Classification Of Preridontal Disease 2017 Flashcards

1
Q

CLASSIFICATION OF PERIODONTAL AND PERI IMPLANT DISEASE AND CONDITIONS 2017
Periodontal disease and conditions

Periodontal health, gingival disease and conditions

A
  1. Periodontal health and gingival health
  2. Gingivitis dental biofilm-induced
  3. Gingival disease: non-dental biofilm-induced
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2
Q

CLASSIFICATION OF PERIODONTAL AND PERI IMPLANT DISEASE AND CONDITIONS 2017
Periodontal disease and conditions

Periodntitis

A
  1. Necrotizing periodontal disease
  2. Periodontitis
  3. Periodontitis as a manifestation of systemic disease
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3
Q

CLASSIFICATION OF PERIODONTAL AND PERI IMPLANT DISEASE AND CONDITIONS 2017
Periodontal disease and conditions

Other conditions affecting the periodontium

A
  1. Systemic disease or conditions affecting the periodontal supporting tissues
  2. Periodontal abscesses and endotontic-periodontal lesions
  3. Mucogingival deformities and conditions
  4. Traumatic occlusal forces
  5. Tooth and prosthesis related factors
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4
Q

Characterized by the presence of any of the following clinical signs:

redness and sponginess of the gingival tissue, bleeding on provocation, changes in contour, and presence of calculus or plaque with no radiographic evidence of crestal bone loss

A

Gingivitis

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5
Q

Local risk factors of gingivitis

A

Retentive factors
- tooth anatomy
- sub-gingival restoration margin

Oral dryness
- reduced salivary flow
- reduced quality of saliva

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6
Q

Systemic risk factors of gingivitis

A
  1. Smoking
  2. Metabolic factors
  3. Malnutrition
  4. DIGO
  5. Increased sexual hormones
  6. Hematological conditions
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7
Q

Inflammatory lesions resulting from interactions between dental plaque biofilm and host immune response contained within the gingiva

A

Plaque induced gingivitis

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8
Q

How to diagnose plaque induced gingivitis

A

BY using bleeding on probing score (BOP%) in 6 sites of all teeth present

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9
Q

For ____ and ___ gingival health is define as <10% of bleeding sites with probing depth <-3

A

Intact periodontum and a reduced and stable periodontum

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10
Q

PBI ( saxer and Muhlemann 1975 )

20-30 seconds after probing, the mesial and distal sulci with a periodntal probe, a single bleeding point is observed

GRADE __

A

Grade 1 - point

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11
Q

PBI ( saxer and Muhlemann 1975 )

A fine line of blood or several bleeding points become visible at the gingival margin

GRADE _

A

Grade 2 - line / points

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12
Q

PBI ( saxer and Muhlemann 1975 )

The interdental triangle becomes more or less filled the blood

GRADE _ _

A

Grade 3 - triangle

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13
Q

PBI ( saxer and Muhlemann 1975 )

Profuse bleeding, immediately after probing, blood flows into the interdental area to cover portions of the tooth and/or gingiva

GRADE _ _

A

Grade 4 - drops

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14
Q

Non- plaque induced gingivitis

A
  1. Genetic / developmental disorders
    • hereditary gingival fibromatosis
  2. Specific infections
    • gonorrhea
    • gingival herpes simplex 1
    • shingles
    • candidiasis
    • primary herpetic infection
    • coxsackie virus
  3. Inflammatory and immune conditions
    • lichen planus
    • systemic lupus erythematosus
    • plasma cell gingivitis
  4. Reactive lesions
    • fibrous epulis
    • pyogenic granuloma
    • giant cell granuloma
    • pregnancy epulis
  5. Neoplasms
    • leukoplakia
    • SCC
    • leukemia (petechiae, ecchymosis)
  6. Nutritional and metabolic disease
    • scurvy
  7. Traumatic lesions
    • toothbrushing induced
    • factitious injury (self harm)
    • chemical burns
  8. Gingival pigmentation
    • smokers melanosis
    • drug induced hyperpigmentations
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15
Q

Stages of radiographic bone loss

A

Stage 1: <15% bone level
Stage 2: coronal 1/3 of root
Staeg 3: middle 1/3 of root
Stage 4: apical 1/3 of root

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16
Q

Stages of periodontitis

A

Stage 1 - incipient periodontitis
Stage 2 - moderate periodontitis
Stage 3 - periodontitis with potential for additional tooth loss
Stage 4 - advanced periodontitis with extensive tooth loss and periodontal loss of dentition

17
Q

Grading based on % of bone loss / age

GRADE _ - Maximum bone loss is < half of patient’s age

A

GRADE A

18
Q

Grading based on % of bone loss / age

Assigned otherwise; more than half of the patient’s age but bone loss did not exceed patient’s age

A

GRADE B

19
Q

Grading based on % of bone loss / age

Maximum bone exceeds patient’s age

A

GRADE C