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Periodontal DiseaseAka: Gingival Disorder

Pathophysiology
1. Bacteria and other pathogens infect subgingival dental Plaque
2. Pathogens invade and inflame Gingival epithelium
Risk Factors
1. Dental Caries
2. Poor dental hygiene
3. Older patients with comorbid illness
4. Immunosuppression
5. Exposure to Saliva of a patient with periodontal disease
  1. Asikainen (1997) J Am Dent Assoc 128:1263
Types
1. Gingivitis
2. Periodontitis
Complications
1. Fever of Unknown Origin
  1. Siminoski (1993) Clin Infect Dis 16:550
2. Bacterial Endocarditis
  1. Ito (2006) J Med Invest 53:189
3. May be related to pathogenesis of atherosclerosis and other vascular disease
  1. Beck (2005) J Periodontol 76:2089

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This page was written by Scott Moses, MD. This page was last revised on 4/13/2008 4:05:08 PM. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.