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Periodontal Disease - Coggle Diagram

- - - - probe <50% under crown
    - - probe extends >50% under crown
    - - probe extends completely under crown
- - - - attaches at CEJ
      - creates gingival sulcus
- - - - gingivitis index from 0 -3
      - regardless of severity, stage 1 if no attachment loss
    - - plaque and calculus removal
      - home care
  - - - good prognosis
      - goal is to prevent further attachment loss
      - treatment
        
        mechanical debridement (like a wound)
        
        +/- root planing
        
        closed root
        
        open root
        
        +/- gingival curettage
    - - 4
        
        prognosis can be fair to grave
        
        CS
        
        endodontic disease
        
        mobility
        
        furcation exposure
        
        severe horizontal bone loss
      - 3
        
        prognosis is fair
      - treatment
        
        PD2 treatment
        
        +/- perioceutic abx
        
        sustained release (2-9w)
        
        +/- bone grafting
        
        used for vertical defects
        
        diligent home care req'd
        
        +/- guided tissue regeneration
        
        implantable membrane
        
        prevents plaque accumulation
        
        allows tissue regrowth
        
        extraction
- - - - biofilm
      - low growth rate
      - physiologically distinct
      - super-resistance to abx
      - mineralization = calculus
        
        occurs within 24-48 hours
      - indexed from 0 (no plaque) to 3 (abundant)
    - - invasion of epithelium
      - damaging metabolic byproducts
      - proteolytic enzymes
      - toxins
    - - primary mediator of periodontal destruction
      - produce against plaque
        
        proteinases
        
        cytokines
        
        arachidonic acid metabolies
- - - - bleeding
      - inflammation
      - edema
- - - - poorer prognosis
      - difficult to manage
      - indicates chronic inflammation
    - - more treatment options
      - potential to reverse
      - isolated to 1 tooth/interdental space