in order to rationally plan treatment
AAP stands for what? how is it relevant
American Association of Periodontology
they made a periodontal disease classification in 1999
define chronic gingivitis
the long term inflammation of the ginigvae
what is the most common cause of gingivitis?
plaque accumulation at the gingival margins that is not being effectively cleaned away by the patient
gingivitis is different from periodontitis because it is …
reversible
What are the clinical signs of gingivitis? (8)
- erythema (redness)
- oedema (swelling)
- pain/tenderness (not common)
- bleeding on brushing/probing
- initial swelling & redness of the papillae
- secondary swelling & redness of the gingival margins
- true pocket no more than 3mm
- same level of attachment of the gingivae to the tooth
how long does it take for gingivitis to occur?
if there is undisturbed plaque for 2-3 days
define chronic periodontitis
the progressive destruction and loss of attachment of the periodontal structures supporting the teeth. namely the pdl, connective tissue and alveolar bone
when is it classed as deep poketing?
6mm or above
what is thought to cause the initiation of periodontitis?
an individuals change in behaviour to cytokines
what are cytokines?
substances that regulate the movement of immune system defending cells
what does this change in behaviour lead to?
asymptomatic bone and connective tissue destruction
what would the theory that there is a genetic element to periodontitis explain?
that there is commonly several members of the family with chronic periodontitis
you cannot “treat” susceptibility but what can you treat?
prevent in the first place with OHI and then RSD with regular monitoring fot them afterwards
