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| is a set of diseases characterized by inflammation of the supporting tissues of the teeth | Periodontitis
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| reflect tissue enlargement and are not associated with bone loss | Gingival pockets (pseudo-pockets)
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| reflect a progressive deepening of the sulcus through tissue destruction that is associated with bone loss | Periodontal pockets
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| begin with bacterial challenge from PLAQUE BIOFILMS that lead to the destruction of surrounding connective tissues | Inflammatory periodontal pockets
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| the period cycle: | Biofilm->Gingival Inflammation->Pocket Formation-> More Biofilm Formation
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| is site specific (it won’t be occuring to teeth at all times) | Periodontal disease
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| thought of in episodic bursts of activity followed by periods of remission | Periodontal disease
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| A. Dental plaque-induced gingival diseasesB. Non-plaque-induced gingival lesions | I. Gingival Diseases
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| (slight: 1-2 mm CAL; moderate: 3-4 mm CAL;severe: > 5 mm CAL)A. LocalizedB. Generalized (> 30% of sites are involved) | II. Chronic Periodontitis
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| (slight: 1-2 mm CAL; moderate: 3-4 mm CAL; severe: > 5 mm CAL)A. LocalizedB. Generalized (> 30% of sites are involved) | III. Aggressive Periodontitis
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| IV. Periodontitis as a Manifestation of Systemic Diseases | IV. Periodontitis as a Manifestation of Systemic Diseases
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| A. Necrotizing ulcerative gingivitisB. Necrotizing ulcerative periodontitis | V. Necrotizing Periodontal Diseases
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| A. Gingival abscessB. Periodontal abscessC. Pericoronal abscess | VI. Abscesses of the Periodontium
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| A. Combined periodontic-endodontic lesions | VII. Periodontitis Associated With Endodontic Lesions
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| A. Localized tooth-related factors that modify or predispose to plaque-induced gingival diseases/periodontitisB. Mucogingival deformities and conditions around teethC. Mucogingival deformities and conditions on edentulous ridgesD. Occlusal trauma | VIII. Developmental or Acquired Deformities and Conditions
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| Basis for classification | EtiologyClinical categoriesClinical presentationPathogenesis progressionResponse to therapy
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| Most common form of periodontal diseaseCharacterized by bone resorption that progresses slowly and predominantly in a horizontal directionNot usually clinically significant until the age of 35Can be localized or generalized | Chronic Periodontitis
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| WHAT IS CLINICAL ATTACHMENT LOSS? (CAL) | measurement that documents the increase in the distance from the cementoenamel junction to the apical depth of the periodontal pocket.
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| CAL can be classified as: | Slight- 1 to 2 mm of CALModerate- 3 to 4 mm of CALSevere- greater or = to 5mm of CAL
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| Porphymonas gingivalis, a red complex bacteria, is the most common speciesAntibiotics are not usually indicated in treatment when this is the plaque biofilm Treatment is educating the patient in personal control for homecare | Plaque biofilm
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