erioaontology
Periodontology
eriodontal tissues
> alveolar bon
> cementům
> periodontal ligament
> gingiva
Dentine Enamel
Gingival sulcus Gingiva Oral mucosa
Periodontal ttgai
Alveolar bone Boo^cernenrurncovenng entire root suriace
Morphology
Supportive tissues
Dentogingival junction/
Free gingiva
Free gingival groove
Attached gingiva
Mucogingival junction
Alveolar mucosa
Periodontal diseases
animation at most!!!!
■ Adherence
■ Colonisation
Biofilm
Maturation
Other aethiological factors
!alcified deposit on teeth, plaque on the surface
Overhangs, crowns, dentures
etic factors — gen polymor
phism ■
Pain Easy bleeding Plaque on the tooth
Acute necrotisans gingivitis - ANUG
ecrotizing ulcerative gingivitis
Aetiology
Special microbs - anaerobs
The clinical picture
Gingival inflammation and destruction
II
vere pain, bleeding gums, halitosis
Diferential diagnosis
erpetic gingivostomatitis Young peopl Prodroms
Pyrexy
Lymphadenopath Lesions more widespread and diffuse
Diferential diagnosis
oes not tend to recover in check the blood picture!
Atrophie or desquamative gingivitis
symptoms
Erythema on free gingiva — loss of the epithelium
Variety of symptoms: itching, tenderness of eating, burnin
I
Hyperplastic gingivitis
High standard of oral hygiene must be achieved!
Gingivectomy (drugs induced
Parodonthopaties
Periodontitis
ronic periodontitis. Aggressive periodontitis.
Periodontitis as a manifestation of systemic disease. Necrotizing periodontal diseases. Abscesses of the periodontium. Periodontitis associated with endodontic lesions. Development or acquired deformities and conditions.
Parodonthopaties
Periodontitis
Periodontitis
Gingivitis
Pocketing
Loss of alveolar bone
Drifting and mobility
Fu
exposures
Recession
Periodontitis
Periodontitis
Gingivitis
—er---
Pocketi
IIP;
r
ss or alveolar
bo:
e
Drifting and mobility
T,
rurcation exposures
Recession
Periodontitis
Chronic adult periodontitis
Agressive periodontitis
Early onset per
Therapy
■ 1. O
ral hygiene - professional,
INDIVIDUAL
ome care
Therapy
1. Oral hygiene - professional, home care ,_, INDIVIDUAL
Therapy
1. Oral hygiene - professional, home care
INDIVIDUAL
Scaling, root plannin
Therapy
2. Subgingival treatment - scaling root planin
curettage
i
Gingivectomy, gingivoplasty
1
rinciple:
Removal of hyperplastic (overgrowing) gin
Improving of configuration of gingiva
giva
Closed curretage
Flap operation
1
rinciple:
Raising of the flap (mucosa and periost together
cleaning of pockets, osteoplasty, regeneration).
Mucogingival surgery
□ Enlargement of attached gingiva
- Frenulectomy
- Vestibuloplastic
The principle is removal of fibrous tissues which are pulling the gingiva out during eating, speaking etc.
□ Plastic of recessus
The principle is to cover the denudated dental necks with gingiva using fla p or graft.