crown
Dentine Enamel Gingival sulcus
GingWa
Oral mucosa
Morphology
Supportive tissues
perio-
dontal ligament
alveolar bone
Boot cementum-vering
entire root surface
Dentogingival junctio
Free gingiva
Gingival sulcus Sulcular epithelium Cemento-enamel junction
Other aethiological factors
■ Calcified deposit on teeth, plaque on the surface
Overhangs, crowns, dentures
Genetic factors — gen polymorphism
Parodontopathies
ic form
) form
ema
bleeding je on the
Acute necrotisans gingivitis - ANUG
■ Necrotizing ulcerative gingivitis
Aetiology
- Lesions more widespread and diffuse
Diferential diagnosis
If ANUG does not tend to recover in 10 days check the blood picture!
Atrophie or desquamative gingivitis
symptoms
Erythema on free gingiva — loss of the epithelium
Variety of symptoms: itching, tenderness of eating, burning.
P ar o donthop atie s
Periodontitis
Chronic periodontitis. Aggressive periodontitis.
Periodontitis as a manifestation of systemic disease.
ecrotizine periodontal diseases.
I Abscesses of the periodontium.
I Periodontitis associated with endodontic lesions.
I Development or acquired deformities and conditions,
Parodonthopaties
Periodontitis
-i untomc periodontitis, Ag-gressive periodontitis.
J Periodontitis as a manifestation of systemic disease. J Necrotizing periodontal diseases.
-i Abscesses of the periodontium.
Periodontitis associated 'with, endodontic lesions. Development or acquired deformities and conditions.
Periodontitis
■ Gingivitis
■ Pocketin
Periodontitis
Periodontitis
Therapy
1. Oral hygiene - professional, home care
INDIVIDUAL
Therapy
1. Oral hygiene - professional, home care _INDIVIDUAL
1. Oral hygiene - professional, home care
INDIVIDUAL
Scaling, root planning
Closed curretage
Apical flap Replaced flap
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 flap or graft.