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Classification of Periodontal Diseases and Conditions

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Classification of Periodontal Diseases and Conditions

Gingival Diseases
Plaque-induced gingival diseases
These diseases may occur on a periodontium with no attachment
loss or with attachment loss that is stable and not progressing.
I. Gingivitis associated with dental plaque only
A. Without local contributing factors
B. With local contributing factors
II. Gingival diseases modified by systemic factors
A. Associated with endocrine system
1. Puberty-associated gingivitis
2. Menstrual cycle–associated gingivitis
3. Pregnancy associated
a. Gingivitis
b. Pyogenic granuloma
4. Diabetes mellitus–associated gingivitis
B. Associated with blood dyscrasias
1. Leukemia-associated gingivitis
2. Other
III. Gingival diseases modified by medications
A. Drug-influenced gingival diseases
1. Drug-influenced gingival enlargements
2. Drug-influenced gingivitis
a. Oral contraceptive–associated gingivitis
b. Other
IV. Gingival diseases modified by malnutrition
A. Ascorbic acid deficiency gingivitis
B. Other
Non–plaque-induced gingival lesions
I. Gingival diseases of specific bacterial origin
A. Neisseria gonorrhoeae
B. Treponema pallidum
C. Streptococcus species
D. Other
II. Gingival diseases of viral origin
A. Herpesvirus infections
1. Primary herpetic gingivostomatitis
2. Recurrent oral herpes
3. Varicella zoster
B. Other
III. Gingival diseases of fungal origin
A. Candida species infections: generalized gingival
candidiasis
B. Linear gingival erythema
C. Histoplasmosis
D. Other
IV. Gingival lesions of genetic origin
A. Hereditary gingival fibromatosis
B. Other
V. Gingival manifestations of systemic conditions
A. Mucocutaneous lesions
1. Lichen planus
2. Pemphigoid
3. Pemphigus vulgaris
4. Erythema multiforme
5. Lupus erythematosus
6. Drug induced
7. Other
B. Allergic reactions
1. Dental restorative materials
a. Mercury
b. Nickel
c. Acrylic
d. Other
2. Reactions attributable to the following:
a. Toothpastes or dentifrices
b. Mouth rinses or mouthwashes
c. Chewing gum additives
d. Foods and additives
3. Other
VI. Traumatic lesions (factitious, iatrogenic, or accidental)
A. Chemical injury
B. Physical injury
C. Thermal injury
VII. Foreign body reactions
VIII. Not otherwise specified
Chronic Periodontitis
Localized
Generalized
Aggressive Periodontitis
Localized
Generalized
Periodontitis as a Manifestation of Systemic Diseases
Necrotizing Periodontal Diseases
Necrotizing ulcerative gingivitis (NUG)
Necrotizing ulcerative periodontitis (NUP)
Abscesses of the Periodontium
Gingival abscess
Periodontal abscess
Pericoronal abscess
Periodontitis Associated With Endodontic Lesions
Endodontic–periodontal lesion
Periodontal–endodontic lesion
Combined lesion
Developmental or Acquired Deformities and Conditions
Localized tooth-related factors that predispose to plaque-induced
gingival diseases or periodontitis
Mucogingival deformities and conditions around teeth
Mucogingival deformities and conditions on edentulous ridges
Occlusal trauma

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