Ninuk Hariyani, drg., M.Kes., MPH., PhD.
“All the diseases of the periodontium, that refer to the any
pathological state that involves the supporting tissues of teeth
(gingiva, periodontal ligaments, cementum, and alveolar bone)”
The epidemiology of periodontal
disease is one of the most
important challenges
1. Inflammatory disease, usually called
“periodontitis” or “marginal periodontitis”.
Destruction of alveolar bone happened by the
formation of subgingival pockets at the site of
chronic inflammation.
2. “Periodontosis”or “juvenile periodontitis”/
“diffuse alveolar atrophy”, apparently systemic
in origin. Characterized by generalized bone
loss
3. ”Atrophy”, associated with a disease or old age
Gingivitis: is a disease characterized by
inflammation restricted to the gingival soft tissue
with no loss of alveolar bone
Periodontal disease: an inflammatory disease of the
supporting tissues of the teeth caused by specific
microorganism, resulting in progressive destruction
of the periodontal ligament and alveolar bone with
pocket formation, recession, or both
Local factors deposits on teeth, abnormal
habits,food impaction
Systemic factors faulty nutrition, endocrine
dysfunction, radiation, psychogenic factors,
iatrogenic factors
Age
Sex
Race
Education
Income
Residential place
Diet
Nutrition
Socio-economic factors
Adequate plaque removal has been shown to
prevent gingivitis as well as substantially limit the
progression of periodontitis
Regular and thorough removal of plaque by dentist
and dental hygienist can successfully control
periodontal disease
Oral hygiene practices involve the thorough daily
removal of dental plaque and other debris by tooth
brushing and flossing
Periodontal desease: individual, community, and dental professional prev. dentistry services
Primary Secondary Levels of
Prevention
Preventive Health Specific Early diagnosis Disability Rehabilitation
services promotion Protection & Prompt limitation
treatment
By Individuals Periodic visit to Oral Hygiene Self Utilization of Utilization of
Dental Office practices, examination, dental Dental services
avoidance of Referal & services
known utilization of
irritants dental services
By Community DHE Programs, Supervised Periodic Provision of Profision of
Promotion of school screening, dental Dental service
Research effort brushing Referal, service
Provision of program, provision
Oral Hygiene avoidance of of dental
known irritants
Aids services
Lobby effort
By Dental Patient Correction of Complete Deep Removable and
professional Education, tooth Examination, curettage Fixed prostho.,
Plaque control, malalignment Scaling and Rootplaning Minor tooth
Diet Prophylaxis Curretage Splinting Movement,
counselling, Corrective Periodontal Implant.
Recall Restorative and surgery
Reinforcement Occlusal services Selective
extraction