![]() ![]() If a patient has interproximal attachment loss but BPE codes of only 0, 1 and 2, (for example, a previously treated, stable periodontitis patient), and radiographs are not available or justifiable, staging and grading should be performed on the basis of measuring attachment loss in mm from the CEJ and estimation of concomitant bone loss. **Measurement in mm from cemento-enamel junction ( CEJ) if only bitewing radiograph available (bone loss) or no radiographs clinically justified (CAL). *Maximum bone loss in percentage of root length. Periodontal health is the absence of clinically detectable inflammation (1.0 The 2017 World Workshop classification of periodontal and peri-implant conditions, can be summarised as follows. Additional advice for the prevention of these conditions is provided at the end of this chapter. These conditions may be analogous to gingivitis and periodontitis. Because both conditions are initiated by plaque, the primary prevention of periodontitis will also prevent gingivitis.Īs the use of dental implants to replace missing teeth has increased, 2 new conditions, peri-implant mucositis and peri-implantitis, have become apparent. The prevention and management of periodontitis is described here in terms of primary, secondary, and tertiary prevention as shown in Chapter 1 (Table 1.1). Gingivitis is a risk factor for periodontitis, although not all people or sites with gingivitis go on to develop periodontitis. Gingivitis and periodontitis are separate conditions, although both are initiated by plaque in susceptible people. ![]() The early stages of disease may be symptom-free, but the impact on peoples’ lives of later stage disease are more serious, particularly as the disease is irreversible. Whilst several conditions may affect the tooth-supporting tissues referred to as the periodontium or gums, the following sections focus on the most common forms of periodontal diseases, called ‘gingivitis’ (inflammation of the gums that can be reversed) and ‘periodontitis’ (inflammation that results in loss of periodontal attachment). In Scotland the guidance will be used to inform oral health improvement policy. Whilst this guidance seeks to ensure a consistent UK wide approach to prevention of oral diseases, some differences in operational delivery and organisational responsibilities may apply in Wales, Northern Ireland and England. This guidance is issued jointly by the Department of Health and Social Care, the Welsh Government, the Department of Health Northern Ireland, Public Health England, NHS England and NHS Improvement, and with the support of the British Association for the Study of Community Dentistry.ĭelivering Better Oral Health has been developed with the support of the 4 UK Chief Dental Officers. ![]()
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