perio prog

overall
indiv tooth
diagnostic
therapeutic
prosth or resto

no; prog can change over time as tx rendered

patient age
dz severity
plaque ctrl
pt compliance
smoking
systemic dz/condition
genetics

generally better for older than younger pts

prog also can be related to the height of remaining bone
PD less impt than lvl of att bc PD not related to bone loss

bact plaque is primary etiologic factor assoc w perio diz
effective removal of plaque daily > critical for success of perio therapy

smoking > severity of perio destruction/healing pot of tissues
smoking cessation > positive effect on tx

pdtitis more in pts with diabetes
conditions limiting oral procedures

perio dz = complex interaction bt microbial challenge and host's response
genetic factor impt in determining HOST RESPONSE
(inc IL1B)

lateral > central incs
if on palatal side, cannot see on radiograph

posterior maxilla

subgingival restorations
mobility
short tapered roots
root concavities
root proximity
furcation involvement

abutment selection
caries
non vital teeth
root resorption

ID factors that can predispose pt to developing perio dz

prediction of the PROBABLE CAUSE, DURATION, AND OUTCOMES of perio disease

sometiems they are the same

pts with uncontrolled diabetes who smoke

good
fair
poor
helpless

adequate perio support
ez maintenance of etiology

25% attachment or bone loss measured
class I furcation involvement, location/depth allows proper maintenance
good pt compliance

50% att or bone loss
class II furcation, location/depth allow proper maint w difficulty

greater 50% att or bone loss
poor root form
class II furcation, not accessible to maint OR class III furcation
class II mobility or greater
significant root proximity