Overview of Periodontal Disease Classification Flashcards

1
Q

what is the first classification of periodontal diseases

A

health

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2
Q

what is the definition of periodontal health

A

intact periodontium
reduced periodontium due to causes other than periodontitis
reduced periodontium due to periodontitis

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3
Q

what does gingival health look like

A

absence of BOP, erythema and oedema
no pockets over 3mm
knife edge margin, gingival stippling

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4
Q

what is the second classification of periodontal diseases

A

plaque induced gingivitis

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5
Q

what is plaque induced gingivitis

A

intact periodontium or reduced periodontium
associated with dental biofilm alone
mediated by systemic or local risk factors

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6
Q

what determines if a disease is localised or generalised

A

more or less than 30%

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7
Q

what are some modifying factors of plaque induced gingivitis

A

sex steroid hormones
hyperglycaemia
leukaemia
smoking
malnutrition

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8
Q

what is pregnancy epulis

A

no radiological bone loss
no interdental recession
sometimes a bit of plaque or bone that has caused the epulis

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9
Q

what is drug induced gingival enlargement

A

amlodipine and anticonvulsants cause this but can be managed by good OH

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10
Q

what is the third classification of periodontal diseases

A

gingival diseases - no biofilm induced

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11
Q

what is hereditary gingival fibromatosis

A

inherited condition that causes overgrown and fibrotic gingivae

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12
Q

what is herpetic gingival stomatitis

A

caused by candida albicans
causes flat like appearance of the gingivae - can be common in children

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13
Q

what are examples of gingival disease - no biofilm induced

A

vitamin C deficiency
herpetic gingival stomatitis
hereditary gingival fibromatosis

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14
Q

what is the fourth classification of periodontal disease

A

periodontal disease

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15
Q

what is the fifth classification of periodontal disease

A

necrotising periodontal disease

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16
Q

what is the difference between necrotising gingivitis and necrotising periodontitis

A

they both have necrosis and ulcer in the interdental papilla but necrotising periodontitis has periodontal attachment and bone destruction too

17
Q

what is necrotising stomatitis

A

bone destruction extended through the alveolar mucosa

18
Q

is necrotising gingivitis reversible

A

yes but may end up with loss of the interdental papilla

19
Q

what is the sixth classification of periodontal diseases

A

periodontitis as a manifestation of systemic disease

20
Q

what is periodontitis as a manifestation of systemic disease

A

mainly rare diseases that affect the course of periodontitis resulting in early presentation of severe periodontitis

21
Q

what are examples of systemic diseases involved in periodontitis as a manifestation of systemic disease

A

Papillon Lefevre Syndrome
leucoyte adhesion deficiency
down’s syndrome
ehlers-danlos

22
Q

what is the seventh classification of periodontal disease

A

systemic diseases or conditions affecting periodontal tissues

23
Q

why is diabetes not included in the systemic diseases affecting periodontitis

A

because diabetes can be controlled depending on the patient - therefore is a risk factor

24
Q

what is systemic disease or conditions affecting the periodontal tissues

A

this happens independent of if there is biofilm present or not
usually something malignant or invasive (squamous cell carcinoma and langerhans cells histiocytosis)

25
what is the eighth classification of periodontal diseases
periodontal abscesses
26
what is the ninth classification of periodontal diseases
periodontal-endodontic lesions
27
what is the tenth classification of periodontal diseases
mucogingival deformities and conditions
28
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