Written By. The structural integrity and interactions between the tooth-supporting structures are the fundamental requirements for a healthy periodontium. Blend Ahmed 1 Lecturer at Al-Kitab University - Iraq Lecturer at EPU-Medical Inst. 1 most studies traditionally regarded that a healthy periodontium is the opposite of case definitions of periodontal disease, as does the world health organization (who) defining health as an Periodontal diseas e refers to infection of the attachment apparatus of the teeth: the gingiva, periodontal ligament, and alveolar bone. Cite IntechOpen. 2 Three Basic State of the Periodontium The periodontium exists in three basic states: Health Gingivitis, and Periodontitis Dr . Various disease processes around the teeth result in the destruction of periodontal tissues, thus making them mobile. 4. The following items were assessed: baseline characteristics, age at the start and duration of . What is a healthy periodontium? 1. The mucogingival junction was highlighted using 2.5% diluted iodine solution. A few bacteria are specifically associated with periodontal disease; the pathogenic . Using our current knowledge base as well as cultural standards and values, the proposed definition of a healthy periodontium, in a state of wellness, should include simple characteristics that are coherent in allowing an individual to attain positive goals consistent with a positive quality of life (Figure 1). Among these functional compartments, the junctional epithelium has very unique characteristics as it faces the calcified tooth surface . 1. 2. 2. J Periodontol 1996; 37:5. The number of people with healthy periodontium constituted 17.1% of patients in Group-I, 24.2% in Group-II, and 37.1% in Group-III. it is proposed that there are 4 levels of periodontal health, depending on the state of the periodontium (structurally and clinically sound or reduced) and the relative treatment outcomes: (1) pristine periodontal health, with a structurally sound and uninflamed periodontium; (2) well-maintained clinical periodontal health, with a structurally Unlike pulpal disease, periodontal disease is not usually symptomatic and is therefore rarely a primary reason to seek treatment in the ED. The Periodontiumcomprises:- Gingiva Periodontal Ligament (PDL) Root Cementum Alveolar Bone. The integrity of the peri-implant soft-tissue seal is crucial for maintaining peri-implant tissue health. healthy, gingivitis, periodontitis. This will initiate the lesion side transformation by changing . Blend Ahmed Omer M.Sc. At this stage, the established lesion is dominated by B cells and leukocyte aggregation. 7-1 ). The Anatomy and Physiology of the Healthy Periodontium. The first group (G1) was distinguished by the presence of bleeding (gingivitis) or a healthy periodontium. These components serve to support the teeth in their It can be pyramidal or have a "col" shape. JE firmly attached, no epithelial ridges, gingival fibers and PDL intact, alveolar crest intact. . A traumatic occlusion on a healthy periodontium leads to an increased mobility but not to attachment loss. A. ALVEOLAR BONE Share. Kurdistan/Iraq. The microbial composition changes between gingival health and disease. Periodontitis is characterized by an idiosyncratic infiltrate of inflammatory cells and abundance of pro-inflammatory elements [ 7 ]. DOWNLOAD FOR FREE. Free gingiva is the portion of the gingiva that is unattached and is continuous with the attached gingiva. sequence of events that occurs during the development of disease. The aim of the present study was to re-visit the gingival dimension using digital scanning in a healthy Korean population. Loe H: Anatomical characteristics of gingiva. 3. the definition of periodontal health plays a crucial role in population surveillance and the determination of critical therapeutic targets for clinicians. periodontium changes when pathologic, normal and excessive physiologic, and inflammatory stimuli stress the components. regarded that a healthy periodontium is the opposite of case defini- . 3. Astringent effect | Bendable Compule | Optimal consistency . Macroscopic appearance of the periodontium The periodontium is composed of the gingiva, alveolar mucosa, cementum, periodontal ligament, and alveolar bone (F ig. The periodontium serves as the supporting apparatus for the teeth in function and in occlusal relationships. The shape of the interdental gingiva depends on the contact point between the two adjacent teeth. Download scientific diagram | Characteristics of participants in the Healthy, Gingivitis, and Periodontitis groups. Periodontium Periodontium consists of the investing and supporting tissues of the tooth (gingiva, periodontal ligament, cementum, and alveolar bone). Following active periodontal treatment and the resolution of periodontal inflammation in periodontitis, the periodontal tissue is healthy but with a reduced connective tissue attachment and alveolar bone height. Periodontics Dr. Gingivitis is an inflammation of the gingiva caused by bacterial plaque. DOI: 10.5772/25275. The bacteria involved in causing periodontal disease are numerous, with associations with over 400 bacterial species in a pocket! Terms in this set (48) pathogenesis. clinical characteristics of healthy periodontium. Abstract. Forty-eight periodontally healthy volunteers (38 males and 10 females, mean age: 24.3 2.2 years) were included. In the vertical direction the displacement is 0.02 mm by small forces up to 1 N. pink, firm, no bleeding. A traumatic occlusion, as in a deep bite, may cause stripping of the gingival margins. Also, the alveolar mucosa is smooth and shiny rather than stippled as seen in the attached gingiva. Orthodontic treatment in patients with no periodontal tissue breakdown vs. horizontal bone loss should be approached with caution even though it can bring significant benefits in terms of periodontal recovery and long-term success. The main function of the periodontium is to attach the tooth to the bone tissues of the jaws and to maintain integrity of the surface of the masticatory mucosa of the oral . PRESENTATION . periodontitis. Gingival Diseases Their Aetiology . The Periodontium in Health And Disease 30/3/2021 Dr. Physiological tooth mobility in healthy periodontium is determined by the bone height, form of the root, and magnitude of the applied force, and the extent is limited. Compule @ 0.37 g (can be used with standard composite dispenser | REF 2097, 5005) Interested? The characteristics of the published journal type, study design, country, sample frame, sample size, group, age, gender . These structures are called "periodontium," with "perio" meaning "around," and "odont," meaning "tooth." When the infection begins to affect the bone and supporting tissue, it is termed periodontal disease, A.K.A. The space between the free gingiva and the tooth is the gingival sulcus and is measured using a periodontal probe; a healthy gingival sulcus is 3 mm or less in depth and does not bleed when probed or brushed. Ainamo J, Talari A: The increase with age of the . We used the finite element method (FEM) to simulate various clinical scenarios regarding the periodontal involvement: healthy with no horizontal bone loss, moderate . Starting as an overstressed and confined inflamed periodontium, periodontitis may cause systemic repercussions fundamentally driven by inflammatory and toxic subproducts of periodontal bacteria [ 8 ]. . The age at HD onset had a positive impact on periodontal status and negatively correlated with the number of teeth. Anthony Palumbo. Using our current knowledge base as well as cultural standards and values, the proposed definition of a healthy periodontium, in a state of wellness, should Submitted: January 18th, 2011 Published: September 22nd, 2011. Inflammation of gingival margins The thickness of the epithelium also affects the color of the gingiva. The anatomy and physiology of the healthy periodontium will be described in its relationship to the natural dentition, jaws, and the oral environment. Introduction to the Microbiology of Periodontal Disease. Using our current knowledge base as well as cultural standards and values, the proposed definition of a healthy periodontium, in a state of wellness, should include simple characteristics that are coherent in allowing an individual to attain positive goals consistent with a positive quality of life (Figure 1). These include the gingiva, periodontal ligament, cementum, and alveolar bone.1 These tissues support the teeth and oral structures. REF 9119 . The early lesion is characterized by redness of the lesion. In inflamed periodontal structures traumatic occlusion contributes to a further and faster spread of the inflammation apically and to more bone loss. It varies from individual to individual. Study with Quizlet and memorize flashcards containing terms like Periodontium, Periodontium includes, Gingiva and more. Plaque-induced gingivitis on a reduced periodontium is characterized by the . 3 states of the periodontium. The color of healthy gingiva is different from the alveolar mucosa which is red in color. Diseases of theperiodontium Dr. Madhusudhan reddy. from publication: Estimation of soluble CD14 levels in gingival crevicular fluid . Results: One person had healthy periodontium, 62.14% of the patients had gingivitis, and 36.9% had moderate or severe periodontitis. PLAQUE INDUCED GINGIVITIS ON A REDUCED PERIODONTIUM. Our study concluded that prosthetic treatment with periodontal diseases showed better outcomes while using dental prostheses fabricated by the CAD/CAM technique compared to the conventionally fabricated dental . Finally, strategies and policies that advocate periodontal health were appraised. A healthy periodontium is required to adequately support the teeth in function. CHARACTERISTICS . Temporary gingival retraction and drying oft the sulcus in case of healthy periodontium. . regarded that a healthy periodontium is the opposite of case defini- tions of periodontal disease, as does the World Health Organization (WHO) defining health as an absence of illness.2Specifically, peri- odontal health refers to a state free from inflammation and char- acterized by shallow pockets and the absence of gingival bleeding.3 The paradigm includes four cardinal characteristics, i.e., 1) a functional dentition, 2) the painless function of a dentition, 3) the stability of the periodontal attachment apparatus, and 4) the psychological and social well-being of the individual. THE HEALTHY PERIODONTIUM The periodontium is defined as the supporting tissues of the teeth including surrounding alveolar bone, the gingiva, the periodontal ligament, and the outer layer of the tooth roots (all identified in Fig. Periodontal disease is the infection of the oral anatomical structures that surround and support the teeth and gums. At this stage, PMNs clear and breakdown the collagen fibers, which leads to an increase in the previously made space for infiltrates. 2. 1). Whilst the transmucosal component of the restored implant shares some common features with teeth, namely the presence of a junctional epithelium and a connective tissue component, there are some important differences. Anatomic Characteristics of the Periodontium The periodontium is defined simply as the tissues that surround, support, and attach to the teeth. A clinical and microscopic study of the free and attached gingiva. 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