Classification of disease Flashcards
On a site level how is clinical gingival health classified
BOP below 10%
No PD above 4 mm
What are gingival disease / conditions
Gingivitis:
- Biofilm induced
- Mediated by systemic/local
- Drug induced gingival enlargement
- Non biofilm induced
- Inflamm immune
- Reactive
- Neoplasam
- Endocrine
- Trauma
What determines periodontal health
Microbiology, host and environment
Plaque composition Health Genetics Local - PD Smoking Medication Stress Genetics
What is the classification of periodontal disease
Staging
Grading
Extent
What forms of periodontal disease recognized
Periodontitis
Perio as a systemic manifestation
Necrotizing
What is stage 1
CAL 1 - 2 mm
Radio BL 15%
PD 3 - 4 MM
What is stage 2
CAL 3 - 4 mm
Radio BL 15 - 30%
PD 4 - 5 mm
What is stage 3
CAL above 5 Radio BL mid 1/3 of root PD above 6 mm Furc 2/3 Perio TL below 4
What is stage 4
CAL above 5 Radio BL beyond mid 1/3 of root Vertical defect above 3 mm PD above 6 mm Grade 2/3 furcation less than 20 teeth more than 5 teeth loss
What is grading
Progression
What is Grade A
Slow bone loss below 0.25/year
What is Grade B
Moderate bone loss 0.25 - 1.0/yr
What is Grade C
Rapid Bone loss above 1
What is localized
Less than 30% of sites
What is generalized
More than 30% of sites