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Klasifikasi Penyakit Jaringan Periodonsium

Klasifikasi Penyakit Jaringan Periodonsium
(Menurut Draginja Kojović dan Ljiljana Kesić, dalam The Acta Stomatologica Naissi Edisi September 2003 • Volume 19 • Number 43)


I GINGIVAL DISEASES
A. Dental plaque-induced gingival diseases
1. Gingivitis associated with dental plaque only
2. Gingival diseases modified by sistemic factors
a) Associated with the endocrine system
1 )Puberty associated gingivitis
2.)Menstrual cycle-associated gingivits
3) Pregnancy associated
4) Diabetes mellitus- associated gingivits
b) Associated with blood dyscrasias
1) Leukaemia-associated gingivitis
2) Other
3. Gingival diseases modified by medications
a) Drug-influenced gingival diseases
1) Drug-influenced gingival enlargements
2) Drug-influenced gingivitis
a) Oral conraceptive-associated gingivitis
b) Other
4. Gingival diseases modified by malnutrition
B. Non-plaque-induced gingival lesions
1. Gingival diseases of specific bacterial origin
2. Gingival diseases of viral origin
a) Herpes virus infections
1) Primary herpetic gingivostomatitis
2) Recurrent oral herpes
3) Varicella-zoster infections.
4) Other
3. Gingival diseases of fungal origin
a) Candida species infections
b) Linear gingival erythema
c) Histoplasmosis
d) Other
4. Gingival lesions of genetic origin
a) Hereditary gingival fibromatosis
b) Other
5. Gingival manifestations of systemic conditions
a) Mucocutaneous disorders
1. Lichen planus
2. Pemphigoid
3. Pemphigus vulgaris
4. Erythema multiforme
5. Lupus erythematosus
6. Drug-induced
7. Other
b) Allergic reactions
1) Dental restorative materials
2) Reactions attributable to
a) Toothpastes/dentifrices
b) Mouthrinses/mouthwashes
c) Chewing gum additives
d) Foods and additives
3) Other
6. Traumatic lesions
a) Cemical injury
b) Physical injury
c) Thermal injury
II CHRONIC PERIODONTITIS
A) Localized
B) Generalized
III AGGRESSIVE PERIODONTITIS
A) Localized and generalized periodontitis
B) Rapid periodontitis
C) Refractory periodontitis
IV PERIODONTITIS AS A MANIFESTATION OF SYSTEMIC DISEASES
A) Associated with haematological disorders
1. Acquired neutropenia
2. Leukaemias
3. Other
B) Associated with genetic disorders
1. Familial and cyclic neutropenia
2. Down syndrome
3. Leukocyte adhesion deficiency syndromes
4. Papillon-Lefevres syndrome
5. Chediak-Higashi syndrome
6. Histiocytosis syndrome
7. Glycogen storage disease
8. Infantile genetic agranulocytosis
9. Cohen syndrome
10. Ehlers-Danlos syndrome (Types IV and VIII)
11. Hypophosphatasia
12. Other
V NECROTIZING PERIODONTAL DISEASES
A) Necrotizing ulcerative gingivitis
B) Necrotizing ulcerative periodontitis
VI ABSCESSES OF THE PERIODONTIUM
A. Gingival abscess
B. Periodontal abscess
C. Pericoronal abscess
VII PERIODONTITIS ASSOCIATED WITH ENDODONTIC LESIONS
A. Combined periodontic-endodontic lesions
VIII DEVELOPMENTAL OR ACQUI-RED DEFORMITIES AND CONDITIONS
A. Localized tooth-related factors that modify or predispose to plaque-induced gingival diseases/periodontitis
1. Tooth anatomical factors
2. Dental restorations/appliances
3. Root fractures
4. Cervical roort resorption and cemental tears
B. Mucogingival deformities and conditions around teeth
1. Gingival/soft tissue recession
2. Lack of keratinized gingiva
3. Decreased vestibular deppth
4. Aberrant frenum/muscle position
C. Mucogingival deformities and conditions on edentulous ridges
D. Occlusal trauma


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