د. زهراء الحمداني ( المرحلة الخامسة )

♦️ Classification

🔹 Periodontitis ( 1) Interdental CAL is detectable at ≥2 non-adjacent teeth. ( 2) Buccal or oral CAL ≥3 mm with pocketing >3mm is detectable at ≥ 2teeth. 🔹 Extend - localized BOP less than 30% . - generalized BOP more than 30% or 30% . 🔹 Staging Stage I • CAL = 1 - 2 mm • bone loss = less than 15% (coronal third) . Stage II • CAL = 3 - 4 mm • bone loss = 15% - 33% (coronal third). Stage III • CAL = >5 mm • bone loss = 33% - 66% (middle third). Stage IV • CAL = 7, 5mm . • bone loss = > 66% (apical third) . 🔹 Grading Grade A : less than 0-5 . Grade B : between o.5 - 1 . Grade C : more than 1 . 🔹 Status of periodontitis - stable periodontitis : absence (or minimum) bleeding on probing (less than 10%), no pseudo pockets and no bleeding on probing at site with 4mm pocket depth. - remission periodontitis : BOP score ≥10%, probing pocket depth ≤ 4mm assuming no pseudo pocket, no BOP at 4mm pocket , with presence of attachment loss and radiographic bone loss . - unstable periodontitis : Probing pocket depth more than 5 mm or BOP at 4mm pocket. 🔹 Risk Factor 1. Diabetes mellitus 2. Smoking 3. Family history #perio_fourth

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