Clinical features of PDD Flashcards
what is periodontal disease
group of related inflammatory conditions affecting the supporting tissues of teeth indicated by plaque and which may be modified by the host defence system
what happens in PDD
interdental papilla shrinks away
clinical features of healthy periodontium
pale pink gingiva
firm and stippled
knife edge gingiva margin
upon probing there should be no bleed
signs of PDD
red oedematous inflamed loss of stippling rolled gingival margin periodontal pocketing bone loss teeth driftijng tooth mobility halitosis plaque and calculus present recession of gum
what colour can plaque and calculus become
blacker as it takes on pigment
classifications of PDD
divided into 4 sections
what is peri implantis
bone loss around the implant
if it is biofilm inched it is..
related to plaque
biofilm induced gingivitis
inflammatory lesion resulting from interactions between plaque and the hosts immune inflammatory repsonce
what causes the classification of gingivitis
10% or more sites bleeding
how does smoking affect gums
less supply to the gums when smoking due to vasoconstriction
what level does plaque have to be for intervention from dentist
below 40%
gingival overgrowth
drug induced
using BPE probe will lead to a false reading
non biofilm induced gingival diseases
variety of conditions not caused by plaque and not usually resolved following plaque removal
- may be due to systemic condition or localised in oral cavity
causes of non biofilm induced gingival diseases
thermal tramua - ulceration
herpes simples
pregnancy gingivitsi
allergic gingivitis
forms of periodontitis
necrotising periodontal diseases
periodontitis as a manifestation of systemic disease
periodontsis
types of necrotising periodontal diseases
necrotising gingivitus
necrotising periodontitis
necrotising stomatitis
necrotising gingivitis
interdental papilla has been destroyed
no bone loss
ulceration necrosis pain and halitosis
necrotising periodontitis
rapid destruction of bone loss
necrotising stomatits
spreads into the soft tisses
periodontitis as a manifestation of systemic disease
rare systemic disorders that result in early presentation of severe periodontitis
genetic disorders leading to PDD
inflammatory fiseases
disease associated with immunological disorders
diseases affecting the oral mucosa and gingival tissue
diseases affecting CT
metabolic and endocrine disorders
Ehlers dances syndrome
heteroflexivity of joints
increased bleeding and bruising
hyperextnnsile skin
underling molecular abnormality of collagen
papillion- lefevre
hyperkeratosis on palms and feet
affects both dentitions
other factors that affect pathogenesis of PDD
diabetes mellitus
obesity
smokign
what characterises periodontitis
loss of periodontal tissue support
presence of periodontal pocketing
gingival bleeding
what initiates gingival inflammation
formation of bacterial biofilm
what will happen upon treatment of periodontisi
gums will shrink back
teeth may then be sensitive due to exposure
BPE assessment
need to have the correct angle otherwise obtain the wrong measurement
needs to be parallel to tooth
- sub gingival calculus can affect the reading
conditions affecting the periodontal supporting tisseus
neoplasm
other disorder that may affect periodontal tissues
periodontitis associated with endodontic lesions
periodontal origin
endodontic origin
- combination of both spreads around the tooth
crown can become necrptic
classifications of mucrogingival deformities and conditios
gingival phenotypes
interproximla attachment loss
characterisics of exposed root surface
when are you more likey to lose tisseu
if orthodontics has moved teeth forwards
traumatic occlusal forces
any occlusal force that results in injury to teeth
prothesis and tooth related factors
infringement of restorative margins or prostheses associated with inflammation and/or loss of periodontal tisseu
what do enamel pearls related to
plaque induced gingival inflammation and loss of periodontal tissue
classifications of peri implant disease and conditions
peri implants health peri implant mucositis peri - implantis peri implant soft and hard tissue deficiencies
