world of the dentist
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Stage I periodontitis :
* clinical attachment loss 1-2 mm
* Radiographic bone loss ( less) than 15% coronal third
*** No tooth loss in this Stage


Stage II periodontitis
Clinical attachment loss about 3-4mm
* Radiographic bone loss ( more) than 15%
* less than 33% in coronal third


Stage III clinical attachment loss โ‰ฅ5mm
* Radiographic bone loss extending to middle third of root


Advanced Stage IV periodontitis
* Clinical attachment loss โ‰ฅ5mm
* Radiographic bone loss extending to middle third of root
ุงู„ูุฑู‚ ู‡ูˆ Advanced ูŠุชู…ูŠุฒ ุจูˆุฌูˆุฏ deep periodontal lesions
ู†ุจุฏูŠ Attempts At Classification
ู‡ู†ุง ุชู‚ุณูŠู…ุงุช ุงู†ู‡ ุชุชู‚ุณู…
ุฑู‚ู… ูก ูˆุจูŠู‡ ูฃ ุฑู‚ู… ูข ุจูŠู‡ ูฃ ูˆ ุฑู‚ู… ูฃ ุจูŠู‡ ูค ูˆุฑู‚ู… ูค ุจูŠู‡ ู‡ู… ูค
ู†ุฌูŠ ุงูˆู„ ุดูŠ
1_ Periodontal health and gingival disease and conditions
ู‡ุงูŠ ุจูŠู‡ุง ุชู‚ุณูŠู…ุงุช ูฃ ู ุดุฑุญ ุงูˆู„ ุดูŠ ุงู„ู„ูŠ ู‡ูŠ
A_ Periodontal health and gingival health( ูƒู„ู‡ุง health)
* No inflammation
* Hemeostasis between ( gingiva and immune cell)
*ู†ู‚ูŠุณ ู„ุจู„ูŠุฏู†ฺฏ ุจ Probing score ( BOP%)
* Periodontal probe with controlled (~0.25N)
ู‡ุงูŠ ู‡ูŠ ุงู„ A ุชู†ู‚ุณู… ุงู„ู‰
__intact periodontium
___ reduced periodontium
ู†ุดุฑุญ intact ****
* absence or (minimum) of bleeding
* probing (less than 10%)
* absence of ( symptoms, attachment loss and bone loss)

ู‡ุณุฉ ู†ุดุฑุญ ู†ูˆุน ุงู„ุซุงู†ูŠ ู…ู† ู†ูˆุน A
__ Reduced periodontium
ู‡ุฐุง ุจูŠู‡ ู†ูˆุนูŠู†
1_ Non- periodontitis
2_ Stable periodontitis
ุงู„ู†ูˆุน ุงู„ุงูˆู„,,,,,
Non-periodontitis
* absence or ( minimum) bleeding
* bleeding on probing ( less than 10%)
* possible presence of ( reduced clinical, attachment loss and bone loss)
* pocket depth โ‰ค3
ู…ู† ู‡ุณุฉ ุงู„ู„ูŠ ุจูŠู‡ุง reduced ู ู…ู…ูƒู† ุชุตูŠุฑ ุจูŠู‡ุง loss
ุงู„ู†ูˆุน ุงู„ุซุงู†ูŠ ู…ู† type A ู‡ูˆ
__ Stable periodontitis
* ุฃูŠุถุงู‹ absence or ( minimum) bleeding
* probing ( less than 10%)
*** presence of reduced (attachment loss and bone loss)
* pocket โ‰ค4






ู‡ุณุฉ ู†ุณูˆู„ู ุนู†
A_ Dental biofilm induced gingivitis
* Inflammatory lesion
* ูŠุตูŠุฑ ุจุณุจุจ interactions ุจูŠู† (plaque & host immune-inflammatory)
* reversible

ู…ู…ูƒู† ุชุชุดุฎุต
๐Ÿ”† localized gingivitis
๐Ÿ”†Generalized gingivitis

๐Ÿ”† Localized __ BOP score (โ‰ฅ10% & โ‰ค30%)
๐Ÿ”† Generalized BOP score ( > 30%)

ู‡ุฐุง ู†ูˆุน biofilm ู‡ู… ูŠูƒูˆู†
โญ• Intact
โญ• Reduced
ู…ู† ู‡ุณุฉ ู†ุชูู‚ ุจุฃูˆู„ ู†ูˆุน ุงู„ูŠ ู‡ูˆ periodontal health and gingival health ูƒู„ ุงู†ูˆุงุนุฉ ูƒุงู†ุช ุงู‚ู„ ู…ู† 10% ุจ bleeding
ู‡ู†ุง ุจ biofilm ู„ุง ุชูƒูˆู† ุงูƒุซุฑ ุชู…ุงู…***
ู†ูƒู…ู„
โญ• Intact
:-[ BOP โ‰ฅ 10%
: Probing pocket โ‰ค3mm
: pseudo pocket
ู‡ุฐุง ู‡ู… Intact ู ู…ุงูƒูˆ ุงูŠ loss
( no attachment loss no Radiographic bone loss)
โญ• Reduced
ู‡ุฐุง ู‡ู… ุจูŠู‡ ู†ูˆุนูŠู† ุงู„ู„ูŠ ู‡ูŠ
โน๏ธ Non-periodontitis
โน๏ธ Periodontitis( remission periodontitis)

ู‡ุณุฉ ู†ุฌูŠ ุน ุงูˆู„ ู†ูˆุน ู…ู† reduced
โน๏ธ Non-periodontitis
* BOP โ‰ฅ10%
Pocket depth โ‰ค3mm
* possible persence of ( attachments loss & Radiographic bone loss)
โน๏ธ Periodontitis
* BOP โ‰ฅ10%
POCKETS depth โ‰ค4mm
* persence of attachment loss & Radiographic bone loss
๐Ÿ”† The classification of dental biofilm induced gingivitis
ุจูŠู‡ุง
A_ Associated with bacterial dental biofilm only
B_ mediated by systemic or local risk factor
C_ Drug-influenced gingival enlargement



ุนุฏู†ุง systemic factor
โญ• Puberty inflammatory response during (11_16) years
โญ• Menstrual cycle ,,, immediately prior to ovulation
โญ• Pregnancy.. Occurring during the second & third trimesters
2012 - Jordi Manauta, Anna Salat - Layers, An Atlas of Composite Resin Stratification
Layers,_An_Atlas_of_Composite_Resin_Stratification_Jordi_Manauta.pdf
46.1 MB
Layers, An Atlas of Composite Resin Stratification Jordi Manauta, Anna Salat - Quintessence (2012) Converted.pdf

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