Periodontitis

Periodontitis

1. Chronic Periodontitis

   • Treponema denticola , Tannerella forsthensis, Porphyromonas gingivalis
   • primary cause of tooth loss in >35 year old
   • seen in advancing age, smoking , diabetes mellitus, osteoporosis, HIV infection, low socioeconomic
     • > 3 to 4 mm

2. Necrotizing Ulcerative Periodontisi

   • was known as HIV asociated periodontis
   • similar to NUG ...
   • patients younger thant those with chronic periodontitis

3. Periodontal Abscess

   • drain and incise affected area. antibiotics and anagesics if needed
   • throbbing pain sensitivit to palpation . foul taste fever

4. Periocoronitis

   • inflammatory process
   • tissue surrounds partially erupted tooth
   • food debris and bacteram stres URInfection
   • absess form in mandbular 3rd molars
     • extreme pain
     • foul taste
     • inabilty to close jaws
     • area erythematous and edematous

5. Localized Aggressive

   • age 11 - 13 with strong familar tendency
   • ATTACHMENT loss seen at first molars and incisors
   • 1st molars/insciors bilateral symmetrical vertical bone loss
     • may be arc shaped
   • 90% of cases A . actinomycetemcomitans

6. Generalized Aggressive

   • 12 -32 age group
   • heavy plaque , calculs and ginigval inflammation can be SEEN
   • pronounced destruction of periodontal attachment and alvelor bone
   • 3 teeth other thaan 1st molar and inscors affected

7. factors include dental plaque and shift from faculative gram postive organsim ( actinomcyetes and streptococci) to aneorobic microaerophilic gram negative ogrnaisms

   • associated with cardiovasuclar disease respiratory disease and lowe bithr wieght babies

8. Papillon Lefevre Syndrome

   • Loss of function of cathespin C gene
   • Aggregatibacter actinomycetemcomitons causes periodontal problems
     • palmar platar keratosis and advaced keratosis
       • floaring teeth appearance
       • advance periodontitis affects deciduous/permanent dentitiion

9. HIV ASSOCIATED PERIODONTAL DISEASE

   • LINEAR GINGIVAL ERYTHEMA
     • DISTINCT LINEAR BAND OF ERYTHEM INVOLVING FREE GINGIVAL MARGIN
       • DOES NOT RESPOND TO IMPORVED PLAQUE CONTTROL AND GREAT AMOUND OF REDNESS FOR AMOUNT OF PLAQUE PRESENT
   • NECTOTIXIN STOMATISIS
     • RESEMEBLES NOMA
       • EXTENDS AWAY FROM ALVELOR RIDGE AND CREATE AREAS FOF TISSUE DESTRUCTION

Images and files in the map