L29 Chronic periodontitis Flashcards
Definitions and clinical signs Assessing extent and severity Disease progression Types of bony defects Risk facts
asf
Population
Adults but may be seen in children
Rate of destruction
Slow to moderate with rapid bursts
What determine pathogenesis and progression
host factors
Teeth with most calculus
lower anteriors and buccal max molars
Pain symptoms
Mostly painless
Localized dull pain
Itching gums
Localized chronic
Less than or equal to 30 percent
Generalized chronic
More than 30 percent
Slight
Moderate
Severe
1-2
3-4
5 or more
Typical diagnosis
Generalized slight with localized moderate chronic
Risk factors
smoking
diabetes
Risk determinant
Age
Gender
Risk indicators
HIV
Osteoporosis
Infrequent dental visits
Risk markers/predictors
Furcation involvement
Calculus
History of attachment loss
Gingivitis vs periodontitis development
Bacterial plaque determines gingivitis
Host response determines periodontitis