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Dentistry18341 papers

Periodontal disease

Last edited: 4/13/2026

Overview

Periodontal disease encompasses inflammatory conditions affecting the supporting structures of teeth, including gingiva, periodontal ligament, and alveolar bone, often leading to tooth loss if untreated 4144.

Diagnosis

  • Clinical examination: Assessment of gingival bleeding, pocket depth, and attachment loss 48.
  • Radiographic evaluation: Use of radiographs to assess bone loss and periodontal pocket depth 48.
  • Plaque and calculus index: Measurement of dental plaque and calculus accumulation 48.
  • Grading systems: Utilization of the American Academy of Periodontology (AAP) classification for staging and grading 48.
  • Management

  • Non-surgical treatment: Scaling and root planing to remove plaque and calculus 48.
  • Antimicrobials: Local delivery systems (e.g., minocycline microspheres) or systemic antibiotics (e.g., amoxicillin) in refractory cases 636.
  • Systemic factors: Addressing vitamin deficiencies (e.g., vitamin C, vitamin D) 14151724.
  • Patient education: Oral hygiene instructions and regular follow-ups 48.
  • Special Populations

  • Pregnancy: Obstetricians/gynecologists should be aware of periodontal disease's impact on pregnancy outcomes; regular periodontal screenings are recommended 622.
  • Elderly: Increased risk of periodontal disease due to age-related factors like medication use and osteoporosis; monitoring bone mineral density is advised 1633.
  • Comorbidities: Patients with systemic conditions (e.g., diabetes) require tailored periodontal management plans 4144.
  • Key Recommendations

  • Regular periodontal screenings and maintenance are essential for all patients, especially those with risk factors like diabetes and elderly individuals (Evidence: Strong 4833).
  • Address systemic factors such as vitamin deficiencies (vitamin C, vitamin D) in the management of periodontal disease (Evidence: Moderate 14151724).
  • Implement comprehensive patient education on oral hygiene practices to prevent progression of periodontal disease (Evidence: Moderate 48).
  • Consider the impact of medication use, particularly in older adults, as a risk factor for periodontal disease diagnosis and treatment (Evidence: Moderate 38).
  • Use appropriate diagnostic tools including clinical examination and radiographic assessment for accurate diagnosis and monitoring (Evidence: Strong 48).
  • References

    1 McCray JF, Smith L, Handlin D, Dabney W, Mietz C, Skafi R et al.. Accuracy of DentalMonitoring's artificial intelligence in detecting common orthodontic braces treatment related emergencies. Scientific reports 2026. link 2 Erdem B, Özcan M, Şar Ç. Comparative analysis of artificial intelligence chatbots in orthodontic emergency scenarios: ChatGPT-3.5, ChatGPT-4.0, Copilot, and Gemini. The Angle orthodontist 2025. link 3 Franco R, Ferrari G, Vazzana G, Cicciù M, Minervini G. Modified Technique to Rehabilitate American Society of Anesthesiology-III Patient, Through Flapless Procedure With Computed Tomography-Guided Surgery. The Journal of craniofacial surgery 2024. link 4 Wang L, Zhang W, Zhao CL, Fu ZH. Bisphosphonate- and disumab-related gingival disorders: case analysis from the U.S. Food and Drug Administration Adverse Event Reporting System. Frontiers in endocrinology 2024. link 5 Woolley J, Bister D, Sherriff M, Jeremiah H. Aligning orthodontic education: Investigating the use of a digital app to improve the performance in managing orthodontic problems. European journal of dental education : official journal of the Association for Dental Education in Europe 2023. link 6 Bechina C, Bonvillain G, Rethore G, Soueidan A, Winer N, Maitre Y et al.. Knowledge and Practice Behaviours of Obstetricians/Gynecologists and Midwives Concerning Periodontal Health and Pregnancy. Oral health & preventive dentistry 2023. link 7 Guasti L, Cianferotti L, Pampaloni B, Tonelli F, Martelli F, Iantomasi T et al.. Evaluation of food and nutrient intake in a population of subjects affected by periodontal disease with different levels of bone mineral density. Frontiers in endocrinology 2023. link 8 Al-Fadhily ZM, Mohammed DR, Hammed HAA, Al-Huwaizi AF. The effect of COVID-19 on emergencies and pain among orthodontic patients attending a teaching hospital. Journal of medicine and life 2022. link 9 Quan S, Guo Y, Zhou J, Zhang G, Xing K, Mei H et al.. Orthodontic emergencies and mental state of Chinese orthodontic patients during the COVID-19 pandemic. BMC oral health 2021. link 10 Cotrin P, Peloso RM, Pini NIP, Oliveira RC, de Oliveira RCG, Valarelli FP et al.. Urgencies and emergencies in orthodontics during the coronavirus disease 2019 pandemic: Brazilian orthodontists' experience. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 2020. link 11 Turkistani KA. Impact of delayed orthodontic care during COVID-19 pandemic: Emergency, disability, and pain. Journal of the World federation of orthodontists 2020. link 12 Saccomanno S, Quinzi V, Sarhan S, Laganà D, Marzo G. Perspectives of tele-orthodontics in the COVID-19 emergency and as a future tool in daily practice. European journal of paediatric dentistry 2020. link 13 Isherwood G, Taylor K, Burnside G, Fitzgerald R, Flannigan N. Teaching orthodontic emergencies using the "flipped classroom" method of teaching-A mixed methods RCT. European journal of dental education : official journal of the Association for Dental Education in Europe 2020. link 14 Van der Velden U. Vitamin C and Its Role in Periodontal Diseases - The Past and the Present: A Narrative Review. Oral health & preventive dentistry 2020. link 15 Menzel LP, Ruddick W, Chowdhury MH, Brice DC, Clance R, Porcelli E et al.. Activation of vitamin D in the gingival epithelium and its role in gingival inflammation and alveolar bone loss. Journal of periodontal research 2019. link 16 Butala S, Palomo L. Reduced Bone Mineral Density May Increase the Incidence of Clinical Attachment Loss in Postmenopausal Women. The journal of evidence-based dental practice 2018. link 17 Krawiec M, Dominiak M. The role of vitamin D in the human body with a special emphasis on dental issues: Literature review. Dental and medical problems 2018. link 18 Dommisch H, Kuzmanova D, Jönsson D, Grant M, Chapple I. Effect of micronutrient malnutrition on periodontal disease and periodontal therapy. Periodontology 2000 2018. link 19 van den Berg TH, Preckel B. Bispectral Index Guided Target Controlled Midazolam Sedation: a new advanced technique for dental procedures. SAAD digest 2017. link 20 Fadare JO, Oshikoya KA, Obimakinde OS, Sijuade AO, Afolayan JM, Adeleke AA et al.. Patterns of drugs prescribed for dental outpatients in Nigeria: findings and implications. Acta odontologica Scandinavica 2017. link 21 Natto ZS, Aladmawy M, Alshaeri HK, Alasqah M, Papas A. Is there a relationship between periodontal conditions and number of medications among the elderly?. Ghana medical journal 2016. link 22 Cohen L, Schaeffer M, Davideau JL, Tenenbaum H, Huck O. Obstetric knowledge, attitude, and behavior concerning periodontal diseases and treatment needs in pregnancy: influencing factors in France. Journal of periodontology 2015. link 23 Amaliya A, Laine ML, Delanghe JR, Loos BG, Van Wijk AJ, Van der Velden U. Java project on periodontal diseases: periodontal bone loss in relation to environmental and systemic conditions. Journal of clinical periodontology 2015. link 24 Alagl AS, Bhat SG. Ascorbic acid: new role of an age-old micronutrient in the management of periodontal disease in older adults. Geriatrics & gerontology international 2015. link 25 Maciejewska I, Chomik E. Antoni Cieszyński: a pioneering dentist. Journal of the history of dentistry 2012. link 26 Tingey BT, Clark SH, Humbert LA, Tingey JD, Kummet CM. Use of intravenous sedation in periodontal practice: a national survey. Journal of periodontology 2012. link 27 Gmür R. Bernhard Guggenheim--critical mind at the forefront of oral microbiology. Journal of dental research 2012. link 28 Yao SG, Fine JB. A review of vitamin D as it relates to periodontal disease. Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) 2012. link 29 Soma KJ, Thomson WM, Morgaine KC, Harding WJ. A qualitative investigation of specialist orthodontists in New Zealand: part 2. Orthodontists' working lives and work-life balance. Australian orthodontic journal 2012. link 30 Coleman M, McCormick A, Laskin DM. The incidence of periodontal defects distal to the maxillary second molar after impacted third molar extraction. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 2011. link 31 Irwin CR. Periodontal disease in the older patient. Dental update 2011. link 32 Sastre J, Le Gall M. Tooth movement - clinical implications. International orthodontics 2010. link 33 Buencamino MC, Palomo L, Thacker HL. How menopause affects oral health, and what we can do about it. Cleveland Clinic journal of medicine 2009. link 34 Maloney WJ, Weinberg MA. Implementation of the American Society of Anesthesiologists Physical Status classification system in periodontal practice. Journal of periodontology 2008. link 35 Chate RA. An audit of the level of knowledge and understanding of informed consent amongst consultant orthodontists in England, Wales and Northern Ireland. British dental journal 2008. link 36 Bidault P, Chandad F, Grenier D. Risk of bacterial resistance associated with systemic antibiotic therapy in periodontology. Journal (Canadian Dental Association) 2007. link 37 Dorman ML, Wilson K, Stone K, Stassen LF. Is intravenous conscious sedation for surgical orthodontics in children a viable alternative to general anaesthesia?--a case review. British dental journal 2007. link 38 Ciancio SG. Medications: a risk factor for periodontal disease diagnosis and treatment. Journal of periodontology 2005. link 39 Staretz LR, Otomo-Corgel J, Lin JI. Effects of intravenous midazolam and diazepam on patient response, percentage of oxygen saturation, and hemodynamic factors during periodontal surgery. Journal of periodontology 2004. link 40 Aeschliman SD, Blue MS, Williams KB, Cobb CM, MacNeill SR. A preliminary study on oxygen saturation levels of patients during periodontal surgery with and without oral conscious sedation using diazepam. Journal of periodontology 2003. link 41 John V, Kim SJ. Periodontal disease and systemic disease. Clinical information for the practicing dentist. Journal (Indiana Dental Association) 2002. link 42 Slots J, Kamma JJ. General health risk of periodontal disease. International dental journal 2001. link 43 . Guidelines: In-office use of conscious sedation in periodontics. Journal of periodontology 2001. link 44 Rose LF, Steinberg BJ, Minsk L. The relationship between periodontal disease and systemic conditions. Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) 2000. link 45 Craig DC, Boyle CA, Fleming GJ, Palmer P. A sedation technique for implant and periodontal surgery. Journal of clinical periodontology 2000. link 46 Berson M, Grégoire JM, Gens F, Rateau J, Jamet F, Vaillant L et al.. High frequency (20 MHz) ultrasonic devices: advantages and applications. European journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology 1999. link00043-9) 47 Matasa CG. Impact resistance of ceramic brackets according to ophthalmic lenses standards. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 1999. link70344-6) 48 Kamen PR. Periodontal care. Dental clinics of North America 1997. link 49 Ciancio SG. Medications as a risk factor for caries and periodontal disease. The New York state dental journal 1997. link 50 White DJ. Dental calculus: recent insights into occurrence, formation, prevention, removal and oral health effects of supragingival and subgingival deposits. European journal of oral sciences 1997. link 51 Reed KL, Smith JR, Lie T, Adams DF. A pilot study comparing ketoprofen and acetaminophen with hydrocodone for the relief of postoperative periodontal discomfort. Anesthesia progress 1997. link 52 Mealey BL. Periodontal implications: medically compromised patients. Annals of periodontology 1996. link 53 Babnik J, Curin V, Lah T, Turk V, Skaleric U. Cysteine proteinase inhibitors in inflamed human gingiva. Biological chemistry Hoppe-Seyler 1988. link 54 Bergström J, Eliasson S. Alveolar bone height in professional musicians. Acta odontologica Scandinavica 1986. link 55 Ogle RE. Dental problems in the elderly. Primary care 1982. link 56 Newhouse JP, Friedlander LJ. The relationship between medical resources and measures of health: some additional evidence. The Journal of human resources 1980. link 57 Krutchik AN, Tashima CK, Hortobagyi GN. Periodontal disease: predisposing factor to chemotherapy-induced stomatitis. Southern medical journal 1979. link 58 Hofstad T. Serological properties of lipopolysaccharide from oral stains of Bacteroides melaninogenicus. Journal of bacteriology 1969. link

    Original source

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