Understanding Periodontal Diseases: Assessment and Diagnostic Procedures in Practice_(periodontology Vol. 1)
Format: PDF / Kindle (mobi) / ePub
The first of five books on gingival and periodontal diseases this volume takes the reader on a logical journey through the assessment and diagnostic processes to enable accurate diagnosis and identify those patients who are at risk from periodontitis.
towards the tissues. In this manner, one stimulated B-cell can produce large numbers of clones to assist in host defence. When in the tissues, they enlarge due to the active protein synthesis occurring within to form plasma cells and produce immunoglobulin, which is released to bind to antigen. If plasma cell formation occurs in the lymph nodes, then immunoglobulin is released into the blood stream. The antigen-antibody complexes bind Fc receptors on PMNLs (opsonisation) and activate complement
photocopying, or otherwise, without the written permission of the publisher. ISBN 1-85097-308-3 5 Table of Contents Title Page Copyright Page Foreword Preface Acknowledgements Chapter 1 A Whistle-Stop Tour of the Periodontium Aim Outcome Terminology and Orientation The Gingivae The Gingival Epithelium The Gingival Connective Tissues The Periodontal Attachment Apparatus Root cementum PDL Alveolar bone Further Reading Chapter 2 How Does Plaque Cause Disease? Aim 6 Outcome A Model for
attachment loss in relation to age • whole mouth bleeding on probing at >25% of sites • pockets >4mm in depth • poorly controlled diabetes • smoking • plaque at >30% of sites • local plaque-retention factors • stress 130 • (possibly) poor nutrition. It is recommended that systemic (patient-based) risk factors are documented alongside the diagnosis in patients case records. Further Reading Kinane DF, Chestnutt IG. Smoking and periodontal disease. Crit Rev Oral Biol Med 2000;11:356–365.
furcations, residual drifting and mobility, but the disease may no longer be active and hence the tissues are clinically healthy at that time (Fig 5-3). Indeed, age-related changes such as recession and changes in soft-tissue consistency result in healthy periodontal tissues in the elderly failing to satisfy the conditions of classical or “pristine” health. Fig 5-3 Clinical health in a patient post-therapy who had been stable for seven years and required no more than occasional calculus removal.
of periodontal diseases, with proposed markers indicating where various factors may exert an influence. Further Reading 1999 International Workshop for a Classification of Periodontal Diseases and Conditions. Annals Periodontol 1999:4;1–112. Morris AJ, Steele J, White DA. The oral cleanliness and periodontal health of UK adults in 1998. British Dent J. 2001;191:186–192. 178 Chapter 7 The Initial Consultation – Screening Examination Aim This chapter aims to provide the practitioner with a