Periodontalcondition

PEDIATRIC PERIODONTAL CONDITIONS © A T A G L A N C E

Pediatric Periodontal Conditions

Normal Gingival Diseases & Conditions Periodontitis Systemic Conditions

Six Zones Eruption Chronic EOP Prepubertal Hypophosphatasia

Pericoronitis Cyclic Neutropenia Active Passive Local Generalized ANUG Leukemia

Fibromatosis Papillon-LeFevre

Recession Hystiocytosis X

Acrodynia

Rickets

Down

R I C H A R D Y O O N 1

PEDIATRIC PERIODONTAL CONDITIONS © S I X C O M P O N E N T S

Normal Findings Papillary Gingiva Marginal Gingiva Gingivitis Marginal Gingiva Attached Gingiva Periodontitis Alveolar Mucosa Systemic Conditions Periodontal Ligament Alveolar Bone

R I C H A R D Y O O N 2

PEDIATRIC PERIODONTAL CONDITIONS © S I X C O M P O N E N T S

PAPILLARY GINGIVA MARGINAL GINGIVA ATTACHED GINGIVA ALVEOLAR MUCOSA

R I C H A R D Y O O N 3

1 PEDIATRIC PERIODONTAL CONDITIONS © S I X C O M P O N E N T S

Papillary Gingiva Interdental Col Marginal Gingiva Interdental Saddle Attached Gingiva Alveolar Mucosa PDL Alveolar Bone

R I C H A R D Y O O N 4

PEDIATRIC PERIODONTAL CONDITIONS © I N T E R D E N T A L C O L

INTERPROXIMAL CONTACT

INTERDENTAL COL

R I C H A R D Y O O N 5

PEDIATRIC PERIODONTAL CONDITIONS © I N T E R D E N T A L S A D D L E

SADDLE DE 78

INTERDENTAL COL

INTERPROXIMAL CONTACT

R I C H A R D Y O O N 6

2 PEDIATRIC PERIODONTAL CONDITIONS © S I X C O M P O N E N T S

Papillary Gingiva Gingival sulcus + free gingival margin. Marginal Gingiva Thicker and rounder. Attached Gingiva Thicker and rounder. Alveolar Mucosa Flaccid and retractable. PDL Alveolar Bone

R I C H A R D Y O O N 7

PEDIATRIC PERIODONTAL CONDITIONS © M A R G I N A L G I N G I V A

FREE GINGIVAL MARGIN

GINGIVAL SULCUS

R I C H A R D Y O O N 8

PEDIATRIC PERIODONTAL CONDITIONS © M A R G I N A L G I N G I V A

ROUNDED KNIFE-EDGED DE 78

R I C H A R D Y O O N 9

3 PEDIATRIC PERIODONTAL CONDITIONS © S I X C O M P O N E N T S

Papillary Gingiva Base of sulcus to the mucogingival line. Marginal Gingiva Attached Gingiva Interdental cleft Alveolar Mucosa Retrocuspid papilla PDL Alveolar Bone

R I C H A R D Y O O N 10

PEDIATRIC PERIODONTAL CONDITIONS © I N T E R D E N T A L C L E F T

CLEFT

R I C H A R D Y O O N 11

PEDIATRIC PERIODONTAL CONDITIONS © R E T R O C U S P I D P A P I L L A

RETROCUSPID PAPILLA

R I C H A R D Y O O N 12

4 PEDIATRIC PERIODONTAL CONDITIONS © A T T A C H E D G I N G I V A

R I C H A R D Y O O N 13

PEDIATRIC PERIODONTAL CONDITIONS © S I X C O M P O N E N T S

Papillary Gingiva Keratin Marginal Gingiva Attached Gingiva Thin epithelium Alveolar Mucosa Width ↑’s PDL Alveolar Bone

R I C H A R D Y O O N 14

PEDIATRIC PERIODONTAL CONDITIONS © A L V E O L A R M U C O S A

R I C H A R D Y O O N 15

5 PEDIATRIC PERIODONTAL CONDITIONS © S I X C O M P O N E N T S

Papillary Gingiva Wider Marginal Gingiva Attached Gingiva Less dense Alveolar Mucosa Less calcified PDL Alveolar Bone Larger marrow spaces

R I C H A R D Y O O N 16

PEDIATRIC PERIODONTAL CONDITIONS © P E R I O D O N T A L L I G A M E N T

R I C H A R D Y O O N 17

PEDIATRIC PERIODONTAL CONDITIONS © P E R I O D O N T A L L I G A M E N T

R I C H A R D Y O O N 18

6 PEDIATRIC PERIODONTAL CONDITIONS © I N F L U E N C E O F T O O T H E R U P T I O N

Active Passive

R I C H A R D Y O O N 19

PEDIATRIC PERIODONTAL CONDITIONS © A C T I V E E R U P T I O N

Contact with functional antagonist.

R I C H A R D Y O O N 20

PEDIATRIC PERIODONTAL CONDITIONS © P A S S I V E E R U P T I O N

Sulcular epithelium ∆’s in position.

R I C H A R D Y O O N 21

7 PEDIATRIC PERIODONTAL CONDITIONS © P A S S I V E E R U P T I O N

R I C H A R D Y O O N 22

PEDIATRIC PERIODONTAL CONDITIONS © A T A G L A N C E

Pediatric Periodontal Conditions

Normal Gingival Diseases & Conditions Periodontitis Systemic Conditions

Six Zones Eruption Chronic EOP Prepubertal Hypophosphatasia

Pericoronitis Cyclic Neutropenia Active Passive Local Generalized ANUG Leukemia

Fibromatosis Papillon-LeFevre

Recession Hystiocytosis X

Acrodynia

Rickets

Down

R I C H A R D Y O O N 23

PEDIATRIC PERIODONTAL CONDITIONS © C L A S S I F I C A T I O N

Normal Findings Chronic

Gingivitis Pericoronitis ANUG Periodontitis Fibromatosis & Hyperplasia Systemic Conditions Recession

R I C H A R D Y O O N 24

8 PEDIATRIC PERIODONTAL CONDITIONS © F E A T U R E S

Normal Findings Inflammation

Gingivitis Loss of Attachment

Periodontitis Bone Loss Reversible Systemic Conditions Reversible Prevalence

R I C H A R D Y O O N 25

PEDIATRIC PERIODONTAL CONDITIONS © E R U P T I O N G I N G I V I T I S

R I C H A R D Y O O N 26

PEDIATRIC PERIODONTAL CONDITIONS © P U B E R T Y G I N G I V I T I S

R I C H A R D Y O O N 27

9 PEDIATRIC PERIODONTAL CONDITIONS © P R E G N A N C Y G I N G I V I T I S

R I C H A R D Y O O N 28

PEDIATRIC PERIODONTAL CONDITIONS © E T I O L O G Y

Normal Findings Bacterial Plaque

Gingivitis Species Other Factors Periodontitis

Systemic Conditions

R I C H A R D Y O O N 29

PEDIATRIC PERIODONTAL CONDITIONS © E T I O L O G Y : O T H E R F A C T O R S Factors Intrinsic Extrinsic Local Eruption/Exfoliation Calculus Malocclusion Appliances Caries Oral Habits Mouthbreathing Systemic Endocrine Bacterial Hereditary Viral Chronic Illness Fungal Diet, Nutrition Medications

R I C H A R D Y O O N 30

10 PEDIATRIC PERIODONTAL CONDITIONS © G I N G I V I T I S

Chronic Pericoronitis Acute Necrotizing Ulcerative Fibromatosis & Hyperplasia Recession

R I C H A R D Y O O N 31

PEDIATRIC PERIODONTAL CONDITIONS © G I N G I V I T I S

Chronic Pericoronitis Acute Necrotizing Ulcerative Fibromatosis & Hyperplasia Recession

R I C H A R D Y O O N 32

PEDIATRIC PERIODONTAL CONDITIONS © G I N G I V I T I S

Chronic Pericoronitis Acute Necrotizing Ulcerative Fibromatosis & Hyperplasia Recession

R I C H A R D Y O O N 33

11 PEDIATRIC PERIODONTAL CONDITIONS © G I N G I V I T I S

Chronic Pericoronitis Acute Necrotizing Ulcerative Fibromatosis & Hyperplasia Recession

R I C H A R D Y O O N 34

PEDIATRIC PERIODONTAL CONDITIONS © A N U G

R I C H A R D Y O O N 35

PEDIATRIC PERIODONTAL CONDITIONS © A N U G

R I C H A R D Y O O N 36

12 PEDIATRIC PERIODONTAL CONDITIONS © G I N G I V I T I S

Chronic Pericoronitis Acute Necrotizing Ulcerative Fibromatosis & Hyperplasia Recession

R I C H A R D Y O O N 37

PEDIATRIC PERIODONTAL CONDITIONS © G I N G I V A L F I B R O M A T O S I S

R I C H A R D Y O O N 38

PEDIATRIC PERIODONTAL CONDITIONS © P H E N Y T O I N

R I C H A R D Y O O N 39

13 PEDIATRIC PERIODONTAL CONDITIONS © C Y C L O S P O R I N

R I C H A R D Y O O N 40

PEDIATRIC PERIODONTAL CONDITIONS © G I N G I V I T I S

Chronic Pericoronitis Acute Necrotizing Ulcerative Fibromatosis & Hyperplasia Recession

R I C H A R D Y O O N 41

PEDIATRIC PERIODONTAL CONDITIONS © C R O S S B I T E

R I C H A R D Y O O N 42

14 PEDIATRIC PERIODONTAL CONDITIONS © C R O S S B I T E

R I C H A R D Y O O N 43

PEDIATRIC PERIODONTAL CONDITIONS © H I G H F R E N U M

R I C H A R D Y O O N 44

PEDIATRIC PERIODONTAL CONDITIONS © H I G H F R E N U M

R I C H A R D Y O O N 45

15 PEDIATRIC PERIODONTAL CONDITIONS © H I G H F R E N U M

R I C H A R D Y O O N 46

PEDIATRIC PERIODONTAL CONDITIONS © A T A G L A N C E

Pediatric Periodontal Conditions

Normal Gingival Diseases & Conditions Periodontitis Systemic Conditions

Six Zones Eruption Chronic EOP Prepubertal Hypophosphatasia

Pericoronitis Cyclic Neutropenia Active Passive Local Generalized ANUG Leukemia

Fibromatosis Papillon-LeFevre

Recession Hystiocytosis X

Acrodynia

Rickets

Down

R I C H A R D Y O O N 47

PEDIATRIC PERIODONTAL CONDITIONS © C L A S S I F I C A T I O N

Normal Findings Prepubertal

Gingivitis Early Onset

Periodontitis

Systemic Conditions

R I C H A R D Y O O N 48

16 PEDIATRIC PERIODONTAL CONDITIONS © F E A T U R E S

Normal Findings Loss of Gingival Attachment

Gingivitis Loss of Bony Support

Periodontitis

Systemic Conditions

R I C H A R D Y O O N 49

PEDIATRIC PERIODONTAL CONDITIONS © P R E P U B E R T A L P E R I O D O N T I T I S

Localized Generalized

R I C H A R D Y O O N 50

PEDIATRIC PERIODONTAL CONDITIONS © P R E P U B E R T A L P E R I O D O N T I T I S

R I C H A R D Y O O N 51

17 PEDIATRIC PERIODONTAL CONDITIONS © P R E P U B E R T A L P E R I O D O N T I T I S

R I C H A R D Y O O N 52

Localized Juvenile Periodontitis Generalized Juvenile Periodontitis Incidental Juvenile Periodontitis

R I C H A R D Y O O N 53

R I C H A R D Y O O N 54

Localized Juvenile Periodontitis Generalized Juvenile Periodontitis Incidental Juvenile Periodontitis

R I C H A R D Y O O N 55

Localized Juvenile Periodontitis Generalized Juvenile Periodontitis Incidental Juvenile Periodontitis

R I C H A R D Y O O N 56

Pediatric Periodontal Conditions

Normal Gingival Diseases & Conditions Periodontitis Systemic Conditions

Six Zones Eruption Chronic EOP Prepubertal Hypophosphatasia

Pericoronitis Cyclic Neutropenia Active Passive Local Generalized ANUG Leukemia

Fibromatosis Papillon-LeFevre

Recession Hystiocytosis X

Acrodynia

Rickets

Down

R I C H A R D Y O O N 57

Hypophosphatasia Normal Findings Cyclic Neutropenia Gingivitis Leukemia Periodontitis Papillon-LeFévre Systemic Conditions Histiocytosis X Down

R I C H A R D Y O O N 58

Hypophosphatasia Genetic Disorder Cyclic Neutropenia Premature Loss Leukemia Papillon-LeFévre Deficient Alkaline Phosphatase Histiocytosis X Permanent Dentition Down

R I C H A R D Y O O N 59

R I C H A R D Y O O N 60

R I C H A R D Y O O N 61

Hypophosphatasia Rhythmic reduction Cyclic Neutropenia 21 day cycles Leukemia Papillon-LeFévre Histiocytosis X Down

R I C H A R D Y O O N 62

R I C H A R D Y O O N 63

Hypophosphatasia Gingival enlargement Cyclic Neutropenia Leukemia Papillon-LeFévre Histiocytosis X Down

R I C H A R D Y O O N 64

R I C H A R D Y O O N 65

Hypophosphatasia Hyperkeratosis Cyclic Neutropenia Premature loss of 1º & 2º Leukemia Papillon-LeFévre A.A. Histiocytosis X Down

R I C H A R D Y O O N 66

R I C H A R D Y O O N 67

R I C H A R D Y O O N 68

R I C H A R D Y O O N 69

Hypophosphatasia Necrotic gingivitis Cyclic Neutropenia Bony loss of the molars Leukemia Papillon-LeFévre Radiolucent lesions Histiocytosis X Down

R I C H A R D Y O O N 70

R I C H A R D Y O O N 71

R I C H A R D Y O O N 72

Hypophosphatasia Trisomy 21 Cyclic Neutropenia Leukemia Papillon-LeFévre Histiocytosis X Down

R I C H A R D Y O O N 73

R I C H A R D Y O O N 74

R I C H A R D Y O O N 75

Pediatric Periodontal Conditions

Normal Gingival Diseases & Conditions Periodontitis Systemic Conditions

Six Zones Eruption Chronic EOP Prepubertal Hypophosphatasia

Pericoronitis Cyclic Neutropenia Active Passive Local Generalized ANUG Leukemia

Fibromatosis Papillon-LeFevre

Recession Hystiocytosis X

Acrodynia

Rickets

Down

R I C H A R D Y O O N 76