Essential Quick Review PERIODONTICS Essential Quick Review PERIODONTICS Editor-in-Chief Priya Verma Gupta MDS FPFA Professor Department of Pedodontics and Preventive Dentistry Divya Jyoti College of Dental Sciences and Research Ghaziabad, Uttar Pradesh, India Co-Author Vinita Ashutosh Boloor MDS Associate Professor Department of Periodontics Yenepoya Dental College Yenepoya University, Derelakatte Karnataka, Mangalore, India The Health Sciences Publisher New Delhi | London | Philadelphia | Panama Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: [email protected] Overseas Offices J.P. Medical Ltd Jaypee-Highlights Medical Publishers Inc. Jaypee Medical Inc. 83 Victoria Street, London City of Knowledge, Bld. 235, 2nd Floor, Clayton 325 Chestnut Street SW1H 0HW (UK) Panama City, Panama Suite 412, Philadelphia, PA 19106, USA Phone: +44 20 3170 8910 Phone: +1 507-301-0496 Phone: +1 267-519-9789 Fax: +44 (0)20 3008 6180 Fax: +1 507-301-0499 Email: [email protected] Email: [email protected] Email: [email protected] Jaypee Brothers Medical Publishers (P) Ltd Jaypee Brothers Medical Publishers (P) Ltd 17/1-B Babar Road, Block-B, Shaymali Bhotahity, Kathmandu, Nepal Mohammadpur, Dhaka-1207 Phone: +977-9741283608 Bangladesh Email: [email protected] Mobile: +08801912003485 Email: [email protected] Website: www.jaypeebrothers.com Website: www.jaypeedigital.com © Digital Version 2017, Jaypee Brothers Medical Publishers The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book. All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book. This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought. Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity. Inquiries for bulk sales may be solicited at: [email protected] Essential Quick Review: Periodontics First Edition: Digital Version 2017 ISBN: 978-93-86056-18-4 Editorial Board Priya Verma Gupta MDS FPFA Professor Department of Pedodontics and Preventive Dentistry Divya Jyoti College of Dental Sciences and Research Modi Nagar, Niwari Road, Ghaziabad Uttar Pradesh, India Gunjan Gupta MDS Assistant Professor Department of Periodontics Shree Bankey Bihari Dental College and Research Centre Hapur Road, Ghaziabad Uttar Pradesh, India Nishant Gupta MDS Assistant Professor Department of Orthodontics and Dentofacial Orthopedics Shree Bankey Bihari Dental College and Research Centre Hapur Road, Ghaziabad Uttar Pradesh, India Rishab Malhotra MDS Assistant Professor Department of Pedodontics and Preventive Dentistry Jaipur Dental College Jaipur Rajasthan Preface I am very pleased to introduce you to the first edition of Essential Quick Review; A series for final year undergraduate students. The series will be available in eight subjects. I.e., Periodontics, Pedodontics, Prosthodontics, Endodontics and Conservative Dentistry, Oral Surgery, Oral Medicine Radiology and Public Health Dentistry covering essential parts of each subject. It will not only help the student to attain the knowledge, but will also give an idea how to attempt a question during the examination, covering entire syllabus in a limited period of time. The book gives a complete outline for writing an essay type, a short answer type or a viva voce type of question. The language used is very simple enabling a better understanding with well-illustrated diagrams wherever possible. Each book also carries a section that contains recently asked questions covering majority of the universities in India. What makes it different from other books is, that it is supported with a supplementary booklet for each subject that contains three sections, i.e., definitions,classifications and viva voce covering the entire syllabus enabling the student to undergo a quick revision. The study material provided in this book is an attempt to provide an additional help to students for easy retention and reproduction of subject in the examination. This book is in no way a replacement to standard text books. I thank all my subject matter experts for their valued suggestions and contributions. A very special word of thanks to my family for being the source of constant encouragement. I profusely thank Shri Jitender P Vij (CEO), Mr Ankit Vij (Group President), and production team of M/S Jaypee Brothers Medical Publishers (P) Ltd, New Delhi for their enthusiasm and constant efforts in bringing out this book. Priya Verma Gupta Contents Section 1 Periodontics 1. Gingiva ......................................................................................................................................................................................................... 03-10 2. Periodontal Ligament ............................................................................................................................................................................. 11-14 3. Alveolar Process ........................................................................................................................................................................................ 15-20 4. Cementum .................................................................................................................................................................................................. 21-24 5. Age-related Changes in Periodontium ............................................................................................................................................ 25-27 6. Classification of Periodontal Diseases .............................................................................................................................................. 28-31 7. Epidemiology of Gingival and Periodontal Diseases .................................................................................................................. 32-34 8. Periodontal Microbiology ..................................................................................................................................................................... 35-36 9. Dental Calculus and Iatrogenic Factors ............................................................................................................................................ 47-50 10. Inflammation and Immunity ................................................................................................................................................................ 51-63 11. Microbial Interactions with the Host in Periodontal Diseases ................................................................................................. 64-65 12. Smoking and Periodontal Diseases ................................................................................................................................................... 66-66 13. Host Modulation and Host Modulation Agents ............................................................................................................................ 67-68 14. Influence of Systemic Disorders and Stress on the Periodontium ......................................................................................... 69-74 15. Periodontal Medicine ............................................................................................................................................................................. 75-77 16. Halitosis (Oral Malodour) ....................................................................................................................................................................... 78-79 17. Defence Mechanism of Gingiva .......................................................................................................................................................... 80-81 18. Gingival Inflammation ............................................................................................................................................................................ 82-83 19. Clinical Features of Gingivitis ............................................................................................................................................................... 84-88 20. Gingival Enlargement ............................................................................................................................................................................. 89-94 21. Acute Gingival Infections ...................................................................................................................................................................... 95-100 22. Gingival Diseases in Childhood ...................................................................................................................................................... 101-102 23. Desquamative Gingivitis .................................................................................................................................................................. 103-105 24. Periodontal Pocket ............................................................................................................................................................................. 106-110 25. Bone Loss and Patterns of Bone Destruction ............................................................................................................................ 111-115 26. Trauma from Occlusion ..................................................................................................................................................................... 116-123 27. Chronic Periodontitis ......................................................................................................................................................................... 124-126 28. Necrotising Ulcerative Periodontitis ............................................................................................................................................ 127-127 29. Aggressive Periodontitis ................................................................................................................................................................... 128-132