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Classification & Diagnosis of periodontal disease (Periodontitis as a…
Classification & Diagnosis
of periodontal disease
Gingival disease
แบ่งเป็น
Non-plaque-induced
by Bacteria
ได้แก่
Neisseria gonorrhoeae
Treponema pallidum
Streptococcul species
:pen: Gingival disease of specific bacterial origin
by Virus
ได้แก่
Herpesvirus
:pen: Gingival disease of viral origin
by Fungi
ได้แก่
Candida species
:pen: Gingival disease of fungal origin
by Systemic factors
ได้แก่
Mucocutaneous disorders
Lichen planus
Pemphigoid
Allergic reaction
Dental restorative materials
Dentifrices
Mouthrinses
:pen: Gingival disease of systemic conditions
by Trauma
:pen: Traumatic lesion
ได้แก่
Chemical
Physical
Thermal
Plaque-induced
Plaque only
:pen: Gingivitis associated with dental plaque only
Plaque + Systemic factors
:pen: Gingival disease modified by systemic factors
ได้แก่
Endocrine system
Puberty
Menstrual cycle
Pregnancy
DM
Hematological disorders
Leukemia
Plaque + Medications
:pen: Gingival disease modified by medications
ได้แก่
Anticonvulsants
Immunosppressants
Calcium channel blocker
Plaque + Malnutrition
:pen: Gingival disease modified by malnutrition
ได้แก่
Vit. B def.
Vit. A def.
Vit. C. def.
Sign
No attachment loss :green_cross:
BOP
Chronic periodontitis
Sign
BOP
Attachment loss :check:
Slow-moderate progression
Plaque & Calculus มาก :!!:
:thinking_face:
Extention
:arrow_down: 30% site
:pen: Localized ...
30% site :arrow_up:
:pen: Generalized ...
Severity
CAL 1-2 mm.
:pen: Mild ...
CAL 3-4 mm.
:pen: Moderate ...
CAL 5 mm. :arrow_up:
:pen: Severe ...
Other
:pen: ... modified by DM
:pen: ... modified by Smoking
Aggressive periodontitis
Extention
1st Molar / Incisor + other :arrow_down: 2 tooth
:pen: Localized ...
1st Molar / Incisor + other 3 tooth :arrow_up:
:pen: Generalized ...
Sign
BOP
Attachment loss :check:
Rapid progression
Plaque & Calculus น้อย :!:
Periodontitis as a manifestration of systemic diseases
Hematological disorders
Leukemia
Acquired neutropenia
Genetic disorders
ไม่เกี่ยวกับ DM :red_cross:
Necrotizing periodontal disease
Sign
BOP
Attachment loss
:check: :pen: Necrotizing ulcerative periodontitis (NUP)
:green_cross: :pen: Necrotizing ulcerative gingivitis (NUG)
Necrotizing lesion
Fever
มักพบกรณี :eye:
Immunosuppression
HIV
Phychological stress
Malnutrtion
Smoking
Trauma
Periodontal abscess
Gingival abscess
PD ปกติ :check:
Periodontal abscess
PD ผิดปกติ :green_cross:
Pericoronal abscess
:eye: บริเวณฟันคุดหรือฟันซี่ 8 ที่ขึ้นไม่หมด
Periodontitis associated with endodontic lesion
PD ผิดปกติ :green_cross:
:no_entry: EPT
Developmental deformity
เกิดจากความผิดปกติของ
Tooth anatomy
Tooth restoration / appliances
Soft tissue รอบฟัน
Edentulous ridges
Occlusion trauma
Primary : แรงบดเคี้ยวมากกว่าปกติ + Periodontium ปกติ
Secondary : แรงบดเคี้ยวปกติ + Periodontium ผิดปกติ