Arch

Maxillary
Mandibular

Left / Right
First / Second/ third
Type of teeth

Central incisor
Lateral incisor
Canine
Premolar
Molar

eg.Maxillary right first

molar

Palmer notation system

Universal numbering system
Two-digit system FDI system

#16

 1
#16
Maxillary right first

molar

2
#37
Mandibular left 2nd

molar

Bacterial infection
Mutan streptococci
Lactobacilli

Acid production
Saliva
Buffer

Symptoms
Asymptomatic
Hypersensitive

Pulpitis
Pain
Hypersensitive
Positive to percussion
swelling

SinuS TracT

Gingival Disease
Chronic Periodontitis
Aggressive Periodontitis
Periodontits as a Menifestation of Systemic
disease
Necrotizing Periodontal Disease
Abcess of Periodontium
Periodontitis Associated with Endodontic
Lesion
Developmental or Acquired Deformities
and Conditions.

Gingival Disease ()
Chronic Periodontitis ()
Aggressive Periodontitis
Periodontitis as a Manifestation of Systemic
disease
Necrotizing Periodontal Disease
Abcess of Periodontium
Periodontitis Associated with Endodontic
Lesion
Developmental or Acquired Deformities
and Conditions.

Cementum/ Alveolar
bone / Periodontal Ligament

Dental plaque induced gingival diseases

Non plaque- induced gingival lesions

Dental plaque induced gingival diseases

Gingivitis associated with dental plaque only
Gingival disease modified by systemic

factors
Gingival disease modified by medications
Gingival disease modified by malnutrition

Non plaque- induced gingival lesions

Gingivitis associated with dental plaque only

(most common)

Gingivitis associated with dental plaque only

(most common)

Gingival disease modified by systemic factors

Gingival disease modified by medications

calcium channel blockers, nifedipine

(Adalat, Procardia) diltiazem
(Cardizem) amlodipine (Lotrel, Norvasc),
felodipine (Aggon, Plendil) and verapamil
(Calan, Covera)

excessive accumulation of extracellular

matrix proteins including collagen and
ground substance with a predominance
of plasma cells.

Dental plaque induced gingival diseases

Non plaque- induced gingival lesions
Bacterial origin eg. Neisseria gonorrhea

Viral origin eg. Herpes

Fungal origin eg. Candida sp.

Mucocutaneous Disorder
Allergic reaction / Local irritation

Dx Chronic Periodontitis

Diabetes is associated with an increased

prevalence ,extent and severity of
periodontal disease.
Research suggests that, as an infectious
process with a prominent inflammatory
component, periodontal disease can
adversely affect the metabolic control of
diabetes.