classifications of periodontal disease Flashcards

1
Q

what is clinical gingival health on reduced peridontium ?

A
  • < 10% BOP
  • pockets = or less than 4mm
  • close 4mm pockets I,e no bop
  • loa
  • bone loss
  • no inflammation

risk of future disease

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1
Q

what are the 3 classifications for periodontal health and gingival disease?

A
  • clinical gingival health on intact or reduced periodontium
  • gingival disease induced by dental biofilm
  • gingival disease induced by non- dental biofilm
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2
Q

what are the 3 categories of plaque induced gingivitis?

A
  • increase accumulation of plaque biofilm
  • systemic or local risk factors
  • DIGO
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3
Q

what are examples of plaque induced biofilm due to local and systemic risk factors?

A

local - Iatrogenic rfs/ anatomical rfs/

systemic- pregnancy- gingivitis or epulis formation
diabetes- poor wound healing or exaggerated response to plaque

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4
Q

what are examples of DIGO?

A

cyclosporine
phenytoin
amlodipine
nifedipine

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5
Q

what are categories for non biofilm induced gingival disease?

A
  • genetic disorders
  • bacterial infections
  • fungal infections
  • viral infections
  • inflammatory and immune conditions
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6
Q

what is an example of a non biofilm induced gingivial diseases by a genetic disorder?

A
  • hereditary gingival fibromatosis
  • generalised fibrous tissue enlargement
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7
Q

what is an example of a non-biofilm induced gingival disease by bacterial infection?

A

gingival diseases caused by

treponema pallidum- syphillus oral manifestations

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8
Q

what is an example of a non-biofilm induced gingival disease by fungal infection?

A

gingival diseases caused by candida infection

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9
Q

what is an example of a non-biofilm induced gingival disease by viral infection?

A

gingival diseases caused by:

coxackie virus
primary herpatic gingivostomatisis

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10
Q

what are the classifications of peridontitis?

A
  • necrotising periodontal disease
  • periodontitis
  • periodontitis as a manifestation of systemic disease
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11
Q

how is necrotising periodontitis categories?

A

necrotising periodontitis in chronically severly compromised patients

nectrosising periodontitis in temporarily or moderately compromised patients

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12
Q

what forms of necrotising periodontitis for chronically severly compromised patients?

A
  • nectorising gingivitis
  • necrotising periodontitis
  • necrotising stomattiis
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13
Q

what may be the cause of necrotising periodontitis in severly compromised patients?

A
  • hiv/aids
  • severely malnourished
  • severe viral infections
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14
Q

what forms of necrotising periodontitis in moderately or temporarily compromised patients?

A
  • necrotising gingivitis
  • necrotising periodontitis
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15
Q

what may be the cause of necrotising periodontitis in moderately or temporarily compromised patients?

A
  • smoking
  • stress
  • poor oh
  • previous NPD
16
Q

what systemic diseases can manifest periodontal disease? (play a role in loss of periodontal tissues)

A

genetic disorders- down syndrome - reduced neutrophil function

haematological disorders- affect white blood cells e.g myeloid leukaemia

17
Q

are systemic manifestations modifiable?

A

no- but there are modifiable systemic factors that are such as smoking, uncontrolled diabetes, certain medications.

18
Q

what are the other conditions that affect the periodntium?

A
  • iatrogenic or anatomical factors
  • mucogingival conditions
  • traumatic occlusal factors
  • periodontal accesses and endodocntic lesions
19
Q

what does staging of periodntal disease show?

A

the severity of the disease

20
Q

what does grading of periodontal disease show?

A

susceptibility of an individual to the disease as it measures the rate of progression

21
Q

what do the gradings of periodontal disease describe?

A

grade a- slow progression mainly driven by plaque levels
grade b- mod progression due to additional risk factors present
grade c- high susceptibility patients- loa not consistent with oh levels- rapid progression- high risk of future progression

22
Q

name acute periodontal conditions

A
  • NUG/NUP
  • pericoronitis
  • peri-implantitis
  • perio abscess
  • herpatic gingivosomatitis