DHE119 chapter4 Perio Classification slides 1-15 quiz 3/30

  1. Periodontal disease is ?
    a broad term used to refer to a bacterial infection of the periodontium.
  2. Two types of periodontal disease?
    • 1. Gingivitis: Reversible tissue damage
    • 2. Periodontitis: Irreversible tissue damage
  3. Does Periodontal disease mean bone loss?
    NO
  4. Gingivitis?
    • Bacterial infection confined to the gingiva
    • Damage to gingival tissues is reversible with good self-care and professional care.
    • Marginal and free gingiva is inflamed and probe will bounce off the JE
    • Inflammation – biofilm
    • Red- cytokines and PMNs responding to inflammation
    • Team effort DH and patient
  5. Periodontitis?
    • Bacterial infection of
    • –Gingiva
    • –PDL
    • –Bone
    • –Cementum
    • Destruction is irreversible
  6. Is it Health, Gingivitis, or Periodontitis?
    Image Upload 1
  7. What is the Purpose of Classifying Periodontal Diseases?
    • Communicate clinical findings accurately
    • Communicate universally to other dental healthcare providers / insurance
    • Present information to patients about their disease status
    • Formulate individualized treatment plans
    • Predict treatment outcomes
  8. What is the Current Disease Classification?
    • American Academy of Periodontology (AAP) Classification (1999)
    • This classification was developed by the (AAP).
    • Prior Disease Classifications:
    •    most likely are from the 1989
    •    Reading dental literature, unfamiliar names for periodontal diseases may occur prior to 1999
  9. Gingival Diseases—Two Categories?
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  10. Periodontitis—Three Major Categories?
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  11. Dental plaque-induced gingival disease associated with dental plaque only?
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  12. Dental plaque-induced gingival disease associated with by systemic factors?
    Image Upload 5
  13. Dental plaque-induced gingival disease modified by medications?
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  14. Dental plaque-induced gingival disease modified by malnutrition?
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  15. Dental NON plaque-induced gingival lesions of specific bacterial origin?
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  16. Dental NON plaque-induced gingival lesions of viral origin?
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  17. Dental NON plaque-induced gingival lesions of fungal origin?
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  18. Dental NON plaque-induced gingival lesions of genetic origin?
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  19. Dental NON plaque-induced gingival lesions
    Gingival manifestations of systemic condition
    mucocutaneous disorders?
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  20. Dental NON plaque-induced gingival lesions
    Gingival manifestations of systemic condition
    allergic reactions?
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  21. Dental plaque-induced gingival disease?
    Image Upload 14
  22. Dental NON plaque-induced gingival lesions?
    Image Upload 15
  23. AAP Classification of NORMAL HEALTHY
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  24. AAP Classification of GINGIVITIS?
    Image Upload 17
  25. AAP classification of PERIODONTITIS?
    Image Upload 18
  26. Refractory periodontitis?
    • Fails to respond to treatment.
    • agressive periodontite, recurrent disease 
    • BOP
    • >7mm 
    • advance furcation
    • redness
    • suppuration
    • >30% bone loss

  27. Chronic periodontitis
    Localized = <30% Generalized = >30%
  28. Aggressive periodontitis
    • Localized = <30% Generalized = >30%
    • 1st mandibular molars
  29. periodontitis As a Manifestation of systemic disease
    Genetic disorder / not specified
  30. Necrotizing periodontal diseases
    NUG or NUP
  31. periodontitis Abscesses of the periodontium category?
    Gingival / Periodontal / Pericoronal
  32. Periodontic lesions associated with endodontics
    Combined perio-endo lesion
  33. Deformities and conditions of periodontitis
    • Localized tooth related factors / that modify or predispose to plaque induced ging – perio
    • Mucogingival deformities around teeth / edentulous ridges
    • Occlusal trauma
  34. Aggressive periodontitis (1999) was called ?
    Early onset periodontitis in (1989)
Author
dentalhygiene
ID
339170
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DHE119 chapter4 Perio Classification slides 1-15 quiz 3/30
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DHE119 chapter4 Perio Classification slides 1-15 quiz 3/30
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