Diseases of periodontal tissues  Involving the interdental papillae

and often extending into the

 Packet or pathologic crevice
adjacent portion of attached gingiva
o Distinct ulceration of breaks in the
o Localized diffuse gingivitis
continuity of the crevicular epithelium are
 Extending from the margin to
present
mucobuccal fold but limited in area
 Classification of the pockets
o Papillary gingivitis
 Supra-crestal pocket- a pocket at the level of the
 Confined to one or more
height of contour
interdental spaces in a limited area
o Gingival pocket (pseudo-pocket)
o Generalized marginal gingivitis
 Pathological crevice w/gingivitis
 Involvement of the gingival margin
 Periodontal ligament and bone are
in relation to all the teeth
not involved
o Generalized diffused gingivitis
 Deepening of the pocket is the
 Involved the entire gingivae
result in the increase in size of
 Classification of periodontal diseases
gingival tissue
o Inflammatory types
o Periodontal pocket
 Gingivitis
 Pathological crevice extending into
 Periodontitis
the space left by destroyed PL and
 Simplex
bone
 Complex
 Infra-crestal pocket
o Degenerative type
o Pathological crevice extending into the
 Periodontosis
space left by destroyed PL and bone
o Atrophic type
o Base at the apical height of alveolar crest
 Periodontal atrophy
 Terminologies
o Hyperplastic type
o Acute
 Gingival hyperplasia
 Painful, sudden onset and short
o Traumatic type
duration
 Periodontal traumatism
o Subacute
 Gingivitis
 Less severe condition than acute
o Inflammation of the gums
o Chronic
o Acute, subacute, or chronic inflammation
 Slow onset, long duration, painless
 Different types of gingivitis
and most common
o Chronic gingivitis
o Recurrent
 Is a common disease of the oral
 Gingival diseases that reappears
cavity consisting of chronic
after having been eliminated by
inflammation of the periodontal
treatment tissues that is caused by
o Localized accumulation of profuse
 Confined to the gingiva in relation amounts of dental plaque.
to a single tooth or group  Most common
o Generalized  Usually from local irritation
 Involving the entire gingivae of the  2 variety edematous, and fibrous
mouth type
o Marginal o Infective gingivitis
 Involving the gingival margins but  Due to MO streptococcus
may include a portion of attached o Hyperplastic gingivitis
gingiva  Gingival enlargement
o Papillary  Gingivitis of long-
standing duration in which the
Ballada, Randolph allan
 gingiva becomes enlarged and firm  Blood disease
due to proliferation of fibrousconnect  Idiopathic
ive tissue.
 Puberty
o Hormonal gingivitis
 Periodontitis (periodontoclasia, pyorrhea alveolaris)
 Includes pubertal gingivitis
o inflammation of the tissue around the
 Pregnancy gingivitis
teeth, often causing shrinkage of the gums
 Oral contraceptives gingivitis
and loosening of the teeth
o Desquamated gingivitis
o Etiology
 (DG) is an erythematous (red),
 Simplex (primary)
desquamatous (shedding) and
 Secondary to gingivitis
ulcerated appearance of the gums.
 Etiologic factors
It is a descriptive term and can be
continuation of those
caused by several different
operative in gingivitis
disorders.
 Complex (secondary)
 Known as gingivosis
 Secondary to periodontosis
o Necrotizing gingivitis
 Periodontosis (diffused alveolar atrophy)
 Due to Borrelia Vincenti and
o Etiology
Bacillus fusiformis
o Systemic disturbance
o Allergic gingivitis
 Diabetes
 Known as plasma cell gingivitis
 Endocrine dysfunctions
 rare condition
 Blood disease
 appearing as generalized erythema
 Nutritional disturbance
(redness) and edema (swelling) of
 Nervous disorder
the attached gingiva, occasionally
 Infectious disease
accompanied by cheilitis (lip
o Hereditary
swelling) or glossitis (tongue
o Idiopathic
swelling)
 Periodontal atrophy
 Gingivosis (chronic desquamative gingivitis)
 Etiology
o Degenerative disease of gingival tissue
o Local trauma
 Etiology of gingivitis
o Senile
o Local
o Presenile
 Calculus
o Disuse
 Food impaction
o FF inflammation
 Irritating restoration
 Gingival hyperplasia
 Faulty tooth brush habit
 Types
 Bacterial products
o Inflammatory gingival hyperplasia
 Tissue products
 Chronic
 Drug action
 Localized or generalized
 Tooth malposition
o Systematic  Discrete
 Pregnancy  Acute
 Diabetes  Gingival abscess
 Other endocrine dysfunction  Periodontal abscess
 Tuberculosis o Non inflammatory (fibrous)
 Syphilis  Associated w/ Dilantin sodium
 Nutritional disturbance  Hereditary or idiopathic
 Drug action o Combination of inflammatory and fibrous
 Allergy enlargement
 Heredity o Conditioned
Ballada, Randolph allan
  Hormonal
 Leukemic
 Assoc. w/ vit. C deficiency
 Non-specific enlargement
 Etiology
o Chronic irritation
o Drug action
o Idiopathic
o Neoplastic
 Periodontal traumatism
 Etiology
o Occlusal trauma
o Cuspal interference
o May be accentuated by bruxism

Ballada, Randolph allan