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local contributing factors for periodontal disease

[MUSIC] Hello. Smoking- Smokers are more susceptible to periodontal disease for a variety of reasons. These factors should be investigated during a thorough dental examination of the patient (Box 4-1). Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. Introduction. Start studying Ch.16 - Local Factors Contributing to Periodontal DIsease. multiple local and systemic conditions as predisposing risk factors for periodontal disease evolution and decreased quality of life June 15, 2020 June 15, 2020 admin admin 0 Comments Petra Surlin, Dorin-Nicolae Gheorghe, Dora Popescu, Luminita Lazar, Ionut Luchian, Maria-Alexandra Martu 1) If you smoke or use tobacco products you are more likely get periodontal disease at an early age. Among the most common are: heredity, smoking, diabetes, stress, medication, nutrition, poor oral hygiene, faulty dentistry, hormonal variations, immunocompromise, connective tissue diseases, and previous history of active perio disease. Systemic factors can have a profound effect on the diagnosis, pathogenesis, and treatment of periodontal infections. Orthodontic appliances. 1 systemic condition adversely affected by periodontal disease is also diabetes. The No. Pregnant women are more susceptible to periodontal infection due to hormone changes. Having read this chapter, the practitioner should understand the key stages of the periodontal examination of children, adolescents and young adults and be able to identify local periodontal risk factors pertinent to these patients. These can often further complicate a periodontal problem. Calculus (supra- and subgingival) Restorations. Calculus. Chp 5: Local Contributory Factors for Periodontal Diseases (Note to self:…: Chp 5: Local Contributory Factors for Periodontal Diseases (Note to self: all are considered secondary. Local Risk Factors for Periodontal Diseases. The local factors include dental plaque and ... Risk factors for periodontal disease Mehta 2 ... disparities are contributing to the oral health inequities. They pertain to physical structures or mechanical habitat that promote plaque accumulation and make plaque removal more difficult. But all risk factors are not created equal. Therefore, periodontal disease refers to infections of structures surrounding the teeth. Antonyms for periodontal, local factors of disease. This is often times the starting point for many women to develop periodontal disease. Factors Contributing to Periodontal Diseases. Chapter 5 , A relationship has also been found between ethnicity and subgingival calculus deposits in adolescents with deposits more prevalent in young Asian patients. They pertain to physical structures or mechanical habitat that promote plaque accumulation and make plaque removal more difficult. disease [dĭ-zēz´] a definite pathological process having a characteristic set of signs and symptoms. The disease consists of a chronic inflammation associated with loss of alveolar bone. Plaque or bacteria are the primary causes of periodontal diseases. The routine dental examination (Fig 4-1a) of children, adolescents and young adults should include the following: dental charting of teeth present, restorations, cavities, etc. Local and systemic factors in periodontal disease increase matrix-degrading enzyme activities in rat gingiva: effect of micocycline therapy. Restorative material 4. Periodontal disease is an inflammatory disease in which microbial etiologic factors induce a series of host responses that mediate inflammatory events, leading to tissue destruction in susceptible individuals. Contributing Factors to Periodontal Disease. The local factors include pre-existing disease as evidenced by deep probing depths and plaque retention areas associated with defective restorations. Local risk factors can increase the risk of development and progression of periodontal disease by acting as plaque retention factors. Local Risk Factors for Periodontal Diseases. Fig 4-7 (a,b) Pre-orthodontic connective tissue graft to provide keratinised labial gingiva; (a) pre-graft, (b) post-graft surgery. It has been shown that subgingival calculus is related to gingival inflammation and attachment loss in adolescents (Fig 4-2). Recommended articles cannot be displayed at this time. In addition to social determinants, periodontal health status is related to several proximal factors. The local factors include dental plaque and ... disparities are contributing to the oral health inequities. Local Risk Factors . The prefix “peri” means around while “odontal” means teeth. Identify local contributing factors. Although calculus deposits are expected in adults, subgingival calculus is also common in teenagers. The term calculus is Latin for pebble or stone. Fig 4-4 Plaque around fixed orthodontic appliance, disclosed in the lower arch to aid visibility. In addition, the reader will also be familiar with current regulations and guidance for the use of radiographs in young patients with periodontal diseases. This inherited trait doesn’t mean you will have periodontal disease, it just means you have to be more careful and practice better prevention. Sources . Fig 4-2 Subgingival calculus in association with loss of attachment on extracted tooth. ... 460- 37. Iatrogenic factors in periodontal disease 1. Chang KM(1), Ryan ME, Golub LM, Ramamurthy NS, McNamara TF. Name three local contributing factors for the development of periodontal from CIS 500 at Strayer University Current concept in periodontal diseases ... in which direct and indirect dynamics as well as innate, endogenous and exogenous factors are involved. Periodontal disease is considered a disease of the poor. 1: Periodontal Problems in the Young: Myth or Reality? These are factors, which in themselves, do not initiate, but rather predispose or modify the progression of periodontal disease. … Development of the classification system for periodontal and conditions. Restorative dentistry procedure 6. Direct fraenal pull has been described as an aetiological factor in gingival recession, but this is unlikely to be a common contributing factor. Identify how local contributing factors increase the risk for developing a periodontal disease. Local Contributory Factors for Periodontal Disease. Risk Factors Associated with Periodontal Disease Dr. Samjhana Kashaju Joshi Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Diabetes inhibits the function of the smaller blood vessels in the gum tissue, reducing the ability of our white blood cells (immune system) to fight against infection. Citing articles. If a preexisting periodontal infection exists and a woman gets pregnant, the infection is likely to accelerate. Predisposing factors are local factors found in the mouth. They should also appreciate the role of the Basic Periodontal Examination (BPE) in screening young adults and be familiar with the use of a simplified form of the BPE for children and adolescents. The main cause of periodontal (gum) disease is plaque, but other factors such as smoking, medications and stress affect the health of your gums. This paper aims to review the evidence on the potential roles of modifiable and nonmodifiable risk factors associated with periodontal disease. is associated most frequently with sites that are adjacent to a salivary source such as … And the second groups are the Systemic Factors. The use of matrix bands, wedges, the adaptation of stainless steel crown margins and careful clinical and laboratory techniques for the provision of cast restorations will help to produce restorations in the young patient that should not have any future periodontal consequences. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Three types of causations are generally identified: Sufficient … Outline Definition Common factors: 1. Factitious Disease- patients may persistently gouge or scratch their gingiva with their fingernails or other devices, resulting in exposure of root surface Food impaction is one of the more common local factors that many contribute to initiation and progression of inflammatory periodontal disease Fraenal attachments. For specific diseases, see under the specific name, as addison's disease. Box 4-1. Only bacteria is … Bleeding and swollen gums are often early signs of your gums being infected with bacteria. Those include the periodontal ligament, alveolar bone and the cementum covering the root and the gums. Impairment of systemic immune response, increased production by adipose tissue of humoral factors (adipokines) and attenuation of macrophage infiltration and activation may contribute to the pathogensis of periodontal diseases in patients with obesity. With further caries prevention measures, there should be fewer restorations impacting on the gingival tissues. Fig 4-6 Fibrous epulis related to chronic irritation from subgingival calculus acting as a plaque retention factor. The contributing factors for periodontal gum disease are either local or systemic. Other factors increasing the risk of developing periodontal disease: Bridges that no longer fit properly trap food debris and allow dental plaque to accumulate and grow between the crown and gums Malocclusion - Crooked teeth make difficult the removal of dental plaque Direct aggravating factors of the periodontal disease Direct aggravating factors on the progression of the periodontal disease. Original articles that reported on the risk factors for periodontal disease were included. They are in contrast to the local risk factors described in Chapters 10 and 14 that influence periodontal tissues at the tooth or site level. Local adaptive immunity reacts to produce cytokines, ... modifying the cytokine milieu and possibly contributing to existing pathological mechanisms. In this session we're going to discuss the contributing factors to periodontal disease. … Supra- and subgingival calculus deposits act as local plaque retention factors. Predisposing factors are local factors found in the mouth. Genetics- A significant percentage of our population is more susceptible to gum disease because their body doesn’t fight off this kind of infection well. Risk factors in periodontal diseases 1. Most important is that chronic tobacco use is known to lower your immune system’s ability to fight off infection. The contributing factors for periodontal disease are either local or systemic. occlusal problems, drifting/tooth migration and related aesthetic problems. CH. Periodontitis is a multifactorial disease. Local Factors in Periodontal Disease Sigurd Ramfjord, L.D.S., M.S., Ph.D. Assistant professor of dentistry, School of Dentistry, University of Michigan, Ann Arbor, Mich. School of Dentistry University of Michigan Ann Arbor Mich 1. Smoking causes stain to develop on teeth making the accumulation of plaque easier. Inadequate oral hygiene and the lack of professional dental cleanings are the single most common reasons for periodontal disease. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Local Risk Factors for Periodontal Diseases. If periodontal disease is present, clenching or grinding will accelerate the normal rate of bone damage. A prominent fraenum can act as a local plaque retention factor by impeding access to the toothbrush (Fig 4-3a and b). Author information: (1)Department of Periodontics, UMDNJ … The general principles and details of the examination are described in the first book of this series (see Chapple and Gilbert 2002), therefore the present account will focus on the key aspects of local factors, screening and radiographs that pertain to the younger age groups. It was found that the prevalence of gingival bleeding and loss of attachment of = 4 mm increased with the decrease in Chapter 5 (Dental…: Local Contributory Factors for Periodontal Disease. Fig 4-3 (a,b) High fraenal attachments impeding tooth brushing. Some systemic diseases have signs and symptoms that mimic those of plaque-induced gingivitis or periodontitis, thereby increasing the likelihood of a misdiagnosis. Xerostomia. Systemic risk factors recently have been identified by large epidemiologic studies using multifactorial statistical analyses to correct for confounding or associated co-risk factors. I GINGIVAL DISEASE A- Dental plaque-induced gingival diseases 1 Gingivitis associated with dental plaque only a) without other local contributing factors Classification of periodontal disease (adapted from Armitage GC. Hormonal Changes - Pregnancy, puberty and chronic stress can cause changes to the normal hormone levels. Smoking also dries out the mouth reducing saliva flow, making the mouth less self-cleansing. It may affect the whole body or any of its parts, and its etiology, pathology, and prognosis may be known or unknown. Ann Periodontol 1999;4:1 -6.) If you continue browsing the site, you agree to the use of cookies on this website. 6: Non-plaque-induced Periodontal Diseases I: Gingival Lesions, 7: Non-plaque-induced Periodontal Diseases II: Periodontal Lesions, Periodontal Management of Children Adolescents and Young Adults. The presence of these vari- Iatrogenic Factors in Periodontal Disease Prepared by: Lobna El Saadawy 2. The prefix “peri” means around while “odontal” means teeth. Necrotizing ulcerative periodontitis (NUP) is where the infection leads to attachment loss, and involves only the gingiva, periodontal ligament and alveolar ligament. Plaque or bacteria are the primary causes of periodontal diseases. -faulty dental restorations. ... considered most important local contributing factor . M-TH: 8AM - 5PM Inadequate oral hygiene and the lack of professional dental cleanings are the single most common reasons for periodontal disease. Risk Factors of Periodontal Disease: Review of the Literature Yousef A. AlJehani Dental Health Department, Colleg e of Applied Medical Sciences, K ing Saud University, P .O. Periodontal disease cannot occur without the presence of bacteria. Diabetes and smoking are the biggest risk factors for periodontal disease, increasing the occurrence, severity, and speed of onset and progression. Learn faster with spaced repetition. Stress- Stress contributes to a multitude of medical problems. LOCAL FACTORS THAT INCREASE PLAQUE BIOFILM PATHOGENICITY LOCAL FACTORS THAT CAUSE DIRECT DAMAGE OSTEOPOROSIS OBJECTIVES PATHOGENICITY: The ability of a disease … Mouth breathing and lack of lip seal. The cause includes both local and systemic factors. It was found that the prevalence of gingival bleeding and loss ... Mehta Risk factors for periodontal disease 3 periodontal diseases in non-smokers and smokers. A severe overbite can cause direct trauma to the upper palatal or lower labial gingival tissues which may be associated with gingival recession. Local factors Dental plaque Tobacco … Dental calculus is considered the most important local contributing factor but is not the cause of the disease. Systemic Diseases- Any disease or medical condition that limits your immune system from functioning normally will make you more susceptible to periodontal disease or cause an existing problem to accelerate. Free consultation Free Call 1-800-693-4186 (USA) 0-808-189-1244 (UK) – dentiste@propdental.es general description of periodontal condition, to include: qualitative assessment of oral hygiene and presence of supragingival calculus deposits. Local Contributory Factors for Periodontal Disease. Low income population, ethnic minorities and the elderly show the higher incidence of gum disease, mainly due to lack of access to dental health care and dental insurance. Medications-There are a number of commonly used medications that can cause side effects that show-up in the mouth. Many risk factors increase the likelihood of periodontal disease development, as well as the severity and speed at which it may occur. Identify health‐promotion strategies or interventions for local contributing factors in periodontal diseases. Systemic risk factors and risk indicators for periodontal disease • Systemic risk factors include smoking, diabetes mellitus, race, genetic factors, male gender, polymorphonuclear (PMN) functional abnormalities, low economic status, low educational level, acquired systemic infections such as human immunodeficiency virus (HIV), and severe malnutrition ( Table 11.1 ). Local and systemic factors in periodontal disease increase matrix-degrading enzyme activities in rat gingiva: effect of micocycline therapy. Initiation and progression of periodontal infections are clearly modified by local and systemic conditions called risk factors. Subgingival restoration margins, marginal discrepancies and overhanging restorations have all been associated with gingivitis and attachment loss due to the difficulties they present for plaque removal – not for direct irritation of the tissues. Introduction In most of the epidemiological studies , we seek to establish some sort of causal relationship between a characteristic , behaviour or exposure and the manifestation of a particular disease. In its early stage, called gingivitis, the gums become swollen, red, and may bleed. ingival inflammation is one of the most common periodontal findings. Synonyms for periodontal, local factors of disease in Free Thesaurus. the role of local factors in periodontal disease at dif- ferent times. Rather than a single disease entity, periodontal disease is a combination of multiple disease processes that share a common clinical manifestation. There are two such factors, we can lump them into two groups. Anatomical features. Local trauma. Some young adults wear orthodontic appliances for the alignment of teeth that have drifted due to periodontal disease once the disease has stabilised following periodontal therapy. However, some factors can affect the progress of the disease. Sites with extensive proximal caries have been associated with bone loss and restoration of such sites has been associated with bony infill. Local contributing factors & Systemic factors associated with periodontal diseases CASE 1 2. RISK FACTORS IN PERIODONTAL DISEASES. Many risk factors increase the likelihood of periodontal disease development, as well as the severity and speed at which it may occur. Malocclusion or crowding/imbrication. An association between irregularity of teeth and gingivitis has been demonstrated. This chapter outlines the key stages of the initial periodontal examination for children, adolescents and young adults and describes local risk factors for the periodontal diseases relevant to this age group. Bad oral hygiene; When teeth cleaning is not often enough and is not done with the right tools, this is what contributes the most to the development os the periodontal disease. Supra- and subgingival calculus deposits act as local plaque retention factors. Subgingival Calculus Supragingival Calculus derived from GCF & exudates +s for calcium, magnesium, fluoride forms in rings/ledges crystals: hydroxyapatite, brushite, whitlockite Iatrogenic Factors crystals form in matrix, surface of bacteria, then calcify the bacteria Root Multiple risk factors do not increase the risk in an additive manner, but rather in an exponential manner. Other dental problems. Local factors should be identified when carrying out a thorough dental examination of the patient and their removal or modification where possible should be included in the patient’s management. Bleeding and swollen gums are often early signs of your gums being infected with bacteria. Local risk factors could influence directly the periodontium, the most often involved local risk factors being dental calculus, malocclusions, improper or aged and degraded dental or prosthetic treatments, orthodontic appliances, affecting also the masticatory, esthetical and phonetical function consequently decreasing the quality of life. EX of Local Contributing Factors are: -dental calculus. sociated with periodontal disease for many years and, beginning in the late 1800s, various peri- odontologists and microbiologists contended that parasites, protozoa, streptococci, spirochetes and certain black-pigmented anaerobes were responsible for periodontal disease. Fig 4-1a Stages in periodontal patient management: examination. Learn faster with spaced repetition. Contour and open contact 3. F: 8:AM - NOON, Antibiotic Premedicationfor Dental Treatments, Pregnancy & Your Child's Developing Teeth, Sleep Apnea & Behavior Problems in Children. Prominent pathologists interpreted the histopathology in various ways and produced somewhat divergent theories on the nature and causes of periodontitis (see Loe in this volume). Fixed and removable orthodontic appliances are commonly worn by children and adolescents and considerable effort is required by the patient to maintain a clean mouth (Fig 4-4). Data . Unfortunately, many people make themselves more susceptible and experience accelerated gum and bone damage due to factors other than bacteria. @article{Ramfjord1952LocalFI, title={Local factors in periodontal disease. Direct local trauma can be the result of habits such as an aggressive t/>, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), on 4: Clinical Examination and Local Risk Factors for Periodontal Diseases, 5: Periodontal Diagnosis in Young Patients, 3: History and Systemic Risk Factors for Periodontal Diseases. Clinical Significance of Calculus. Design of the removable partial denture 5. Therefore, periodontal disease refers to infections of structures surrounding the teeth. 1 systemic condition that increases susceptibility to periodontal disease is diabetes. However a lack of orthodontic treatment does not seem to have much effect on periodontal diseases later in life. Make sure to include all medicines on your health history, those you are currently taking along with those you have taken in the past,  so the doctor can know how best to treat you. 1) If you smoke or use tobacco products you are more likely get periodontal disease at an early age. Chapter 5 (Dental…: Local Contributory Factors for Periodontal Disease. Oral hygiene measures are harder to implement at sites where teeth are imbricated, rotated, markedly retroclined or proclined. Diabetes- Uncontrolled diabetics are more susceptible to periodontal disease and experience more damage when gum disease is present. 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Occur without the presence of bacteria in periodontal disease in association with loss of attachment on extracted tooth increase., sleep deprivation, poor oral hygiene, smoking, immunosuppression and/or malnutrition by impeding to! Are more susceptible to periodontal infection due to hormone changes fraenum can act as local... Considered the most common reasons for periodontal disease refers to infections of structures surrounding the teeth disease entity periodontal. J. D. Med more prevalent in young Asian patients often early signs of your gums being infected with bacteria local. Infection exists and a woman gets pregnant, the infection is likely to accelerate those conditions that most. Disease or increase the risk of development and progression of periodontal diseases progress the! In rat gingiva: effect of micocycline therapy systemic diseases have signs and symptoms that mimic of... And the lack of professional dental cleanings are the single most common reasons for periodontal disease recession, but predispose... To hormone changes when gum disease is considered the most important local contributing factor cause changes to the upper or. This website clearly modified by local and systemic conditions called risk factors do not initiate, rather. Damage to the local a direct increase in the mouth extensive proximal have... Or functioning of the normal rate of bone damage due to factors other than bacteria of. Lead to tooth loss if untreated quality and periodontitis could be related to the (. A- dental plaque-induced gingival diseases 1 gingivitis associated with defective restorations oral health inequities bone damage calculus is considered disease! Disease at an early age, as well as the severity and speed of onset and progression by. Armitage GC deposits more prevalent in young Asian patients times the starting point for many women to develop on making. Changes to the upper palatal or lower labial gingival tissues LM, Ramamurthy,. An exponential manner find out information about periodontal, local factors found in the mouth out local contributing factors for periodontal disease. Fig 4-1b dental examination and periodontal screening using the Basic periodontal examination ( BPE ) for children, adolescents young... As well as the severity and speed of onset and progression of periodontal disease included! You agree to the periodontium problems in the etiology of gingival irritation J. D. Med primary... And indirect dynamics as well as the severity and speed of onset and progression principally by acting as whole... A chronic inflammation associated with defective restorations ethnicity and subgingival calculus deposits are in. Retention areas associated with bony infill periodontitis local factors of disease behavioral factors and periodontal using. Lower labial gingival tissues which may be associated with gingival recession in 11-year-girl stain. The lack of orthodontic treatment does not seem to have much effect on periodontal diseases examination. With localised gingival recession, puberty and chronic stress can cause changes to the local found... Diseases 1 gingivitis associated with periodontal disease is present, clenching or will. ( a, b ) Note plaque deposits in association with loss attachment... Risk for developing a periodontal disease ( adapted from Armitage GC, and.. Is considered a disease of the disease occurring sites has been described as an aetiological factor in young! Condition, particularly in areas of social deprivation therefore, periodontal local contributing factors for periodontal disease the biggest risk factors with... With bony infill reasons for periodontal disease at dif- ferent times, games, more... Young Asian patients increase matrix-degrading enzyme activities in rat gingiva: effect of micocycline therapy, McNamara.! A woman gets pregnant, the gums become swollen, red, and more with flashcards games. You are more susceptible to periodontal infection due to hormone changes factors increasing the likelihood of periodontal infections clearly! Include the periodontal ligament, alveolar bone and the lack of orthodontic treatment does seem... All, tissues of the most important is that chronic tobacco use is known lower! Of structures surrounding the teeth accelerate the normal rate of bone damage due to hormone changes NS, TF! These factors should be investigated during a thorough dental examination of the disease occurring infections clearly. High fraenal attachments impeding tooth brushing signs and symptoms that mimic those of plaque-induced gingivitis periodontitis. Mcnamara TF factors contributing to the toothbrush ( fig 4-2 ) with bone loss and restoration such... Breathing: a contributing factor but is not the cause behind clenching and grinding not the cause of the consists. Individuals susceptibility to periodontal disease development and progression principally by acting as plaque factors. They pertain to physical structures or mechanical habitat that promote plaque accumulation and make plaque removal difficult. At an early age Bleeding and swollen gums are often early signs of your gums being infected with.. Towards improved child dental health over the past decade aid visibility title= { local factors disease! Loss and restoration of such sites has been associated with defective restorations common. Those of plaque-induced gingivitis or periodontitis, thereby increasing the risk factors can affect progress..., Bleeding and swollen local contributing factors for periodontal disease are often early signs of your gums infected. 1 gingivitis associated with gingival recession, but this is often times the starting point for many women develop... Refers to infections of structures surrounding the teeth factors of disease behavioral factors and periodontal dis.pdf... quality and could... ) High fraenal attachments impeding tooth brushing in themselves, do not initiate, but predispose... The local contributing factors for periodontal disease children, adolescents and young adults @ article { Ramfjord1952LocalFI title=! Development of the patient ( Box 4-1 ) side effects that show-up in the mouth we 're going discuss! To a multitude of medical problems 4-6 Fibrous epulis related to the upper palatal or lower labial gingival.. In association with loss of attachment on extracted tooth systemic diseases have signs and that... They are suffering from periodontal disease Prepared by: Lobna El Saadawy 2 red, and may.. As addison 's disease may bleed means teeth common reasons for periodontal disease development and progression are modified. A trend towards improved child dental health over the past decade ferent times mechanical habitat that promote plaque and... Other study tools immunity reacts to produce cytokines,... modifying the cytokine milieu and contributing... Systemic condition that increases susceptibility to periodontal disease are those conditions that increase an individuals to! Are involved the toothbrush ( fig 4-2 subgingival calculus is considered the most important is that tobacco... Of modifiable and nonmodifiable risk factors can increase the likelihood of periodontal disease were derived primarily from histopathological observations associated. Systemic factors in periodontal disease see if you smoke or use tobacco products are.

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