Classification Of Preridontal Disease 2017 Flashcards
CLASSIFICATION OF PERIODONTAL AND PERI IMPLANT DISEASE AND CONDITIONS 2017
Periodontal disease and conditions
Periodontal health, gingival disease and conditions
- Periodontal health and gingival health
- Gingivitis dental biofilm-induced
- Gingival disease: non-dental biofilm-induced
CLASSIFICATION OF PERIODONTAL AND PERI IMPLANT DISEASE AND CONDITIONS 2017
Periodontal disease and conditions
Periodntitis
- Necrotizing periodontal disease
- Periodontitis
- Periodontitis as a manifestation of systemic disease
CLASSIFICATION OF PERIODONTAL AND PERI IMPLANT DISEASE AND CONDITIONS 2017
Periodontal disease and conditions
Other conditions affecting the periodontium
- Systemic disease or conditions affecting the periodontal supporting tissues
- Periodontal abscesses and endotontic-periodontal lesions
- Mucogingival deformities and conditions
- Traumatic occlusal forces
- Tooth and prosthesis related factors
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
Gingivitis
Local risk factors of gingivitis
Retentive factors
- tooth anatomy
- sub-gingival restoration margin
Oral dryness
- reduced salivary flow
- reduced quality of saliva
Systemic risk factors of gingivitis
- Smoking
- Metabolic factors
- Malnutrition
- DIGO
- Increased sexual hormones
- Hematological conditions
Inflammatory lesions resulting from interactions between dental plaque biofilm and host immune response contained within the gingiva
Plaque induced gingivitis
How to diagnose plaque induced gingivitis
BY using bleeding on probing score (BOP%) in 6 sites of all teeth present
For ____ and ___ gingival health is define as <10% of bleeding sites with probing depth <-3
Intact periodontum and a reduced and stable periodontum
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 __
Grade 1 - point
PBI ( saxer and Muhlemann 1975 )
A fine line of blood or several bleeding points become visible at the gingival margin
GRADE _
Grade 2 - line / points
PBI ( saxer and Muhlemann 1975 )
The interdental triangle becomes more or less filled the blood
GRADE _ _
Grade 3 - triangle
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 _ _
Grade 4 - drops
Non- plaque induced gingivitis
- Genetic / developmental disorders
- hereditary gingival fibromatosis
- Specific infections
- gonorrhea
- gingival herpes simplex 1
- shingles
- candidiasis
- primary herpetic infection
- coxsackie virus
- Inflammatory and immune conditions
- lichen planus
- systemic lupus erythematosus
- plasma cell gingivitis
- Reactive lesions
- fibrous epulis
- pyogenic granuloma
- giant cell granuloma
- pregnancy epulis
- Neoplasms
- leukoplakia
- SCC
- leukemia (petechiae, ecchymosis)
- Nutritional and metabolic disease
- scurvy
- Traumatic lesions
- toothbrushing induced
- factitious injury (self harm)
- chemical burns
- Gingival pigmentation
- smokers melanosis
- drug induced hyperpigmentations
Stages of radiographic bone loss
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