Gingiva

gingivitis - colour - shape - size - position - bleeding on probing yes` - strippiling no

gingival enlargement

infections

Generalized or localized plaque or infections with chronic Gingivitis=> peridontisis Acute will only gingivitis

Your sequence is close, but recession and pocket formation can happen in parallel, and an abscess is not always necessary before mobility. A more typical necessary pathway would be:

  1. Swollen and Bleeding Gums (Gingivitis)

Inflammation due to plaque buildup.

Gums appear red, swollen, and bleed easily.

  1. Pocket Formation OR Recession (Early Periodontitis)

Pocket Formation: Inflammation causes gum detachment from the tooth, creating a pocket.

Recession: If inflammation leads to gum shrinkage, roots get exposed.

  1. Deepened Pockets & Infection (Moderate Periodontitis)

Pockets trap bacteria, leading to progressive attachment loss.

Some cases may develop a periodontal abscess due to blocked pockets.

  1. Bone Loss & Mobility (Advanced Periodontitis)

Continued infection destroys bone and periodontal ligament.

Tooth loses support, leading to mobility and eventual loss.

(Abscess may occur but is not mandatory in all cases).

Would you like a more detailed breakdown of any step?

The classification of localized vs. generalized periodontal disease depends on the extent of involvement in the mouth.

  1. Localized Periodontitis

Affects less than 30% of sites in the mouth.

Limited to a few teeth or specific areas.

Common causes:

Local plaque accumulation

Trauma or malocclusion

Food impaction

Localized systemic factors (e.g., smoking affecting specific areas)

  1. Generalized Periodontitis

Affects 30% or more of sites in the mouth.

Widespread gum disease involving multiple quadrants.

Common causes:

Poor oral hygiene

Systemic diseases (e.g., diabetes, immunodeficiency)

Genetic predisposition

Long-term untreated localized periodontitis spreading

Localized vs. Generalized Applies to:

Gingivitis (localized or generalized inflammation without attachment loss)

Periodontitis (localized or generalized bone loss and pocket formation)

So, whether it is localized or generalized depends on the percentage of affected sites in the mouth. Would you like classification based on severity as well?

peridontal to endodontical lesions

Add time 4th dimension

  • diagnosis