Periodontal Diagnoses Flashcards
What are the 10 classifications for periodontal disease in adults?
- Health
- Plaque induced gingivitis
- Non-plaque induced gingivitis
- Periodontitis
- Necrotising periodontal diseases
- Periodontitis as a manifestation of systemic disease
- Systemic diseases or conditions affecting the periodontal tissues
- Periodontal abscesses
- Periodontal-Endodontic lesions
- Mucogingival deformities and conditions
What are the 2 subcategories for health?
- on an intact periodontium
- on a reduced periodontium
What is the criteria for gingival health?
- absence of bleeding on probing
- absence of erythema and oedema
- absence of attachment or bone loss
- bone levels between 1-3mm apical to the cement enamel junction
What is the criteria for gingival heath on an intact periodontium or a reduced stable periodontium?
- <10% bleeding on probing
AND - probing depths < or equal to 3mm
What is the criteria for diagnosing plaque induced gingivitis?
- NO radiographic bone loss
- NO interdental recession
<30% BOP - localised gingivitis
>30% BOP - generalised periodontitis
What are risk factors for gingivitis?
- sex steroid hormones
- puberty
- poor restorative margins
- drug influence
- pregnancy
- oral contraceptives
- smoking
- hyperglycaemia
- menstrual cycle
what is a pregnancy epulis?
a mucogingival deformity seen in pregnancy
causes NO radiographic bone loss and NO interdental recession
What are the risk factors for non-plaque induced gingival disease and give an example of each?
- genetic developmental diseases - hereditary gingival fibromatosis
- Specific infections - herpetic gingival stomatitis and candida albicans
- inflammatory/immune conditions - lichen plants
- nutritional deficiency - vitamin c deficiency
What are the 3 subcategories for diagnosis of necrotising periodontal disease?
- necrotising gingivitis
- necrotising periodontitis
- necrotising stomatitis
What systemic diseases can manifest as periodontitis?
- Papillon lefevre syndrome
- leucocyte adhesion deficiency
- hypophosphatasion deficiency
- Down’s syndrome
- Ehlers Danlos
How do systemic diseases affect periodontitis?
The conditions affect the supporting periodontal tissues independent of dental plaque biofilm induced inflammation
Give examples of conditions that affect the periodontal tissues?
- Diametes Mellitus
- Squamous cell carcinoma
- Langerhans Cell Histocytosis
What is a Periodontal Endodontic lesion?
Lesions because by a bacterial source originating from the periodontist or the root canal system
May occur independently or coalesce
What is gingival recession?
Mucogingival deformities, loss of keratinised gingiva around the teeth, interproximally or loss of frenal attachment
Explain the 3 types of recession
Type 1 - Gingival recession with NO loss of inter proximal attachment
Type 2 - gingival recession associated with loss of inter proximal
attachment.
- Interproximal attachment loss is less than or equal to the buccal
attachment loss
Type 3 - gingival recession associated with loss of inter proximal
attachment
- Interproximal attachment loss is greater than the buccal
attachment loss
