Stages of Periodontal Diseaseevkh44e2mmfi8dgq3p838x19-wpengine.netdna-ssl.com/... · Stages of Periodontal Disease Early Periodontitis - Stage 2 ... Microsoft PowerPoint - Practical
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Stages of Periodontal DiseaseHealthy - Stage 0
No evidence of disease
Attached Gingiva - coral pink & stippled
(orange peel appearance)
Alveolar Mucosa – red, smooth, & shiny
© J. R. Dodd, DVM, Dip AVDC
Stippling Of The Gingiva Stippling is the pebble-like
appearance of the gingival surface. It is a result of the interlocking of the dermal papillae and the rete pegs
Stippling is generally considered to be an indication of healthy gums. LOSS of stippling is usually an indication of tissue breakdown and disease progression
Stippling
Rete Pegs Dermalpapillae
Healthy - Stage 0
© J. R. Dodd, DVM, Dip AVDC© J. R. Dodd, DVM, Dip AVDC
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Healthy - Stage 0
Alveolar mucosa
Attached gingivaMGJ
Gingival margin
© J. R. Dodd, DVM, Dip AVDC
Stages of Periodontal DiseaseGingivitis - Stage 1
Gingival inflammation
Erythema
Gingival bleeding on probing
Loss of stippling
© J. R. Dodd, DVM, Dip AVDC
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Gingivitis - Stage 1
© J. R. Dodd, DVM, Dip AVDC
Gingivitis - Stage 1
© J. R. Dodd, DVM, Dip AVDC
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Gingivitis - Stage 1
© J. R. Dodd, DVM, Dip AVDC
Gingivitis - Stage 1
Calculus Index = 1-3
CI2
CI1CI3
© J. R. Dodd, DVM, Dip AVDC
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Gingivitis - Stage I
Calculus Index = 1-3
CI3CI2 CI1
© J. R. Dodd, DVM, Dip AVDC
Gingivitis - Stage 1
© J. R. Dodd, DVM, Dip AVDC
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Gingivitis - Stage 1
Calculus Index = 1-3
CI3
© J. R. Dodd, DVM, Dip AVDC
Stages of Periodontal DiseaseEarly Periodontitis - Stage 2
Severe gingivitis
Beginning of pocket formation
Gingival edema
Inflammation of periodontal ligament
< 25% bone loss
© J. R. Dodd, DVM, Dip AVDC
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Early Periodontitis - Stage 2
© J. R. Dodd, DVM, Dip AVDC
Early Periodontitis - Stage 2
Calculus Index = 3(CI3)
© J. R. Dodd, DVM, Dip AVDC
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Early Periodontitis - Stage 2
© J. R. Dodd, DVM, Dip AVDC
Early Periodontitis - Stage 2
Oral Mass
© J. R. Dodd, DVM, Dip AVDC
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Early Periodontitis - Stage 2
Calculus Index = 2(CI2)
© J. R. Dodd, DVM, Dip AVDC
Early Periodontitis - Stage 2
Calculus Index = 3(CI3)
© J. R. Dodd, DVM, Dip AVDC
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Feline juvenile gingivitis/periodontitis
8-mo-old DSH © J. R. Dodd, DVM, Dip AVDC
Stages of Periodontal DiseaseModerate Periodontitis - Stage 3
Moderate loss of periodontal attachment
Moderate to deep pocket depth
25-50% loss of bone support
Slight to moderate mobility of incisors
© J. R. Dodd, DVM, Dip AVDC
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Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
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Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
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Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
Stages of Periodontal DiseaseAdvanced Periodontitis - Stage 4
Severe inflammation
Deep pockets
Gingival recession
>50% loss of bone support
Advanced tooth mobility
© J. R. Dodd, DVM, Dip AVDC
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Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
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© J. R. Dodd, DVM, Dip AVDC© J. R. Dodd, DVM, Dip AVDC
Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
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Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
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