Periodontal attachment

It can be the result of hyperplasia of the gingiva (false pocket) or migration of the epithelial attachment toward the apex (true pocket). The supracrestal attachment apparatus is composed of two layers: the coronal junctional epithelium and the more apical gingival connective tissue fibers. The two layers together form the thickness of the gingival tissue and this dimension is termed the biologic width.

In its early stage, called gingivitis, the gums become swollen, re and may bleed. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost,. However, a probing depth alone does not reveal the complete state of health of the area being measured.

This includes the business use of claims attachments , prior authorization and pre-determinations. It may also be used for other clinical data exchange functions as needed. It should be documented in the initial periodontal examination. It is an important consideration in the development of the overall diagnosis, treatment plan, and prognosis of the dentition and can be an effective research tool.

Its principal paradigm would consist of four cardinal characteristics including: 1) a functional dentition, 2) the painless function of the dentition, 3) the stability of the periodontal attachment apparatus an 4) the psychological and social well-being of the individual. Although many of these disorders are rare or uncommon, they often cause significant loss of periodontal tissue by influencing periodontal inflammation or through mechanisms distinct from periodontitis. Common diagnoses in dentistry. Definitive phase of treatment.

Disease control phase of treatment.

Harmful anaerobic bacteria colonize in the pocket and multiply, releasing toxins that can damage the gums, teeth, and supporting bone structures. Treatment for periodontal pockets varies depending on the severity or depth of the pocket or pockets you have. Only your dentist or periodontist can determine the best treatment for your needs.

Options include periodontal pocket reduction procedures and regenerative procedures for building bone and gum tissue. Periodontal Problems in Children and Adolescents. Prevalence and risk factors for periodontal attachment loss in a population of older community dwelling blacks and whites. Besides their role in the periodontal attachment loss and subsequent loss of teeth, periodontal pathogens such as Aggregatibacter actinomycetemcomitans have been associated with systemic diseases. This chapter describes forms of periodontitis, the periodontal diseases of the supporting tissues of the teeth.

LANAP, which incorporates free running pulsed Nd:YAG laser, promotes the elusive goal of regeneration of the attachment apparatus facilitating true regeneration. The natural history of periodontal disease, in some but not all patients, in tooth loss. Successful root coverage implies regeneration of the attachment apparatus on the exposed root surface including cementum with inserting collagen fibers, as well as an.

Probing Depth (mm) Gingival Margin (mm) = Attachment Level (mm) The probing depth (pocket depth in mm) is measured with the periodontal probe. The gingival margin (displayed as a red line) is the distance from the clinical gingival margin to any given reference such as, in most cases, the cemento-enamel junction. Evaluating CAL is critical for deciphering between active periodontitis and gingivitis on a reduced but stable periodontium. Measuring PD alone can result in unnoticed progression of CAL.

Even in healthy gums, there’s a small space between the tooth and the gum called a sulcus. This leads the gum to further separate from the tooth leaving an even larger space for bacteria and food particles to get stuck. This guide is to convey information about periodontal related services.

The items defined for electronic supporting documentation were developed by the Standards Committee on Dental Informatics of the American Dental Association. This may be a reasonable treatment outcome for individuals with uncontrollable modifying factors. Descriptors are arranged in a hierarchical structure, which enables searching at various levels of specificity. Clinical attachment loss (CAL) is the predominant clinical manifestation and determinant of periodontal disease. Sections were cut in longitudinal and horizontal planes through the jaws of several animals.

If calculus cov­ ers the cementum enamel junction it has to be removed before the C-E junction can be localized Occasionally it is also necessary to remove heavy deposits of supragingival calculus to gain access to the gingival crev­ ice. There is no clinical or radiographic evidence of further attachment loss.