Iatrogenic Factors in Periodontal Disease Prepared by: Lobna El Saadawy 2. Fraenal attachments. These responses are influenced by local, systemic, genetic and environmental risk factors. n. 1. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Deeper pockets are usually associated with an increase in the percentage of histological inflamed tissue. Local factors Systemic factors Non-modifiable factors Table 1 Risk factors for periodontal disease divided into modifiable and non-modifiable factors. Increased pocket depth is another local risk factor, as these pockets are more apt to harbor periodontal pathogens and are harder for the patient and therapist to maintain. Margins of the restoration 2. 0000095829 00000 n You can find out more about which cookies we are using or switch them off in settings. Calculus (supra- and subgingival) Restorations. Orthodontic appliances. On contrary, the absence of bleeding on probing over continuous appointments could indicate an improved prognosis compared with a tooth with similar levels of periodontal destruction that bled on probing. 0000001466 00000 n Local contributing factors & Systemic factors associated with periodontal diseases CASE 1 2. /O 60 Each individual patient will be assessed by their dentist to meet when necessary, but generally speaking, such visits are usually each three to four months. 0000001446 00000 n The presence of inflammation is most often defined by the clinical finding of bleeding on gentle probing. Common risk factors of severe gum disease in children and adolescents include:. /Linearized 1.0 Start studying FP: Ch.16: Local Factors Contributing to Periodontal Disease. 0000001092 00000 n 0000098637 00000 n factors implies a direct increase in the probability of the disease occurring. 0000097016 00000 n Aggresive Periodontitis(cont.) To establish a factor as a risk factor or determinant for periodontal disease, the evidence … Contour and open contact 3. Stress also is a risk factor for periodontal disease. Composition of Supragingival Calculus 0000104008 00000 n /T 1563730 @article{Ramfjord1952LocalFI, title={Local factors in periodontal disease. Obesity. 0000002228 00000 n Destructive periodontal disease is a consequence of the interaction of genetic, environmental, host and micro- bial factors.8 Risk factors for periodontal disease include genetics, age, gender, smoking, socioeconomic factors and some systemic diseases. Surgical pocket reduction can lead to maintain proper periodontal stability. Their role in the disease has often been described as hindering the removal of den- tal plaque. /ID[<299ACD095D129963F4431B0D56CC1348><5EA044241EC947349BD338FC9CB44752>] Those who have never smoked tobacco have the lowest risk of developing gum disease. The presence of inflammation is most often defined by the clinical finding of bleeding on gentle probing. Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. 0000104215 00000 n endobj Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. %PDF-1.4 0000001895 00000 n 1,2 %���� Supra- and subgingival calculus deposits act as local plaque retention factors. endobj /H [ 1092 374 ] It may form on teeth, mucosa ... which both host and bacterial factors deter-mine the outcome, such that changes in the ... periodontal disease is further modified by local and/or systemic factors. There are some periodontitis local factors that may lead to tooth loss if left untreated. Initiation and progression of periodontal infections are affected by local and systemic conditions. Introduction: The periodontal disease represents a malady characterized by an extremely high incidence. Patients with a number of deep probing sites are generally more susceptible to disease because of their aberrant host defense mechanism. Combined with an existing gum disease problem, teeth grinding and clenching can cause the faster destruction of periodontal tissues. Some of these factors, such as tooth malpo- sition, are shown in Fig. 0000001922 00000 n On the other hand, many sites that bleed on probing may not demonstrate progressive destruction, varying from case to case. However, there are … These include stress and coping behaviors, and osteopenia associated with estrogen deficiency. %%EOF LOCAL FACTORS THAT INCREASE PLAQUE BIOFILM PATHOGENICITY LOCAL FACTORS THAT CAUSE DIRECT DAMAGE OSTEOPOROSIS OBJECTIVES PATHOGENICITY: The ability of a disease … Publish by Doctor Dario Vieira Pereira el 10 March 2014 en dentistry Gingival inflammation is one of the most common periodontal findings. Obesity could be a potential risk factor for periodontal disease especially among younger individuals. •Typically affects crestal bone of first molars and incisors. Outline Definition Common factors: 1. In its early stage, called gingivitis, the gums become swollen, red, and may bleed. 2. 0000101412 00000 n 58 0 obj 1,6 Prognosis is considered “favorable” for teeth when the local or systemic factors can be controlled and the periodontal status of the tooth can be stabilized with comprehensive periodontal treatment and maintenance. 2 as directly influencing plaque accumulation. 0000102604 00000 n Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal diseases. 0000106654 00000 n Suppurations may be another risk, although there is no general consensus and little evidence that it leads directly to periodontitis. 0000002062 00000 n Iatrogenic factors in periodontal disease 1. Although most individuals suffer gum inflammation from time to time, around 10% of the population appear to suffer from the more severe forms of the disease which cause loss of supporting bone. Dr. Dario Vieira Pereira is the medical director or our Propdental centers located in Barcelona, Madrid and Badalona. periodontal, local factors of disease synonyms, periodontal, local factors of disease pronunciation, periodontal, local factors of disease translation, English dictionary definition of periodontal, local factors of disease. There are also background determinants associated with periodontal disease including gender (with males having more disease), age (with more disease seen in the elderly), and hereditary factors. Diseases affecting the dentition and its surrounding structures have a profound influence on the patient and his/her health. Initiation and progression of periodontal infections are clearly modified by local and systemic conditions called risk factors. As already stated, the non-modifiable risk factors are also referred to as risk determinants. 0000097240 00000 n Deep pockets could act as bacterial reservoirs and serve to re-infect other sites. 0000000015 00000 n 0000105397 00000 n Socioeconomic Factors. xref 0000105614 00000 n The study of risk in periodontal disease is a rapidly emerging field and much is yet to be learned. Another system was introduced by Kwok and Caton, which determines prognosis on future periodontal stability. It should have the same consideration as bleeding, if it is generally present in the mouth, it should be considered in the overall prognosis as an indicator of the overall level of periodontal inflammation. Local trauma. /L 1564934 It may be estimated that the patient’s defense mechanism isn’t as good as it should be, indicating that he or she may be at greater risk for future periodontal destruction. 0000101203 00000 n 0000107616 00000 n <> There are some periodontitis local factors that may lead to tooth loss if left untreated. 0000001009 00000 n Restorative dentistry procedure 6. 0000111603 00000 n /Size 92 x�c```f``qa`e`���A��bl,7`"�O���>+��,���G�-�>��ڎֲ�;No�v���i���`UO/�#�¼�N. If you disable this cookie, we will not be able to save your preferences. 0000099813 00000 n 90 0 obj /Prev 1563721 Calculus, caries, iatrogenic, anatomical features, and trauma. Smoking (Cigarettes, E-Cigarettes, Marijuana & Illicit Drugs) Children, teens, and young adults who smoke or use tobacco are more prone to developing periodontitis. >> 1 systemic condition that increases susceptibility to periodontal disease is diabetes. malnutrition, injury, industrial hazards), to congenital or hereditary defects, or to a combination of all these factors. Modifiable risk factors are usually environmental or behavioral in nature, whereas non-modifiable risk factors are usually intrinsic to the individual and therefore can not be easily changed. 0 /Root 59 0 R Recommended articles cannot be displayed at this time. Required fields are marked *, Calle Andrade 45BarcelonaPhones:+34 933 087 059+34 932 661 232, Calle Independencia 275BarcelonaPhones:+34 932 656 722+34 932 444 874, Passeig de Fabra i Puig, 306BarcelonaPhones:+34 934 293 750, Avinguda del Marquès de Sant Morí, 181BadalonaPhone:+34 933 98 80 34, Calle Alberto Aguilera, 7MadridPhone:+34 914 467 354, Health Registration Number: E08052922Health Manager: Dario Vieira Pereira. Stress is linked to many serious conditions such as hypertension, cancer, and numerous other health problems. Several local factors have historically been associated with periodontal disease. 0000110575 00000 n Untreated conditions can result in severe pain, localized, and systemic infections and result in partial or complete loss of teeth.The etiology and the contributing factors to these diseases are discussed in detail. Local Risk Factors for Periodontal Diseases. The No. This website uses cookies so that we can provide you with the best user experience possible. Eventually affects ... Periodontal Disease Author: Noi Created Date: Diabetes and smoking are the biggest risk factors for periodontal disease, increasing the occurrence, severity, and speed of onset and progression. 0000098423 00000 n Patients who have received treatment to counter periodontal disease should keep regular visits scheduled with their dentist in order to prevent disease recurrence and re-appearance. stream Systemic risk factors include poorly controlled diabetes mellitus and tobacco smoking. Scope of the study: To evaluate the periodontal status on a group of patients, versus the syste‑ Xerostomia. startxref The presence of numerous deep pockets in a patient’s mouth may indicate that their response to treatment and therapy has been less favorable, probably leading to a less favorable prognosis when going to the clinic. Local risk factors can increase the risk of development and progression of periodontal disease by acting as plaque retention factors. Strictly Necessary Cookie should be enabled at all times so that we can save your preferences for cookie settings. 1 The risk factors for periodontal diseases can be broadly classified as individual and local. Anatomical features. Given that periodontal disease has a higher prevalence in adults [10,11] and that periodontal disease is one of the factors that cause edentulism [12,13] discover and describe its prevalence in the population and identify possible related factors may contribute to the reduction of dental mutilation.The present study aimed to describe the burden of periodontal disease among … >> 0000100020 00000 n /E 113525 0000112535 00000 n there is no concrete evidence that any of the contributing factors can initiate periodontal disease by themselves; simply, they enhance the ability/virulence of the bacterial plaque to cause periodontal disease What are some local factors? << Define periodontal, local factors of disease. Local predisposing factors in periodontal disease  Are oral conditions or habits that increase an … Gingival inflammation is one of the most common periodontal findings. /N 15 Necrotizing ulcerative periodontitis (NUP) is where the infection leads to attachment loss, and involves only the gingiva, periodontal ligament and alveolar ligament. Your email address will not be published. 0000109591 00000 n trailer 1 systemic condition adversely affected by periodontal disease is also diabetes. It has been shown that bacteria repopulate sites after treatment generally derived directly from the patient’s own flora. Rate of bone loss is 3-4 times faster than in typical periodontitis. Predisposing factors include psychological stress, sleep deprivation, poor oral hygiene, smoking, immunosuppression and/or malnutrition. The manifestations and evolution of the periodontal diseases vary for each form in part, being influenced by systemic and local risk factors. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out. 59 0 obj The No. 0000095600 00000 n Disease is a response to a specific infective agent (a microorganism or a poison), to environmental factors (e.g. 0000094406 00000 n Restorative material 4. <> The local factors include pre‐existing disease as evidenced by deep probing depths and plaque retention areas associated with defective restorations. We are using cookies to give you the best experience on our website. Local risk factors Local risk factors can either be acquired (such as plaque and calculus, overhanging and poorly contoured restorations) or Your email address will not be published. Pathology of periodontal disease A. Hasan1 and R. M. Palmer*2 rinsed away. The risk factors for periodontal diseases can be classified broadly into two categories: modifiable risk factors and non-modifiable risk factors. local factors and oral Hygiene habits. /Info 52 0 R Periodontal disease is considered a disease of the poor. Citing articles. Periodontal disease affects the gums, bone and other supporting tissues of the teeth. Risk Factors of Periodontal Disease: Review of the Literature Yousef A. AlJehani Dental Health Department, Colleg e of Applied Medical Sciences, K ing Saud University, P .O. 58 34 Mouth breathing and lack of lip seal. 0000108633 00000 n 0000102827 00000 n Table 1 provides a simple classification system for these factors. Local factors should be identified when carrying out a thorough dental examination of the patient and their removal or modification where possible should be included in the patient’s management. Calculus. 0000001950 00000 n << Citing articles cannot be displayed at this time. Malocclusion or crowding/imbrication. Design of the removable partial denture 5. This means that every time you visit this website you will need to enable or disable cookies again. The local factors include dental plaque and plaque retentive areas such as dental calculus and defective restorations. You visit this website you will need to enable or disable cookies again condition... Cookie settings and speed of onset and progression of periodontal disease represents a malady characterized by extremely. Retention areas associated with estrogen deficiency estrogen deficiency of development and progression of periodontal disease is a., or to a combination of all these factors { local factors that may to... The medical director or our Propdental centers located in Barcelona, Madrid and Badalona can be. Disease affects the gums become swollen, red, and numerous other health problems 2014 en dentistry Gingival is. Have the lowest risk of developing gum disease, is a set of inflammatory conditions affecting the surrounding! 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More with flashcards, games, and other supporting tissues of the most common findings... And incisors could be a potential risk factor for periodontal disease is considered a of... Referred to as risk determinants disease affects the gums become swollen, red, and may bleed stress. Tobacco smoking have the lowest risk of developing gum disease in children and adolescents include.! Defined by the clinical finding of bleeding on gentle probing Pereira el 10 March en!