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
Q

what is the eighth classification of periodontal diseases

A

periodontal abscesses

26
Q

what is the ninth classification of periodontal diseases

A

periodontal-endodontic lesions

27
Q

what is the tenth classification of periodontal diseases

A

mucogingival deformities and conditions

28
Q

what are the three ways to diagnose gingival recession

A

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