PERIO Mental Dental - Video 5

Local Factors in Periodontal Disease

• Calculus is mineralized dental plaque, occurring within 1-14 days, and is not a mechanical irritant to gingival tissues by itself.
• Calculus is covered with a layer of bacterial plaque, which serves as a primary irritant and contributes to periodontal disease.
• There are two forms of calculus: super gingival (whitish-yellowish, mineralized by saliva, and often found on lingual surfaces of mandibular anterior teeth) and sub gingival (dark, brownish or blackish, mineralized by gingival crevicular fluid).

Materia Alba

• Materia Alba is a soft, white, organized accumulation of bacterial proteins, shed epithelial cells, and occasional food debris.
• It is easily displaced with water spray and is a precursor to plaque.

Extrinsic Stains

• Extrinsic stains do not contribute to gingival inflammation and are primarily an aesthetic concern.
• Orange stains occur on anterior teeth due to poor oral hygiene.
• Brown stains are often due to drinking dark-colored beverages and poor oral hygiene.
• Dark brown or blackish stains are often due to tobacco use (smoking, chewing, or snuffing).
• Yellow-brown stains are due to the use of chlorhexidine and stannous fluoride.
• Black stains specifically found on the cervical third of teeth can be found in healthy males and are due to iron consumption.
• Green and yellow stains, usually on anterior teeth, can be due to poor oral hygiene or chromogenic bacteria.
• Bluish-green stains can be due to occupational exposure to metallic dust.

Other Local Factors

• Malocclusion can contribute to plaque accumulation and indirectly to periodontal disease.
• Prominent roots and teeth associated with high fariña can experience gingival recession and mesial drift or extrusion.
• Faulty restorations can contribute to periodontal disease, including overhanging margins, open margins, rough surfaces, and open contacts.
• Over-contoured restorations are worse for gingival health than under-contoured restorations.
• Sub gingival margins can cause plaque retentive areas even when they are not faulty.
• Appliances, such as removable partial dentures, braces, and oral jewelry, can lead to the occurrence of periodontal disease as a local factor.
• Self-inflicted injury, such as aggressive horizontal brushing, can cause tooth abrasion and gingival recession.

Local Factors in Periodontal Disease

• Calculus is a mineralized dental plaque that forms within 1-14 days and is not a mechanical irritant to gingival tissues by itself, but is covered with a layer of bacterial plaque that serves as a primary irritant and contributes to periodontal disease.

Types of Calculus

• Supragingival calculus is whitish-yellowish, mineralized by saliva, and often found on lingual surfaces of mandibular anterior teeth.
• Subgingival calculus is dark, brownish or blackish, mineralized by gingival crevicular fluid.

Materia Alba

• Materia Alba is a soft, white, organized accumulation of bacterial proteins, shed epithelial cells, and occasional food debris that is easily displaced with water spray and is a precursor to plaque.

Extrinsic Stains

• Orange stains occur on anterior teeth due to poor oral hygiene.
• Brown stains are often due to drinking dark-colored beverages and poor oral hygiene.
• Dark brown or blackish stains are often due to tobacco use (smoking, chewing, or snuffing).
• Yellow-brown stains are due to the use of chlorhexidine and stannous fluoride.
• Black stains specifically found on the cervical third of teeth can be found in healthy males and are due to iron consumption.
• Green and yellow stains, usually on anterior teeth, can be due to poor oral hygiene or chromogenic bacteria.
• Bluish-green stains can be due to occupational exposure to metallic dust.

Other Local Factors

• Malocclusion contributes to plaque accumulation and indirectly to periodontal disease.
• Prominent roots and teeth associated with high fariña experience gingival recession and mesial drift or extrusion.
• Faulty restorations contribute to periodontal disease, including overhanging margins, open margins, rough surfaces, and open contacts.
• Over-contoured restorations are worse for gingival health than under-contoured restorations.
• Subgingival margins can cause plaque retentive areas even when they are not faulty.
• Appliances, such as removable partial dentures, braces, and oral jewelry, lead to the occurrence of periodontal disease as a local factor.
• Self-inflicted injury, such as aggressive horizontal brushing, causes tooth abrasion and gingival recession.

Local Factors in Periodontal Disease

• Calculus is a mineralized dental plaque that forms within 1-14 days and is not a mechanical irritant to gingival tissues by itself, but is covered with a layer of bacterial plaque that serves as a primary irritant and contributes to periodontal disease.

Types of Calculus

• Supragingival calculus is whitish-yellowish, mineralized by saliva, and often found on lingual surfaces of mandibular anterior teeth.
• Subgingival calculus is dark, brownish or blackish, mineralized by gingival crevicular fluid.

Materia Alba

• Materia Alba is a soft, white, organized accumulation of bacterial proteins, shed epithelial cells, and occasional food debris that is easily displaced with water spray and is a precursor to plaque.

Extrinsic Stains

• Orange stains occur on anterior teeth due to poor oral hygiene.
• Brown stains are often due to drinking dark-colored beverages and poor oral hygiene.
• Dark brown or blackish stains are often due to tobacco use (smoking, chewing, or snuffing).
• Yellow-brown stains are due to the use of chlorhexidine and stannous fluoride.
• Black stains specifically found on the cervical third of teeth can be found in healthy males and are due to iron consumption.
• Green and yellow stains, usually on anterior teeth, can be due to poor oral hygiene or chromogenic bacteria.
• Bluish-green stains can be due to occupational exposure to metallic dust.

Other Local Factors

• Malocclusion contributes to plaque accumulation and indirectly to periodontal disease.
• Prominent roots and teeth associated with high fariña experience gingival recession and mesial drift or extrusion.
• Faulty restorations contribute to periodontal disease, including overhanging margins, open margins, rough surfaces, and open contacts.
• Over-contoured restorations are worse for gingival health than under-contoured restorations.
• Subgingival margins can cause plaque retentive areas even when they are not faulty.
• Appliances, such as removable partial dentures, braces, and oral jewelry, lead to the occurrence of periodontal disease as a local factor.
• Self-inflicted injury, such as aggressive horizontal brushing, causes tooth abrasion and gingival recession.

Local Factors in Periodontal Disease

• Calculus is a mineralized dental plaque that forms within 1-14 days and is not a mechanical irritant to gingival tissues by itself, but is covered with a layer of bacterial plaque that serves as a primary irritant and contributes to periodontal disease.

Types of Calculus

• Supragingival calculus is whitish-yellowish, mineralized by saliva, and often found on lingual surfaces of mandibular anterior teeth.
• Subgingival calculus is dark, brownish or blackish, mineralized by gingival crevicular fluid.

Materia Alba

• Materia Alba is a soft, white, organized accumulation of bacterial proteins, shed epithelial cells, and occasional food debris that is easily displaced with water spray and is a precursor to plaque.

Extrinsic Stains

• Orange stains occur on anterior teeth due to poor oral hygiene.
• Brown stains are often due to drinking dark-colored beverages and poor oral hygiene.
• Dark brown or blackish stains are often due to tobacco use (smoking, chewing, or snuffing).
• Yellow-brown stains are due to the use of chlorhexidine and stannous fluoride.
• Black stains specifically found on the cervical third of teeth can be found in healthy males and are due to iron consumption.
• Green and yellow stains, usually on anterior teeth, can be due to poor oral hygiene or chromogenic bacteria.
• Bluish-green stains can be due to occupational exposure to metallic dust.

Other Local Factors

• Malocclusion contributes to plaque accumulation and indirectly to periodontal disease.
• Prominent roots and teeth associated with high fariña experience gingival recession and mesial drift or extrusion.
• Faulty restorations contribute to periodontal disease, including overhanging margins, open margins, rough surfaces, and open contacts.
• Over-contoured restorations are worse for gingival health than under-contoured restorations.
• Subgingival margins can cause plaque retentive areas even when they are not faulty.
• Appliances, such as removable partial dentures, braces, and oral jewelry, lead to the occurrence of periodontal disease as a local factor.
• Self-inflicted injury, such as aggressive horizontal brushing, causes tooth abrasion and gingival recession.