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Periodontal Disease

Aka: Periodontal Disease, 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: 1263-71
Types
1. Gingivitis
2. Periodontitis
Complications
1. Fever of Unknown Origin
  1. Siminoski (1993) Clin Infect Dis 16: 550-4
2. Bacterial Endocarditis
  1. Ito (2006) J Med Invest 53:189-98
3. May be related to pathogenesis of atherosclerosis and other vascular disease
  1. Beck (2005) J Periodontol 76:2089-2100
  2. Caplan(2006) J Dent Res 85: 996-1000

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 2/13/2011 and last published on 5/9/2012.

This is one of 5737 pages in the Family Practice Notebook