Page 1
1
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
Page 2
2
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
Page 3
3
Gingivitis - Stage 1
© J. R. Dodd, DVM, Dip AVDC
Gingivitis - Stage 1
© J. R. Dodd, DVM, Dip AVDC
Page 4
4
Gingivitis - Stage 1
© J. R. Dodd, DVM, Dip AVDC
Gingivitis - Stage 1
Calculus Index = 1-3
CI2
CI1CI3
© J. R. Dodd, DVM, Dip AVDC
Page 5
5
Gingivitis - Stage I
Calculus Index = 1-3
CI3CI2 CI1
© J. R. Dodd, DVM, Dip AVDC
Gingivitis - Stage 1
© J. R. Dodd, DVM, Dip AVDC
Page 6
6
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
Page 7
7
Early Periodontitis - Stage 2
© J. R. Dodd, DVM, Dip AVDC
Early Periodontitis - Stage 2
Calculus Index = 3(CI3)
© J. R. Dodd, DVM, Dip AVDC
Page 8
8
Early Periodontitis - Stage 2
© J. R. Dodd, DVM, Dip AVDC
Early Periodontitis - Stage 2
Oral Mass
© J. R. Dodd, DVM, Dip AVDC
Page 9
9
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
Page 10
10
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
Page 11
11
Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
Page 12
12
Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
Moderate Periodontitis - Stage 3
© J. R. Dodd, DVM, Dip AVDC
Page 13
13
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
Page 14
14
Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
Page 15
15
© J. R. Dodd, DVM, Dip AVDC© J. R. Dodd, DVM, Dip AVDC
Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
Page 16
16
Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC
Advanced Periodontitis - Stage 4
© J. R. Dodd, DVM, Dip AVDC