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Chapter 3&7 Perio

from power point

is a set of diseases characterized by inflammation of the supporting tissues of the teeth Periodontitis
reflect tissue enlargement and are not associated with bone loss Gingival pockets (pseudo-pockets)
reflect a progressive deepening of the sulcus through tissue destruction that is associated with bone loss Periodontal pockets
begin with bacterial challenge from PLAQUE BIOFILMS that lead to the destruction of surrounding connective tissues Inflammatory periodontal pockets
the period cycle: Biofilm->Gingival Inflammation->Pocket Formation-> More Biofilm Formation
is site specific (it won’t be occuring to teeth at all times) Periodontal disease
thought of in episodic bursts of activity followed by periods of remission Periodontal disease
A. Dental plaque-induced gingival diseasesB. Non-plaque-induced gingival lesions I. Gingival Diseases
(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
(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
IV. Periodontitis as a Manifestation of Systemic Diseases IV. Periodontitis as a Manifestation of Systemic Diseases
A. Necrotizing ulcerative gingivitisB. Necrotizing ulcerative periodontitis V. Necrotizing Periodontal Diseases
A. Gingival abscessB. Periodontal abscessC. Pericoronal abscess VI. Abscesses of the Periodontium
A. Combined periodontic-endodontic lesions VII. Periodontitis Associated With Endodontic Lesions
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
Basis for classification EtiologyClinical categoriesClinical presentationPathogenesis progressionResponse to therapy
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
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.
CAL can be classified as: Slight- 1 to 2 mm of CALModerate- 3 to 4 mm of CALSevere- greater or = to 5mm of CAL
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
Created by: TinaHygiene