How do you determine severity of periodontal disease?

Severity is based on the amount of clinical attachment loss

clinical attachment loss

Connective tissue attachment loss refers to the pathological detachment of collagen fibers from cemental surface with the concomitant apical migration of the junctional or pocket epithelium onto the root surface.

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Clinical attachment loss - Wikipedia

(CAL) and is designated as slight (1-2 mm CAL), moderate (3-4 mm CAL) or severe (> 5 mm CAL). Refractory periodontitis refers to continued attachment loss in spite of adequate treatment and proper oral hygiene.

What is considered severe periodontal disease?

Advanced Periodontal Disease: The final stage of periodontal disease is when the infection has evolved into disease-causing bacteria. It can cause redness, swollen gums that ooze pus, sensitivity, loosening of teeth, painful chewing, severe bad breath, and bone loss.

Which factors determine the severity of chronic periodontitis?

Background: Diabetes mellitus and smoking are considered as two major risk factors that influence the severity and progression of periodontal disease.

What is Staging and grading of periodontal disease?

Periodontal Staging and Grading

Staging intends to classify the severity and extent of a patient's disease based on a measurable amount of destroyed/damaged tissue from periodontitis.

What are the grades of periodontal disease?

Grade of periodontitis is estimated with direct or indirect evidence of progression rate in three categories: slow, moderate and rapid progression (Grade A-C). Risk factor analysis is used as grade modifier.

Diagnosis of Periodontitis

What are the 5 stages of periodontal disease?

What is periodontitis stage4?

Stage 4: Progressive Periodontitis

This stage involves teeth looseness, shifting teeth, red, swollen and painful gums, often forming an abscess. The end result — eating and even smiling is hard and painful, and you may lose most of your teeth.

How do you calculate periodontal grade?

If BL/A is between 0.25 and 1.0, the diagnosis is Grade B periodontitis. If less than 0.25, the diagnosis is Grade A periodontitis: if higher than 1.0, the diagnosis is Grade C periodontitis. Grades A and B can be modified if the patient smokes or is diabetic.

How are periodontal grades calculated?

Take the percentage of bone loss number and divide it by the patient's age (i.e., Grade A <0.25, Grade B 0.25 to 1.0, Grade C >1.0). See Table 2: Periodontitis Grading. Example: 52% bone loss ÷ 40 years of age = 1.3. Grade C.

What is periodontitis stage3?

Stage 3: Moderate Periodontitis

Infections in the area can create bleeding, pus development, and pain around the teeth. Gum recession can make the teeth sensitive and uncomfortable. As the gums pull away from the teeth, the teeth lose their natural support system and they can become loose.

What is aggressive periodontitis?

Aggressive periodontitis is a destructive disease characterized by the following: the involvement of multiple teeth with a distinctive pattern of periodontal tissue loss; a high rate of disease progression; an early age of onset; and the absence of systemic diseases.

How fast does periodontal disease progress?

Slight Periodontal Disease

During the early gingivitis stages, gum inflammation can occur in as little as five days. Within two to three weeks, the signs of generalized gingivitis become more noticeable. If you still leave this untreated, it would progress to slight periodontal disease.

How deep should gum pockets be?

In a healthy mouth, the pocket depth is usually between 1 and 3 millimeters (mm). Pockets deeper than 4 mm may indicate periodontitis. Pockets deeper than 5 mm cannot be cleaned well.

What is advanced periodontal disease?

Periodontitis refers to advanced periodontal disease. With periodontitis, the gum tissue pulls away from the teeth, creating pockets where additional bacteria can build up and cause an infection. Treatment of advanced periodontal disease is a multi-step process.

What stage of periodontal disease is reversible?

Gingivitis, the earliest stage of gum disease, is primarily characterized by bleeding gums during brushing or flossing. Since the infection has yet to spread to the bone or connective tissues holding the teeth in place, it's only at this stage where periodontal disease is reversible.

Can my teeth be saved if I have periodontal disease?

Saving teeth from periodontal disease is possible if you detect the signs and symptoms early or regularly visit your dentist for cleanings and exams. Let the condition progress unhindered, and tooth loss should be considered as an eventuality.

How do I know if I have generalized or localized periodontitis?

The main difference between the localized and generalized form of aggressive periodontitis is in the number of teeth affected. GAP includes attachment loss involves more than 30% of sites on teeth.

What can be done about stage 4 periodontal disease?

There is no treatment that will keep a Stage 4 tooth healthy, and without extraction, these teeth will cause continued pain, inflammation, and can result in progressive periodontal disease of other teeth. Therefore, if any tooth has stage 4 periodontal disease, we recommend extraction as the only option.

Does removing teeth fix periodontitis?

Tooth extraction in the case of periodontal disease is usually done as a last resort. It is to be noted, however, that the extraction of teeth alone does not cure gum disease.

Can severe periodontitis be cured?

Periodontitis can only be treated but cannot be cured. Gingivitis, on the other hand, can be prevented by maintaining proper oral hygiene practices and visiting the dentist for checkups and exams.

Can bone loss from periodontitis be reversed?

Left untreated, the bone in your jaw and around your teeth will continue to resorb, leading to more tooth loss, disease, and pain. There is good news! In most cases, dental bone loss can be stopped. And with expert periodontal care, you can actually regenerate bone and reverse bone loss.

Can a dentist fix periodontal disease?

While gum disease can be effectively treated in the early stages, advanced periodontal disease, often called periodontitis, can't be reversed.

What does a gum score of 3 mean?

Anything between 1 and 3 is a good indicator that your gums are healthy. However, if you bleed during the process, your gums may be in beginning stages of a more severe problem, even if your measurements are between the target of 1 and 3. Higher measurements than 3 could be a sign of a serious concern.

What does a gum score of 5 mean?

Healthy gum tissue will usually yield numbers of less than 4 mm. Higher numbers indicate that the tissue is inflamed and some dental treatment may be necessary." Typically, 1 – 3 mm is healthy, 4 is a warning and anything over 5 is a call to action to prevent disease.