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Chronic periodontitis

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dentistry periodontology clinic

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Chronic periodontitis

  1. 1. 1 CChhrroonniicc PPeerriiooddoonnttiittiiss By Neveen Fuad and Sarah Mohammed Periodontology Clinic
  2. 2. 2 CChhrroonniicc PPeerriiooddoonnttiittiiss  Formerly known as “cchhrroonniicc aadduulltt ppeerriiooddoonnttiittiiss” is the most common form of ppeerriiooddoonnttiittss.  IItt hhaass bbeeeenn ddeeffiinneedd as “an infectious disease resulting in inflammation with in supporting tissues of the teeth associated with progressive attachment loss and bone loss.
  3. 3. 3 CClliinniiccaall FFeeaattuurreess I. Accumulation of supragingival and subgingival plaque and calculus formation. II. Gingival inflammation. III. Attachment loss either by recession or pocket formation. IV. horizontal or vertical bone loss. V. Inflammatory swelling. VI. Changing in color from pale red to purplish red. VII. Loss of stippling. VIII. Mobility of the teeth increases. IX. In some cases suppuration from pockets can be found. X. Rounded gingival margin and flattened interdental papilla.
  4. 4. 4 DDiisseeaassee DDiissttrriibbuuttiioonn  Chronic periodontitis is considered to be as ““ssiittee ssppeecciiffiicc ddiisseeaassee””  IInnffllaammmmaattiioonn,,ppoocckkeettss,,aattttaacchhmmeenntt lloossss aanndd bboonnee lloossss are due to direct site-specific effects of ssuubbggiinnggiivvaall ppllaaqquuee accumulation as a result of this local effect attachment loss and pockets may occur on one surface of the tooth while the other surfaces remain normal.
  5. 5. 5 DDiisseeaassee SSeevveerriittyy Described by the aammoouunntt ooff aattttaacchhmmeenntt lloossss to 3 types :: 11)) SSlliigghhtt (Mild) 1-2 mm CAL 22)) MMooddeerraattee 3-4 mm CAL 33)) SSeevveerree 5 mm or more CAL
  6. 6. 6 CClliinniiccaall DDiiaaggnnoossiiss  Inflammation of the marginal gingiva extent to the attached gingiva.  Clinical attachment loss.  Radiographs(in case of bone loss).
  7. 7. 7 Prevalence  Effects both sexes equally.  Increases with age.  Age associated disease not age related and occurs depending on disease duration.
  8. 8. 8 SSyymmppttoommss 1. Painless 2. Sensitivity to hot and cold 3. Localized pain radiating into the jaw 4. Impaction areas of food cause discomfort 5. Itchiness in the gingiva
  9. 9. PPrrooggrreessssiioonn ooff tthhee ddiisseeaassee The rate of disease progression is usually slow but may be modified by systemic and/or environmental and behavioral factors. However, because of its slow rate of progression, chronic periodontitis usually Becomes clinically significant in the mid-30s or 9 later.
  10. 10. PPrrooggrreessssiioonn ooff tthhee ddiisseeaassee Chronic periodontitis does not progress at an equal rate in all affected sites throughout the mouth. More rapidly progressive lesions occur:  Interproximal areas  areas of greater plaque accumulation  inaccessibility to plaque control 10 measures
  11. 11. RRiisskk ffaaccttoorrss ooff tthhee ddiisseeaassee The factors that increase the susceptibility of :disease are 11.. LLooccaall FFaaccttoorrss : (plaque and calculus accumulation , 11 subgingival restorations, crowded teeth) 22.. SSyysstteemmiicc FFaaccttoorrss : (diseases such as diabetes ) 33.. EEnnvviirroonnmmeennttaall aanndd BBeehhaavviioorraall FFaaccttoorrss :(smoking ) 4. GGeenneettiicc ffaaccttoorrss : (family history)
  12. 12. 12 Treatment 1. Improving of the oral hygiene 2. Curettage 3. Pocket therapy 4. Scaling and root planning
  13. 13. TThhaannkk YYoouu 13