classifications of periodontal disease Flashcards
what is clinical gingival health on reduced peridontium ?
- < 10% BOP
- pockets = or less than 4mm
- close 4mm pockets I,e no bop
- loa
- bone loss
- no inflammation
risk of future disease
what are the 3 classifications for periodontal health and gingival disease?
- clinical gingival health on intact or reduced periodontium
- gingival disease induced by dental biofilm
- gingival disease induced by non- dental biofilm
what are the 3 categories of plaque induced gingivitis?
- increase accumulation of plaque biofilm
- systemic or local risk factors
- DIGO
what are examples of plaque induced biofilm due to local and systemic risk factors?
local - Iatrogenic rfs/ anatomical rfs/
systemic- pregnancy- gingivitis or epulis formation
diabetes- poor wound healing or exaggerated response to plaque
what are examples of DIGO?
cyclosporine
phenytoin
amlodipine
nifedipine
what are categories for non biofilm induced gingival disease?
- genetic disorders
- bacterial infections
- fungal infections
- viral infections
- inflammatory and immune conditions
what is an example of a non biofilm induced gingivial diseases by a genetic disorder?
- hereditary gingival fibromatosis
- generalised fibrous tissue enlargement
what is an example of a non-biofilm induced gingival disease by bacterial infection?
gingival diseases caused by
treponema pallidum- syphillus oral manifestations
what is an example of a non-biofilm induced gingival disease by fungal infection?
gingival diseases caused by candida infection
what is an example of a non-biofilm induced gingival disease by viral infection?
gingival diseases caused by:
coxackie virus
primary herpatic gingivostomatisis
what are the classifications of peridontitis?
- necrotising periodontal disease
- periodontitis
- periodontitis as a manifestation of systemic disease
how is necrotising periodontitis categories?
necrotising periodontitis in chronically severly compromised patients
nectrosising periodontitis in temporarily or moderately compromised patients
what forms of necrotising periodontitis for chronically severly compromised patients?
- nectorising gingivitis
- necrotising periodontitis
- necrotising stomattiis
what may be the cause of necrotising periodontitis in severly compromised patients?
- hiv/aids
- severely malnourished
- severe viral infections
what forms of necrotising periodontitis in moderately or temporarily compromised patients?
- necrotising gingivitis
- necrotising periodontitis
what may be the cause of necrotising periodontitis in moderately or temporarily compromised patients?
- smoking
- stress
- poor oh
- previous NPD
what systemic diseases can manifest periodontal disease? (play a role in loss of periodontal tissues)
genetic disorders- down syndrome - reduced neutrophil function
haematological disorders- affect white blood cells e.g myeloid leukaemia
are systemic manifestations modifiable?
no- but there are modifiable systemic factors that are such as smoking, uncontrolled diabetes, certain medications.
what are the other conditions that affect the periodntium?
- iatrogenic or anatomical factors
- mucogingival conditions
- traumatic occlusal factors
- periodontal accesses and endodocntic lesions
what does staging of periodntal disease show?
the severity of the disease
what does grading of periodontal disease show?
susceptibility of an individual to the disease as it measures the rate of progression
what do the gradings of periodontal disease describe?
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
name acute periodontal conditions
- NUG/NUP
- pericoronitis
- peri-implantitis
- perio abscess
- herpatic gingivosomatitis
