Gum Illness / Diseases

Question 1

What is gingivitis and its associated findings / symptoms

Answer 1

Inflamed gingiva caused by plaque deposits on the tooth

Gingiva hyperplasia causing a false pocket - not true pocketing

Gingival erythema

Bleeding due to friable junction all epithelium

Question 2

What is periodontitis and its presentations and symptoms

Answer 2

Attachment loss of gingiva and also alveolar bone resorption

Loss of attachment and apical migration of junctional epithelium creating a true pocket

Caused by RANKL > OPG imbalance

Symptoms can include:

Bad breath
Mobility
Sensitivity
‘Long in the tooth’

Question 3

What periodontal diseases can be associated with implants?

Answer 3

Peri-implant mucositis

And

Peri Implantitis

Question 4

What is peri-implant mucositis?

How is it diagnosed?

Answer 4

Inflammation of the mucosa surrounding an implant with NO evident bone loss

Diagnosed usually by BOP at implant mucosa with no sign of bone loss

Question 5

What is peri implantitis, what are some clinical presentations and how may it be diagnosed?

Answer 5

Inflammation and bone loss around an osseoitegrated implant caused by microbial plaque and the patients immune response to the plaque, or excess implant cement, poor positioning etc

There is loss of attachment

Increased probing depths

Suppartion (pus formation)

Sometimes mobility

Diagnosed through LOA, radiographs etc