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
What does tooth loss below 4 mean
Stage III
What does tooth loss above 5 mean
Stage 4
What is radiographic bone loss
Stage 1: 15%
Stage 2: 15 - 33%
Stage 3: mid 1/3 of root
Stage 4: beyond
How do you calculate grade
% loss / age
Smoke less than 10 cpd
Grade B
Smoke more than 10 cpd
Grade C
HbA1c below 7
Grade B
HbA1c above 7
Grade C
Radiographic bone loss of more than 2 mm in 5 years
Grade C
Systemic Disease assoc with perio
A lot of shit
Papillon Le Fevre
Palms, feet, knees hyperkeratosis
Classify necrotizing dx
NUG
NUP
necrotizing stomatitis
Classify Abscess
Perio Pt: in trt/ after trt
Non Perio Pt: Impaction Habit Ortho Ging overgrowth Altered root surface
Classify perio associated with endo lesions
- with root damage
- without root damage
Cairo Rescession classification
1: No interproximal loss
2: Interprox loss less than equal to buccal
3: Interproximal loss above buccal loss
What is peri implant health
No Erythema No BOP No inflamm No changes above 2 mm PD less than 5
What are the case types for insurance
Type 1: Gingivitis
Type 2: Early perio
Type 3: Moderate perio
Type 4: Severe perio
