Exam (elaborations)
DEN Classification Of Periodontal Diseases
- Course
- DEN 7136
- Institution
- New York University
DEN Classification Of Periodontal Diseases
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DEN 7136 2/1/23 Classification OfPeriodontal Diseases
Why do we need a classification?
•Provides useful framework to view the spectrum of disorders.
•Helps in communication.
•Helps in differential diagnosis.
As a student doctor, you must account for all potential abnormalities when formulating
____________________________
differential diagnosis.
differential diagnosis
a list of conditions the patient may have based on the symptoms exhibited and the results of the
exam
What is the most recent classification?
•A committee representing both the-American Academy of Periodontology (AAP) and the-European
Federation of Periodontology (EFP) met in November 2017 with the charge of updating the 1999
classification of periodontal disease and conditions.
•The Proceedings of the World Workshop on the Classification of Periodontal and Peri-Implant
Diseases and Conditions consists of 19 review papers and four consensus reports.
1. Periodontal health and gingival health.
a. clinical gingival health on an intact periodontium
b. clinical gingival health on a reduced periodontium
i. stable periodontitis patient
ii. non-periodontitis patient
2. Gingivitis-dental biofilm-induced
a. Associated with dental biofilm
b. Mediated by systemic or local risk factors
c. Drug-influenced gingival enlargement
2. Gingivitis-dental biofilm-induced
•Clinical features:
-Swollen gingiva and loss of stippling
-Red or blue red gingiva that bleeds on probing
-Increase in gingival crevicular fluid
, 2. Gingivitis-dental biofilm-induced
•Histological features:
-Mild acute inflammation
-Increased polymorphonuclear leukocytes
-Collagen destruction adjacent to J.E.
-Predominance of lymphocytes and then plasma cells
3. Gingival disease-non-dental biofilm induced (8)
a. Genetic/developmental disorder.
b. Specific infections
c. Inflammatory immune conditions
d. Reactive processes
e. Neoplasm
f. Endocrine, nutritional &metabolic diseases.
g. Traumatic lesions
h. Gingival pigmentation
FORMS OF PERIODONTITIS
1. Necrotizing Periodontitis Diseases:
a. Necrotizing Gingivitis
b. Necrotizing Periodontitis
c. Necrotizing Stomatitis
FORMS OF PERIODONTITIS
2. Periodontitis as Manifestation of Systemic Diseases
Classification of these conditions should be based on the primary systemic disease according to the
ICD codes
T/F it is easy to tell if gingivitis is stable or progressing to destructive periodontitis
False-There are no means currently to differentiate stable gingivitis from gingivitis that is to progress
to destructive periodontitis
PERIODONTITIS
•The most prevalent
.•(Does/Does not) depend on a systemic abnormality.
•Mostly has a (slow/fast) rate of progression.
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