Overview of Periodontal Disease Classification Flashcards
what is the first classification of periodontal diseases
health
what is the definition of periodontal health
intact periodontium
reduced periodontium due to causes other than periodontitis
reduced periodontium due to periodontitis
what does gingival health look like
absence of BOP, erythema and oedema
no pockets over 3mm
knife edge margin, gingival stippling
what is the second classification of periodontal diseases
plaque induced gingivitis
what is plaque induced gingivitis
intact periodontium or reduced periodontium
associated with dental biofilm alone
mediated by systemic or local risk factors
what determines if a disease is localised or generalised
more or less than 30%
what are some modifying factors of plaque induced gingivitis
sex steroid hormones
hyperglycaemia
leukaemia
smoking
malnutrition
what is pregnancy epulis
no radiological bone loss
no interdental recession
sometimes a bit of plaque or bone that has caused the epulis
what is drug induced gingival enlargement
amlodipine and anticonvulsants cause this but can be managed by good OH
what is the third classification of periodontal diseases
gingival diseases - no biofilm induced
what is hereditary gingival fibromatosis
inherited condition that causes overgrown and fibrotic gingivae
what is herpetic gingival stomatitis
caused by candida albicans
causes flat like appearance of the gingivae - can be common in children
what are examples of gingival disease - no biofilm induced
vitamin C deficiency
herpetic gingival stomatitis
hereditary gingival fibromatosis
what is the fourth classification of periodontal disease
periodontal disease
what is the fifth classification of periodontal disease
necrotising periodontal disease
what is the difference between necrotising gingivitis and necrotising periodontitis
they both have necrosis and ulcer in the interdental papilla but necrotising periodontitis has periodontal attachment and bone destruction too
what is necrotising stomatitis
bone destruction extended through the alveolar mucosa
is necrotising gingivitis reversible
yes but may end up with loss of the interdental papilla
what is the sixth classification of periodontal diseases
periodontitis as a manifestation of systemic disease
what is periodontitis as a manifestation of systemic disease
mainly rare diseases that affect the course of periodontitis resulting in early presentation of severe periodontitis
what are examples of systemic diseases involved in periodontitis as a manifestation of systemic disease
Papillon Lefevre Syndrome
leucoyte adhesion deficiency
down’s syndrome
ehlers-danlos
what is the seventh classification of periodontal disease
systemic diseases or conditions affecting periodontal tissues
why is diabetes not included in the systemic diseases affecting periodontitis
because diabetes can be controlled depending on the patient - therefore is a risk factor
what is systemic disease or conditions affecting the periodontal tissues
this happens independent of if there is biofilm present or not
usually something malignant or invasive (squamous cell carcinoma and langerhans cells histiocytosis)
what is the eighth classification of periodontal diseases
periodontal abscesses
what is the ninth classification of periodontal diseases
periodontal-endodontic lesions
what is the tenth classification of periodontal diseases
mucogingival deformities and conditions
what are the three ways to diagnose gingival recession
RT 1 - gingival recession with no loss of inter-proximal bone attachment
RT 2 - gingival recession associated with loss of interproximal attachment - the interproximal attachment loss is LESS than buccal attachment loss
RT 3 - gingival recession and the interproximal loss is greater than the buccal loss
