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Periodontal Disease and Management

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Gingival Hyperplasia

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Overgrowth of gingival tissues, can be induced by medications, inflammation, or leukemia, managed by plaque control, medication review, and possibly surgery.

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Peri-implantitis

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Inflammatory process affecting the soft and hard tissues surrounding dental implants, leading to bone loss, treated with mechanical debridement, possibly antimicrobials.

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Gingivitis

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Characterized by gum inflammation without loss of bone or connective tissue, reversible with good oral hygiene, may be caused by plaque buildup.

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Desquamative Gingivitis

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Erythematous and desquamative gingival conditions, often associated with autoimmune diseases, managed with identification of the underlying condition and supportive care.

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Refractory Periodontitis

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A form of periodontitis that is resistant to conventional treatment and therapy, characterized by persistent inflammation and periodontal destruction, may require aggressive management strategies and repeated interventions.

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Chronic Periodontitis

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Slow progressing disease resulting in attachment loss, bone loss, and pocket formation around teeth, managed with scaling and root planing, and improved oral hygiene.

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Mucogingival Deformities

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Anomalies of the gingiva and alveolar mucosa affecting attachment, may include recession, lack of keratinized gingiva, managed by surgical correction.

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Periodontal Trauma

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Injury to the periodontium due to occlusal forces or external trauma, can lead to tooth mobility or loss, managed by addressing the trauma source and stabilization.

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Drug-Influenced Gingival Enlargement

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Gingival overgrowth caused by certain medications, such as anticonvulsants, immunosuppressants, and calcium channel blockers, treatment includes drug modification and gingivectomy.

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Endodontic-Periodontal Lesions

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Lesions due to the interplay between periodontal and endodontic pathosis, diagnosis involves radiographs and vitality tests, treatment can be endodontic therapy, periodontal therapy, or both.

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Gingival Recession

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Exposure of the root surfaces due to apical migration of the gingiva, may be due to mechanical trauma or periodontal disease, managed by correcting etiological factors and possibly grafting.

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Localized Periodontitis

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Periodontal disease affecting less than 30% of sites within the mouth, specific treatment tailored to affected sites, often scaling and root planing.

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Necrotizing Periodontal Disease

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Involves necrosis of gingival tissues, PDL, and alveolar bone, associated with pain, bleeding, and malodor, requires immediate debridement and antibiotics.

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Periodontal Maintenance

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Follow-up treatments to sustain the health of periodontal tissues, typically involves regular cleanings, monitoring, and reinforcement of oral hygiene practices.

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Aggressive Periodontitis

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Rapid attachment loss and bone destruction, often in patients under 30 and otherwise healthy, management includes antibiotics and periodontal therapy.

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Periodontal Health

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Absence of inflammation, no bleeding on probing, and stable attachment levels, achieved and maintained through proper oral hygiene and professional cleanings.

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Generalized Periodontitis

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Involves more than 30% of sites within the mouth, requires comprehensive periodontal therapy, maintenance includes regular periodontal cleanings.

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Periodontal Abscess

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Localized purulent infection within the periodontal pockets, can cause rapid destruction, managed with drainage, debridement, and sometimes antibiotics.

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