Gingival & periodontal Diseases in Children

Periodontium
1. Def: CT organ covered by epi. that attached the tooth to jaw bone. It provide continually support of teeth during f(x)
2. Composed of:
  1. 1. Gingiva 2. Periodontal ligament 3. Alveolar bone 4. Cementum
3. Differences: adult Vs chlid
Gingiva
1. Physiological gingival changes associated with tooth eruption
  1. I. Pre-eruptive
    1. before crown appear
    2. firm bulge
    3. Slightly blanched
    4. follow the form of crown
  2. II. Eruptive
    1. Crown penetrate oral mucosa
    2. Edematous rounded
    3. Slightly reddened
    4. during mixed dentition --> marginal gingiva more prominent
  3. III. Post-eruptive
    1. gingiva reduce in bulk
    2. becomes thinner, tight & firmly attached
2. Classification of gingival ds.
  1. I. Simple gingivitis
    1. a. Eruption gingivitis
      1. CP
        Occur during eruption of primary teeth
        Greatest incideces 6-7 YO
        during eruption of #6
        associated with difficult eruption
        subside after teeth emerge
        D/t lack protection of gingiva from coronal contour of tooth
        may dev into --> pericoronitis / periodontal abscess
      2. TTT
        Oral hygiene
        if severe: antibiotic therapy
    2. b. Gingivitis associated with oral hygiene
      1. related to degree of dental cleanliness
      2. group as
        1. Early
        2. Moderate 3. Advanced
      3. TTT
        Adequate oral hygiene practice thorough
        plaque removal
        favorable occlusal
        eating raw fiber food
    3. c. Allergy & gingival inflammation
  2. II. Acute gingival ds.
    1. a. Herpes simplex viral infection
    2. b. Recurrent apthous ulcer (canker sore)
    3. c. Acute necrotizing ulcerative gingivitis (ANUG)
    4. d. acute candidiasis (thrush / candidosis / moniliasis)
    5. e. Acute bacterial infection
  3. III. Chronic non-spesific gingivitis
  4. IV. Gingival ds. modified by systemic factor
    1. a. Puberty gingivitis
    2. b. Hereditary fibromatosis gingival enlargement
    3. c. Drug induced hyperplasia
  5. V. Ascorbic acid deficiency gingivitis
Periodontal ds.
1. Periodontitis
  1. Def:
  2. Chch
2. Classification
  1. a. Pre-pubertal periodontitis
  2. b. Localized aggrasive periodontitis
  3. c. Generalized aggrasive periodontitis
Papillon-Lefevre syndrome

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Gingival & periodontal Diseases in Children

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	Created by pengiran92 almost 11 years ago