Classification of Periodontal Disease Flashcards
what does localised mean?
involving
what does generalised mean?
involving >30% of teeth
types of gingival diseases?
A - plaque induced gingival diseases
B - plaque induced gingival lesions
what are plaque induced gingival diseases?
- associated with plaque only
- modified by systemic factors
- medications modified
- modified by malnutrition
what are gingival diseases modified by systemic factors?
pregnancy associated gingivitis
pyogenic granuloma
diabetes mellitus associated gingivitis
what are gingival diseases modified by drugs ?
drug induced gingival enlargements
what are gingival diseases modified by malnutrition?
ascorbic acid deficiency gingivitis
what are non plaque induced gingival lesions caused by?
viral fungal specific bac genetic systemic - mucotaneous, allergic traumatic lesions
gingival diseases of viral origin?
herpes virus infections
gingival diseases of mucotaneous systemic disorders?
pemphigoign erosive lichen planus
how can chronic periodontisis be classified?
A localised
B generalised
mild/mod/severe
what are some general features of aggressive periodontitis?
systemically healthy patient familial aggregation rapid rate of LOA and bone loss tissue destruction inconsistent with levels of plaque A.a elevated
what are the loa ranges for classifying aggressive perio as mild/mod/severe
mild - 1-2mm LOA
mod - 3-4mm LOA
severe - >5mm LOA
what is localised aggressive periodontitis?
usually onset around time of puberty
localised to 1st molars/incisors
what is generalised aggressive periodontitis?
usually
treatment of aggressive perio?
RSD
tetracycline 250mg 2-3 weeks with RSD
3 categories of periodontitis as a manifestation of systemic disease?
- haematological - acquired neutropenia/leukaemia/other
- genetic - downs/leucocyte adhesion deficiency syndromes, ehlers danlos
- NOS
what is hypophosphotasia?
genetic associated perio
interferes with bone development
premature loss of teeth is common
types of necrotizing periodontal diseases?
necrotizing ulcerative gingivitis
necrotizing ulcerative periodontitis
what is NUG?
necrotizing inflamm disease caused by endogenous infection - spirochates/fusiform
when is NUP seen?
HIV/AIDS ulceration and necrosis of gingivae/pdl/bone rapid tissue destruction + bone loss spont bleeding tooth mobility
3 types of abscesses of the periodontium?
gingival
periodontal
pericoronal
categories of gingival abscesses?
abscesses confined to gingivae
associated with trauma - woodstick etc
types of periodontal abscesses?
periodontal or lateral abscess - localised area of inflammation in which the formation of pus has taken place in the perio tissues
what are types of periodontitis associated with endodontic lesions ?
A. combined periodontic-endodontic lesions
types of developmental or acquired deformities and conditions?
- localised tooth related factors that modify/predispose to plaque induced gingival disease/periodontitis
2 mucogingival deformities and conditions around teeth
3 mucogingival deformities and conditions on edentulous ridge
4 occlusal trauma
types of localised tooth related factors that modify or predispose to plaque induced gingival diseases/periodontitis?
tooth anatomic factors
dental restorations/appliances
root fractures
cervical root resorption and cemental tears
types of mucogingival deformities and conditions around the teeth?
gingival/soft tissue recession lack of keratinized gingivae decreased vestibular depth aberrant frenum gingival excess abnormal colour
types of occlusal trauma?
primary occlusal trauma - healthy periodontium
sendondary - periodontitis and trauma