This document discusses gingivitis, or inflammation of the gums. It classifies gingivitis into several types including plaque-associated gingivitis, acute necrotizing ulcerative gingivitis, and gingivitis associated with systemic conditions or medications. The main causes of gingivitis listed are dental plaque, hormonal factors like puberty or pregnancy, certain medications, nutritional deficiencies, and various medical conditions. Plaque-associated gingivitis specifically is defined as an inflammatory disease of the gums caused primarily by dental plaque. It describes the characteristics of plaque-associated gingivitis as changes in gum color, texture, consistency and position without attachment loss or alveolar
This document discusses gingivitis, or inflammation of the gums. It classifies gingivitis into several types including plaque-associated gingivitis, acute necrotizing ulcerative gingivitis, and gingivitis associated with systemic conditions or medications. The main causes of gingivitis listed are dental plaque, hormonal factors like puberty or pregnancy, certain medications, nutritional deficiencies, and various medical conditions. Plaque-associated gingivitis specifically is defined as an inflammatory disease of the gums caused primarily by dental plaque. It describes the characteristics of plaque-associated gingivitis as changes in gum color, texture, consistency and position without attachment loss or alveolar
This document discusses gingivitis, or inflammation of the gums. It classifies gingivitis into several types including plaque-associated gingivitis, acute necrotizing ulcerative gingivitis, and gingivitis associated with systemic conditions or medications. The main causes of gingivitis listed are dental plaque, hormonal factors like puberty or pregnancy, certain medications, nutritional deficiencies, and various medical conditions. Plaque-associated gingivitis specifically is defined as an inflammatory disease of the gums caused primarily by dental plaque. It describes the characteristics of plaque-associated gingivitis as changes in gum color, texture, consistency and position without attachment loss or alveolar
Plaque associated gingivitis- acute gingivitis & chronic gingivitis Acute necrotizing ulcerative gingivitis (ANUG) Desquamative gingivitis Gingivitis associated with systemic condition or medication Hormone-induced gingival inflamation Drug influence gingivitis Gingivitis associated with blood dyscrasias Gingivitis associated with diffuse bacterial & viral infection Gingivitis due to miscellaneus cause which may include nutritional deficiencies, iatrogenic causes, hereditary causes, mouth breathing
Etiologi Penyakit Gingiva
1. Dental plaque 2. Endocrinal: Puberty, pregnancy, diabetes mellitus 3. Blood dyscrasia: leukemia 4. Malnutrion: vitamin C deficiency (scurvy) 5. Medication: Dilantin, cyclosporin or procardia 6. Non-plaque induced gingivitis: a. Bacterial origen- Niesseria gonorrhea, Treponema pallidum, Stretococcal species b. Viral origin- Herpes virus, recurrent oral herpes, varicella zoster c. Candida, histoplasmosis
Etiologi Penyakit Gingiva
7.
Genetic factor- Hereditary gingival fibromatosis
8. Systemic condition manifestation
a. Lichen planus b. Pemphigus c. Erytema multiforme d. Lupus erythematosis 9. Allergy to mercury, nickle, and acrylic 10. Traumatic causes including physical, chemical, thermal causes 11. Immunological disease & immunosuppressesive therapy 12. Foreign body- introduction of amalgam/abrasive during operative procedure
inflamatori pada jaringan gingiva Etiologi utama: DENTAL PLAQUE Gingivitis akut: onset tiba-tiba, durasi singkat, sakit Gingivitis kronis: onset lambat, durasi lama, tidak sakit
Kharakteristik gingivitis terkait
plak
Terdapat plak pada margin gingiva
Penyakit dimulai dari gingiva marginal Perubahan warna gingiva Perubahan konsistensi gingiva Pendarahan saat probing (BOP) Perubahan tekstur permukaan gingiva Perubahan kontur & posisi gingiva TIDAK TERDAPAT ATTACHMENT LOSS TIDAK ADA KERUSAKAN ALVEOLAR Perubahan histologik lesi inflamatori Reversibel bila plak dihilangkan