Periodontal Disease:
Genetic Factors
Environmental Factors
PATHOGENIC BACTERIA
Manual toothbrush
ELECTRIC TOOTHBRUSH
Removal of bacterial plaque and the prevention of its accumulation on the teeth and adjacent gingival surfaces.
PLAQUE CONTROL
Covers the alveolar bone and tooth root to a level just
coronal to the CEJ.
GINGIVA
The extension of inflammation from the gingiva into the deeper supporting periodontal tissues (PDL and alveolar bone), marks this transition
GINGIVITIS TO PERIODONTITIS
Plaque control reduces or eliminates the risk for:
Caries
Calculus
Gingivitis
Periodontitis
HALITOSIS
Waxed Floss
UNWAXED FLOSS
Provides support to maintain teeth in function
PERIODONTIUM
SHALLOW CREVICE OR SPACE AROUND THE TOOTH BOUNDED BY THE SURFACE OF THE TOOTH AND THE
EPITHELIUM LINING THE FREE MARGINAL GINGIVA.
GINGIVAL SULCUS
Progressive exposure of root surface as the
result of the destruction of the marginal gingiva
GINGIVAL RECESSION
Ideal toothbrush:
Multi-level or angled bristles
Nylon bristles
SOFT
Chlorhexidine 0.12%
PERIOGUARD or PERIDEX
COMPLEX VASCULAR AND HIGHLY CELLULAR CONNECTIVE TISSUE THAT SURROUNDS THE TOOTH ROOT AND CONNECTS IT TO THE INNER WALL OF THE
ALVEOLAR BONE.
PERIODONTAL LIGAMENT
PORTION OF THE MAXILLA AND MANDIBLE THAT FORMS AND SUPPORTS THE TOOTH SOCKETS
ALVEOLAR PROCESS
Shift of teeth with weakened periodontal support
PATHOLOGIC TOOTH MIGRATION
Vibratory Toothbrushing Techniques:
Bass'
Stillman's
CHARTER'S
GINGIVAL INFLAMMATION
GINGIVITIS
CAUSE OF A DISEASE
ETIOLOGY
ETIOLOGY OF GINGIVITIS
BACTERIAL PLAQUE
Palpate the nodes by pulling or rolling the tissues under the chin up and over the inferior border of the
mandible
SUBMANDIBULAR AND SUBMENTAL NODES
HEALTHY GUMS:
FIRM AND RESILIENT
LIGHT PINK TO BLACK
SCALLOPED OUTLINE
STIPPLING
FOLLOWS THE CEJ
TOOTH #8
TOOTH #11
SEQUENCE OF EVENTS LEADING TO A CLINICALLY DETECTABLE DISEASE.
PATHOGENESIS
Objective indications of a disease discoverable by the clinician upon evaluation of the patient
SIGN OF DISEASE
Most common intraoral site for oral cancer
TONGUE