Perio Classification

Perio Classification

1. Gingival Conditions

   • Gingivitis (biofilm induced)
     • Assoc. with plaque only
     • BOP >10%
       • Localised = 10-30%
       • Generalised = >30%
     • Modified by systemic conditions
       • Pregnancy
       • Puberty
     • Modified by drugs
       • Drug-induced Gingival overgrowth
         • Plaque = pre-requisite
           • Improves with good OH
         • Treatment
           • OHI
           • S&P
           • Liaise with GP about changing meds
           • Gingivectomy
             • Risk of recurrence if on same meds
         • Drugs
           • Phenytoin (50%)
           • Ciclosporin (30%)
           • Calcium channel blockers (10%)
         • 1-3m after starting meds
         • Starts with interdental papillae
   • Gingival diseases (Not biofilm induced)
     • Viral
       • Herpetic gingivostomatitis
         • HSV
       • Hand foot & mouth
         • Cocksackie A
       • Chickenpox
         • VSV
     • Bacterial
       • Strep throat
     • Fungal
       • Histoplasmosis
     • Genetic
       • Hereditary gingival fibromatosis
     • Manifestations of systemic conditions
       • Allergy
         • OLCL
         • Plasma gingivitis
       • Pregnancy
         • Pregnancy epulis
       • Mucocutaneous disease
         • OLP
         • PV
         • MMP
         • Erythema multiforme
         • Lupus erythematosus
       • Blood dyscrasias
         • Leukaemia
           • Acute
             • Gingival overgrowth
           • Gingivitis
         • Neutropenia
     • Trauma
       • Chemical
       • Thermal
       • Physical
         • Gingivitis artefacta / Factitious gingivitis

2. Periodontitis

   • Chronic
   • Necrotising periodontal conditions
   • As a Manifestation of Systemic disease
     • No. 1 in children
     • See separate Mindmap

3. Other conditions affecting the periodontium